Fillable APPLICATION FOR EMPLOYMENT Staff Positions ANSWER ALL QUESTIONS (Milligan College)

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APPLICATION FOR EMPLOYMENT Staff Positions ANSWER ALL QUESTIONS (Milligan College)

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File type: PDF

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APPLICATION FOR EMPLOYMENT
Staff Positions
: Teaching Positions:
PERSONNEL OFFICE ACADEMIC DEAN
P.O. Box 750 P.O. Box 52
Milligan, TN 37682 Milligan,
TN 37682
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
(if other than above)
County Length of Residence Social Security Number (voluntary)
Home Phone Cell Phone Daytime Phone
E-Mail Address
A
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
College‘s policy
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?
Yes No
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.
EDUCATIONAL DATA
*****A release for an official transcript may be required at a later date*****
Name and Location
From
To
Major
(area of specialty)
Year
Graduated
High School
College or University
Graduate School
Other (Specify)
List Professional
Certifications/Licenses, Awards,
Honors, Professional Me
mberships,
etc.
Describe any job-related specialized
training, apprenticeship, skills and
qualifications acquired from
employment or other experience.
*****My present or most recent employer MAY MAY NOT be contacted*****
EMPLOYMENT HISTORY
Experience: Start with present or most recent employer. If you have a resume, please attach it.
Most Recent Employer
Dates Employed
From To
Description of Your Work and Responsibilities
Address
Your Job Title
Hourly Rate/Salary
Starting Final
Supervisor Name and Title
$
$
Reason for Leaving
Previous Employer
Dates Employed
From To
Description of Your Work and Responsibilities
Address
Your Job Title
Hourly Rate/Salary
Starting Final
Supervisor Name and Title
$
$
Reason for Leaving
Employer
Dates Employed
From To
Description of Your Work and Responsibilities
Address
Your Job Title
Hourly Rate/Salary
Starting Final
Supervisor Name and Title
$
$
Reason for Leaving
Employer
Dates Employed
From To
Description of Your Work and Responsibilities
Address
Your Job Title
Hourly Rate/Salary
Starting Final
Supervisor Name and Title
$
$
Reason for Leaving
NOTE: Attach additional sheet if necessary.
I certify that the answers given on this application are true and complete to the best of my knowledge. I understand that, if
employed, falsified information, omission of facts on this application, or failure to provide proof of educational
requirements shall be considered sufficient cause for dismissal. It is also a Class A misdemeanor to misrepresent academic
credentials.
Signature ________________________________________________________ Date _______________________________
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APPLICATION FOR EMPLOYMENT Staff Positions ANSWER ALL QUESTIONS (Milligan College)

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Completed 23 July 2020

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