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Profile Information
For exposure of your background to more opportunities, a resume is recommended.
Date: *
First Name:
*
Middle Initial:
Last Name:
*
Street Address 1:
*
Street Address 2:
City:*
State/Province:
State/Province:*
State/Province:*
Zip Code:
*
Country:*
Home Phone Number
*
Alternative Phone Number
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Paste a copy of your resume below. If you do not have a resume available, please provide a description of your backgorund and qualifications for this position.*
Position Desired
Position Applied For : ADMISSIONS REPRESENTATIVE
Availability: *
Full Time
Adjunct
Part Time
Any
If part time, please list hours available: *
Salary expected: *
Date Available: (mm/dd/yyyy) *
Are there any restrictions on the schedule you are able to work? (Ex. nights/weekends/overtime) *
Yes
No
Please indicate *
Personal Information
Are you presently employed? *
Yes
No
If yes, may we contact your present employer? *
Yes
No
Do you have reliable transportation to get to work each day? *
Yes
No
If no, please explain: *
To your knowledge, have you ever been employed by this Company or a subsidiary? *
Yes
No
If yes, where? *
When? *
Position *
Reason for leaving? *
Do you have any relatives or acquaintances employed by this Company? *
Yes
No
Name & Relationship *
Please select how you were referred: *
Specify Other Source: *
Please specify Firm/Agency Name: *
Name of Job Fair attended: *
Who referred you? *
Name of Newspaper: *
Name of Journal: *
Education
Type of School
Name of School
Location (City and State)
Graduated?
Number
of
Years
attended
Degree
Major/Subject
GPA
* High School
College or University
Graduate School
Other
Employment Eligibility
Have you ever been convicted of a crime, entered a plea of nolo contendere (no contest) to a crime, had adjudication withheld or received a suspended sentence (regardless of the ultimate adjudication) for a crime? *
Yes
No
If yes, please provide the details, including dates, of the charge(s) and any other circumstances relating to the criminal proceeding(s), to ensure a full understanding of what occurred (attach additional sheets if necessary).
NOTE: Answering "Yes" to this question is not an automatic bar to employment. Rather, we will consider such factors as age at the time of the offense, seriousness and nature of the offense, relatedness to the job sought, the amount of time that has passed since the offense occurred, and evidence of rehabilitation. Please be advised that false, incomplete or misleading statements or omissions in answering this question may be grounds for disqualification from further consideration as an employment candidate, or if employed, discharge from employment. *
Do you have any criminal charges pending? *
Yes
No
If yes, please provide the details, including dates, of the charge(s) and any other circumstances relating to the pending criminal proceeding, to ensure a full understanding of what occurred (attach additional sheets if necessary).
NOTE: Answering "Yes" to this question is not an automatic bar to employment. Rather, we will consider such factors as age at the time of the offense, seriousness and nature of the offense, relatedness to the job sought, the amount of time that has passed since the offense occurred, and evidence of rehabilitation. Please be advised that false, incomplete or misleading statements or omissions in answering this question may be grounds for disqualification from further consideration as an employment candidate, or if employed, discharge from employment. *
Have you ever been sued in a civil action with regard to the death of or personal injury or intentional damage to any person or to any property? *
Yes
No
If yes, give details concerning the nature of the claims and defenses raised by the parties, the outcome of the action (e.g. settlement, jury, verdict, or other disposition), and any other circumstances you deem relevant to a full understanding of what occurred (attach additional sheets if necessary). *
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? *
Yes
No
Have you ever been granted a military or government security clearance?
Yes
No
If yes, level of clearance: *
Do you have any special job skills or qualifications that may be relevant to the position for which you are applying? If so, please describe:
Have you ever been dismissed or asked to resign from employment? *
Yes
No
If yes, provide a brief explanation, including the name of the employer, approximate date, and any relevant circumstances: *
References
Please list three (3) of your previous immediate supervisors, beginning with the most recent, who can attest to your professional abilities and work accomplishments. Personal or other professional references will not be accepted.
*
I understand that any misrepresentation, falsification or omission of this application shall be sufficient reason for refusal to hire or, if discovered after employment has begun, dismissal of my employment. I hereby authorize investigation of all matters contained in this application and agree that if the results of such investigation are not satisfactory, any offer of employment may be withdrawn, or, if applicable, my employment may be terminated immediately. I agree to conform to and adhere to the rules and regulations governing my employment. Further, I understand and agree that this application and any other materials I may receive are not intended to be, nor shall be construed to be a contract of employment, and that my employment and compensation may terminate, with or without cause, and with or without notice, at any time, at the option of either myself or my employer.
I further agree that if employed I will abide by the institutions policies and procedures as they now exist and may be modified from time to time in the sole discretion of the institution.
