Springfield YMCA :: Springfield, IL

Application for Staff Placement

Notice to Applicants

The Springfield YMCA operates daily on the foundation of four core character values of honesty, caring, respect and responsibility. Staff are expected to demonstrate these values in their personal and professional lives.

Failure to complete this application honestly and completely will disqualify you from placement or, if placed, may result in termination with the organization. To help us learn about your experience, abilities, and interests, please complete this application as thoroughly as possible.

If you need assistance filing out the application form or with any phase of the placement process, contact the Y and every effort will be made to accommodate your needs in a reasonable amount of time.

We are an Equal Opportunity Employer. Applicants for all staff openings are welcome and will be considered without regard to race, color, religion, national origin, sex, age, sexual orientation, physical or mental disability, or any other basis protected by state, federal or local law. It is the intent of the YMCA to comply with all applicable federal, state and local legislation concerning equal opportunity in employment.

Type of Placement Wanted & Position(s) Applying For

Note: Placement applications are only accepted for a position posted as open. The current position lists are available here:
Current paid position list
Current volunteer position list

Personal Information

Placement Desired

How were you referred to the YMCA of Springfield?
Employee Referral
Other (please specify below)

Education and Training

High School

College 1

College 2


Current Certifications

(Check all that apply)
First Aid

Employment or Volunteer Experience Data

Please list in order of most recent employment/volunteer first.

Check here if this would be your first job.

Company 1

Company 2

Company 3

Company 4

Reference Data

Personal references we may contact.
Must include at least 3 references and one must be a relative.
References should not be current or former employers.

Reference 1

Reference 2

Relative as a Reference:

Pre-Placement Certification