Middle
Street
State
Zip
Department of Human Resources
OBU Box 61207 500 W. University Shawnee, OK 74804
405-585-5130 Fax 405-585-5179 hr@okbu.edu
APPLICATION FOR SUPPORT POSITION
Position applied for Date
Name
Address
Last
First
Home Telephone
Mobile
Email
Work Telephone May we call you at your work number?
Yes
No
Do you have relatives employed by OBU?
Yes No
Relationship
How did you learn of this position?
Would you work Full-Time
Part-Time
If part-time, specify days and hours
Were you previously employed by OBU?
Yes No
If yes, list dates
EDUCATION
Grade or High School Year Graduated or Grade Completed
School
Name City
State
College or University Degree or number of credit hours Year Graduated
Institution
Name City
State
Major
Minor
Certificates or Training
EMP
LOYMENT HISTORY
(Last position first, including military service, if any)
Employer’s Name
Address and Telephone
From
mo/yr
To
mo/yr
Salary
Reason for Leaving
CHURCH AND CIVIC MEMBERSHIP AND ACTIVITIES
Are you presently an active member of a church? Yes No
Name of Church
Location of Church
Name of Pastor or Senior Minister
Church Telephone
Church Activities
Civic Activities
Briefly summarize your personal Christian faith and commitment.
*
References (
Names, address and telephone of three persons (not related) that can comment on your career and character)
Name
Address
Telephone
Relation
Applicants for Administrative Support Positions list office equipment you can effectively operate
Applicants for Trades & Crafts Positions list equipment you are trained to operate
Do you have a valid driver’s license?
Yes No
If yes, Issuing State Number
Have you ever been convicted of, or entered a plea of “guilty” or “no contest” to a felony?
Yes
No
Conviction will not necessarily disqualify you from employment.
Have you been convicted of a crime which subjects you to the Sex Offenders Registration Act in Oklahoma or
are you subject to another state’s or to federal sex offender registration provisions?
Yes
No
If yes, in what state(s) are you registered?
Oklahoma Baptist University is an alcohol, drug and tobacco free campus
I hereby certify that, to the best of my knowledge, the answers given herein are true and correct. If I am employed, I understand that
false or misleading information given in my application or interview(s) may result in discharge at any time during my employment. If
hired, I further certify that I will comply with all rules and regulations of Oklahoma Baptist University.
I hereby authorize and give my consent to the University to confirm all such information and I waive my right to privacy thereto to the
extent required to verify relevant background and ability
WR
perform all job-related functions. My consent specifically includes, but is
not limited to, my prior job functions work performance, education, criminal and/or driving record and other permissible job-related
issues.
I authorize all employers to release any and all information they may have regarding my employment. I hereby release employers,
persons and organizations from all liability in responding to inquires in connection with my application.
Signature of Applicant Date
*typed name is equivalent to hand signature
Oklahoma Baptist University does not illegally discriminate on the basis of race, sex, religion, color, national or ethnic origin, age,
disability, or military service in its administration of educational policies, programs, or activities, its admissions policies, scholarship and
loan programs, athletic or other university administered programs; or employment.
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome