APPLICATION FOR EMPLOYMENT
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Personal Information
Last name First name Middle initial Date
Street address E-mail address
City State Zip Telephone number
Position Desired:
How did you learn of this position?
Salary expected (per month or hour required) Date available to begin work
If hired, can you provide proof of identity and eligibility to work in the U.S.? (__) Yes (__) No
Have you ever been convicted of a crime? (__) Yes (__) No (This will not necessarily disqualify you for a position.)
If yes, please explain: ________________________________________________________________________________________
__________________________________________________________________________________________________________
Education
High School
College or Post High School Course of Study Degree
Employment Experience (List your most recent employer first)
1.
Dates (Month/Year to Month/Year) Position
Organization Supervisor
Reason for Leaving Contact Phone Number
APPLICATION FOR EMPLOYMENT
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2.
Dates (Month/Year to Month/Year) Position
Organization Supervisor
Reason for Leaving Contact Phone Number
3.
Dates (Month/Year to Month/Year) Position
Organization Supervisor
Reason for Leaving Contact Phone Number
Other training relevant to your job interest
References (Do not list relatives or close friends. Please list three references.)
1. Name:
How long has this person known you?
Address
________________________________________________
Phone Number E-mail address
2. Name:
How long has this person known you?
Address
________________________________________________
Phone Number E-mail address
APPLICATION FOR EMPLOYMENT
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3. Name:
How long has this person known you?
Address
________________________________________________
Phone Number E-mail address
Bluffton University seeks to prepare students of all backgrounds for life as well as vocation, for responsible citizenship, for service to all
peoples and, ultimately, for the purposes of God's universal kingdom. We do what we do because we believe in bringing together people
and ideas for a greater purpose, For instance, we bring together academic quality with deep personal caring for each of our students, and
we bring together modest tuition with outstanding financial aid for a truly affordable private education. To most effectively bring these things
together, we have chosen to be a small, 4-year, Liberal Arts University, where we have been delivering these outcomes since 1899.
As a Christian institution affiliated with the Mennonite Church, Bluffton welcomes faculty and staff members who seek to follow the life and
teachings of Jesus Christ, who respect or espouse the peace church vision of the university, who are committed to serving those in need,
and to multi-ethnic, intercultural and international understanding.
In light of Bluffton’s commitments as a Christian institution in the Anabaptist Mennonite tradition, what are the personal commitments and
special gifts you would bring to the Bluffton University community?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
APPLICATION FOR EMPLOYMENT
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AS AN APPLICANT FOR EMPLOYMENT WITH BLUFFTON UNIVERSITY, I UNDERSTAND THE FOLLOWING:
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize
Bluffton University to verify their accuracy and to obtain reference information on my work performance. I hereby release Bluffton University
from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based
on such information. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall
be considered sufficient basis for dismissal.
I, the undersigned, hereby authorize and request any present or former employer, educational institution, law enforcement agency,
department of motor vehicles, financial institution, or other persons having personal knowledge about me to furnish Bluffton University
and/or its agents, with any and all information in their possession regarding me, in connection with an application for or retention of
employment. Further, I hereby release from liability and hold harmless all persons and corporations supplying this information to Bluffton
University and/or its agents. A photocopy of this authorization is as effective as the original.
I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of
employment of the employer. However, I further understand that the policies, rules, regulations of employment or anything said during the
interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is
for an indefinite duration and at will and that either I or the employer may terminate my employment at any time with or without notice or
cause.
Initial if Bluffton should not contact current/former employers. _____ Please do not contact current/former employers
Signature _________________________________________________________________ Date
Employment decisions are based on merit and university needs, and not on race, color, national origin, ancestry, sex, age, disability, marital
status, sexual orientation, gender identity or any other status protected by law. As a religious institution, Bluffton University expressly
reserves its rights to appoint faculty and staff who share a commitment to the Christian faith which is consistent with the
Mennonite/Anabaptist beliefs of the university’s founding and supporting church.
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