Fillable APPLICATION FOR EMPLOYMENT (St. Joseph College)

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APPLICATION FOR EMPLOYMENT (St. Joseph College)

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60 COLLEGE AVENUE | ANNAPOLIS | MD 21401 | 410- 626- 2896
SJC.EDU
APPLICATION FOR EMPLOYMENT
This application will be considered on a current basis as of the date received and only for the
position identified. To apply for another position, you must complete a new application. The fact
that St. John’s College accepts this application does not mean that an opening exists.
St. John’s College is an equal opportunity employer and, in conformity with applicable laws, does
not discriminate on the basis of race, marital status, color, religion, sex, national origin, ancestry,
age, disability, or veteran status. No question on this application is intended to be used for such
discrimination. Please advise us if any accommodations are required to assist you in the
application process.
INSTRUCTIONS: Answer all questions to the best of your ability. Items that do not apply should be
noted “N.A.” in the appropriate blank. Information you provide will be used only to evaluate your
candidacy for employment.
Position ___________________________________________________________________________
Full Name _________________________________________________________________________
Telephone _________________________________________________________________________
Address ___________________________________________________________________________
City
_________________________ State _________________________ Zip _________________
Education
School Level
Name of School
Years
Completed
Degree
High School
College
Other
Who referred you to St. John’s College?
Website (Name) _________________________________________________________________
Referral (Name) _________________________________________________________________
Other _________________________________________________________________________
60 COLLEGE AVENUE | ANNAPOLIS | MD 21401 | 410- 626- 2896
SJC.EDU
Employment Experience
Please list your last three employers:
Company Name
Address
City
State
Phone
Starting Date
End Date
Job Title
Salary/Hourly Rate
Name of Supervisor
May we contact?
Yes
No
Describe the Nature of Work
Reason for Leaving
Company Name
Address
City
State
Phone
Starting Date
End Date
Job Title
Salary/Hourly Rate
Name of Supervisor
May we contact? Yes No
Describe the Nature of Work
Reason for Leaving
Company Name
Address
City
State
Phone
Starting Date
End Date
Job Title
Salary/Hourly Rate
Name of Supervisor
May we contact? Yes No
Describe the Nature of Work
Reason for Leaving
60 COLLEGE AVENUE | ANNAPOLIS | MD 21401 | 410- 626- 2896
SJC.EDU
Professional References
Name
Phone
Business
Yrs Known
Military Service Record
Branch of Service
Discharge Date
Duties
Are your eligible to work in the U.S.? Yes No
Do you n
ow, or will you at anytime in the future, require the College to sponsor you for work
eligibility? Yes No
Are yo
u currently or do you plan on becoming a student at St. John’s College as either
undergraduate or graduate? Yes
No
Have you
been told the essential functions of the job or have viewed a copy of the job description
listing the essential functions of the job? Yes
No
Can
you perform these essential functions of the job with or without reasonable accommodations?
Yes
No
Date yo
u are available to work _________________________________________________________
Have you been convicted of a crime in the last 10 years? Yes
No
If y
es, give date, place and offense. (Nature of crime will be considered in relation to the position
for which you are applying.)
60 COLLEGE AVENUE | ANNAPOLIS | MD 21401 | 410- 626- 2896
SJC.EDU
Certification
I hereby affirm that my answer to the questions on this application are true and correct and that I
have not withheld any fact or circumstance that would, if discovered, affect my application
negatively. I understand that misrepresentation or omission of a fact called for in this application
or any other related records may be cause for immediate dismissal. In addition, I authorize St.
John’s College to verify any and all information contained in this application. I give permission for
St. John’s College to obtain and review information pertaining to my background, without
limitation. I request and authorize those entities contacted in connection with my application to
provide St. John’s College with any and all information, which they believe, may be relevant. I
release from any liability all individuals and organizations who provide information to St. John’s
College in good faith concerning my qualifications and background. I further release St. John’s
College and all representatives of St. John’s College from liability in connection with the
investigation and evaluation of my application. I waive any claims that I might otherwise hereafter
have against St. John’s College its agents and officials, or against anyone who provides such
information.
I understand and agree that no representative of the College has any authority to enter into any
agreement for any specified period of time, or to make any agreement contrary to the foregoing,
unless it is in writing and signed by an authorized College representative. I also understand that
employment at the College is “at will” unless otherwise defined.
Signature __________________________________________________ Date_________________
“UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION
OF EMPLOYMENT, PERSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN
INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO
VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT TO
EXCEED $100.”
Signature __________________________________________________ Date_________________
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APPLICATION FOR EMPLOYMENT (St. Joseph College)

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Completed 17 September 2020

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