APPLICATION FOR EMPLOYMENT
: Teaching Positions:
PERSONNEL OFFICE ACADEMIC DEAN
P.O. Box 750 P.O. Box 52
Milligan, TN 37682 Milligan,
We consider application
s for all positions without regard to race, color, national origin, age, sex, disability status or veteran
status or any other legally protected status. To be considered as an official applicant for a position, an Application for
Employment must be completed and returned to the Personnel Office by the application deadline.
ANSWER ALL QUESTIONS (please print or type)
Submitted for position of __________________________________________________________________________________
In the Department of ______________________________________________________________ Date ___________________
Last Name First Name Middle Name
Local Address Number Street City State Zipcode
Permanent Address Number Street City State Zipcode
County Length of Residence Social Security Number (voluntary)
Home Phone Cell Phone Daytime Phone
re you a citizen of the United States? Yes No
If not, do you hold a current visa
entitling you to work here? Yes No
Do you have relatives currently employed at the College? (This information is required to comply with the
regarding hiring family members.) Yes No
If yes, please list name(s),
relationship, and department.
Have you ever been convicted of a felony or a misdemeanor?
If yes, please explain or discuss
WE CONDUCT VARIOUS BACKGROUND CHECKS ON FINAL CANDIDATES DEPENDING ON POSITIONS BEING FILLED. IF YOU FAIL OR
REFUSE TO EXECUTE A DISCLOSURE FORM AND AUTHORIZATION FORM, NO FURTHER CONSIDERATION WILL BE GIVEN TO YOUR
APPLICATION FOR EMPLOYMENT.