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ALBRIGHT COLLEGE

APPLICATION FOR EMPLOYMENT
FOR SUPPORT STAFF POSITIONS ONLY

Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap or veteran status .


Please fill in as much information as possible.
Your contact information is required to submit this form.

PERSONAL

Last Name First Middle

 

Street Address

Home Telephone

City State Zip

Work Telephone

How did you learn about us? (check all that apply)

Advertisement Friend Walk-In

Employment Agency Relative Other

Cell Phone

E-mail:

Have you ever applied for employment with us?

Yes No If yes: Month & Year

Position Desired

Pay Expected $ /

Are you available for Full Time Part Time Shift Work Temporary Work

Will you work overtime if asked?

Yes No

Are you legally eligible for employment in the United States?

Yes No

When will you be available to begin work?

Have you been convicted of a felony within the last 7 years? Yes No

Conviction will not necessarily disqualify an applicant from employment.

If Yes, please explain.

Other special training or skills (machine operation, special licenses, etc.)

 

EDUCATION School

Name and Location of School

Course of Study

No. of Years Completed

Did you Graduate?

Degree or Diploma

High School

Yes No

Business/Trade/ Technical

Yes No

College/ University

Yes No

Graduate/ Professional

Yes No

 

Membership in Professional or Civic Organizations

(Exclude those which may disclose your race, color, religion or national origin)

 

EMPLOYMENT

Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer.
(You may include military service as part of your employment history).

 

1

Company Name

Telephone

Address

Employed - (State month and Year)

From To

Name of Supervisor

Weekly Pay - Start $ Last $

State Job Title and Describe Your Work

Title:

Reason for leaving

Description:

 

2

Company Name

Telephone

Address

Employed - (State month and Year)

From To

Name of Supervisor

Weekly Pay - Start $ Last $

State Job Title and Describe Your Work

Title:

Reason for leaving

Description:

 

3

Company Name

Telephone

Address

Employed - (State month and Year)

From To

Name of Supervisor

Weekly Pay - Start $ Last $

State Job Title and Describe Your Work

Title:

Reason for leaving

Description:

 

4

Company Name

Telephone

Address

Employed - (State month and Year)

From To

Name of Supervisor

Weekly Pay - Start $ Last $

State Job Title and Describe Your Work

Title:

Reason for leaving

Description:

 

May we contact the employers listed above?  Yes    No

If no, please indicate those references you do not want us to contact at this time.

Company Name

1.

2.


RESUME:

If you would like to attach your resume to your application, please use the browse button below to select the file from your computer. MS Word preferred, Maximum file size is 1MB.

 

APPLICANT STATEMENT

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service, whenever it is discovered.

I authorize the potential employer to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview.  I understand that certain positions may require successful completion of a background investigation for continued employment.  I understand that if the college is unable to complete the background investigation within 90 days, the probationary period will be extended for an additional 30 days.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 90 days.  At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law.  This application does not constitute an agreement or contract for employment for any specified period or definite duration.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

 

Do not sign until you have read the above applicant statement.  The information that is provided in this Application for Employment is true, correct and complete. If you employ me, any misstatement or omission of fact on this application may result in my dismissal.

I understand that acceptance of an offer of employment creates no obligation upon you, the employer, to continue to employ me in the future.

By checking the box, you agree to the statement and conditions as stated above and this shall be considered your signature for the purpose of this application. If you do not agree, or do not check the box above, you will not be able to complete this application.


In order to help prevent abuse of this application, please type the THIRD letter of the name of this college. Please use lowercase.