Fillable Application-employment-clerical Clerical Application

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Application-employment-clerical Clerical Application

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File type: PDF

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Eastern Wyoming College
APPLICATION FOR EMPLOYMENT
3200 West C Street • Torrington, WY 82240 CLERICAL APPLICATION
Eastern Wyoming College is committed to providing equal opportunity for access to and participation in college programs of instruction, services, and
activities. It is the policy of the college to neither favor nor disfavor any individual on the basis of race, color, creed, religion, sex, disability, or national
origin. The college is subject to and complies with the regulations of Title VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972,
and Section 504 of the Rehabilitation Act of 1973 and Americans with Disabilities Act. Inquiries regarding compliance may be directed to the Director of
Human Resources, Eastern Wyoming College, Torrington, WY, 82240 or phone (307) 532-8330, or the Wyoming Department of Education, Office for Civil Rights
Coordinator, 2nd Floor, Hathaway Building, Cheyenne, WY 82002-0050, or (307) 777-6218.
Date____________________________________________________________
Name
______________________________________________________
(Last) (First) (Middle)
Address_____________________________________________________
Telephone_______________________________________________________
U.S. Citizen Yes No ______
If not, VISA Class
_________________________________________________
Student Non Student _______________________
For what kind of position are you applying?
Other work you would consider:
1.______________________________________________________________
2.______________________________________________________________
3.______________________________________________________________
Have you ever been convicted of a misdemeanor or felony? _________
Explain:
________________________________________________________________________
________________________________________________________________________
Name and address of person to be notified in case of emergency.
____________________________________________________________
____________________________________________________________
____________________________________________________________
Can you accept position immediately?____________________________
If not, how soon? _____________________________________________
Have you ever worked at EWC before?____________________________
When? Department ___________________________
Reason for leaving? ____________________________________________
Have you ever been suspended or discharged from a position? ________
Reason:______________________________________________________
EDUCATION
High School:_____________________________________________________
Business College:______________________________________________
Location:________________________________________________________
Location: ____________________________________________________
Years Completed:_________________________________________________
Years Completed: _____________________________________________
Did You Graduate? __________________________
Did You Graduate? ____________________________________________
College or University:_____________________________________________
Special Training:______________________________________________
Location:_______________________________________________________
Location:____________________________________________________
Years Completed:________________________________________________
Years Completed:_____________________________________________
Did you Graduate? ______ _______Major ________ Minor
Did you Graduate? ______ _______Major ________ Minor
EMPLOYMENT HISTORY Begin with most recent employment. May we contact your current employer?
Employer:
Employer:
Employer:
Address:
Address:
Address:
Supervisor:
Supervisor:
Supervisor:
Type of Position:
Type of Position:
Type of Position:
Starting Date:
Starting Date:
Starting Date:
Ending Date:
Ending Date:
Ending Date:
Reason for Leaving:
Reason for Leaving:
Reason for Leaving:
Salary:
Salary:
Salary:
REFERENCES May be personal or business references (do not use those listed above or relatives).
Name:
Name:
Name:
Address:
Address:
Address:
Phone:
Phone:
Phone:
Profession or Occupation of Reference:
Profession or Occupation of Reference:
Profession or Occupation of Reference:
Please check the following with which you have had experience or training:
Accounting/Bookkeeping Editorial Purchasing
Auditing Filing Statistical
Accounts Receivable/Payable Payroll Printing
Clerical (General) Switchboard Correspondence
Computerized Bookkeeping Typing, Speed Memory Typewriter
Stenographic Speed Calculators Computer Terminal
Excel Duplicating Machines Microcomputer
Desktop Publishing Adding Machines Access
PowerPoint Word Processing Software - specify application(s) Other Software
Other
I certify that all information given on this application, supporting documents, and interviews is correct to the best of my knowledge. I understand that giving false information is
cause for dismissal and that a physical examination (post conditional offer) may be required. I understand that this application is not intended to be a contract of employment. I
agree that Eastern Wyoming College may require my participation in a contribution to retirement plans while employed. I further authorize Eastern Wyoming College to investigate
all statements made on my application for employment. I authorize such educational institutions and employers and others (and their agents or employees) to respond to questions
concerning information given on this application and I further release from liability such former employers, institutions, or person providing such information to Eastern Wyoming
College. I understand that no offer of benefits such as insurance, vacation or salary rate is final until approved by the Director of Human Resources. I understand that I will be
required to complete an I-9 form for income tax purposes. I understand that I will be required to serve a probationary period during which time I may be terminated in accordance
with Eastern Wyoming College policy.
Signature _________________ Date _____________________________________________________
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Application-employment-clerical Clerical Application

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Completed 5 November 2019

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