References (
Names, address and telephone of three persons (not related) that can comment on your career and character)
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
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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.
