Application for Employment
Oklahoma Christian University complies with all laws regarding nondiscrimination in
employment, including those with respect to race, color, age, gender, national origin, marital
status, military service, and disability. As a religious educational institution the University is
permitted by law to consider religious beliefs and practices in making employment decisions and
the University does so to achieve its mission.
Date: ___________________
Name: _________________________________________ Social Security No.: _____________
Email Address: _________________________________________________________________
Street Address: ________________________________________________________________
City: ___________________________________ State: _______________ Zip: ___________
Complete Insert A
Home Telephone: _____________________ Cell Telephone No.: ____________________
Because of the religious tenets held by Oklahoma Christian University and its governing Board,
it is necessary that we obtain the following information:
Church Membership: ___________________________________________________________
Specific Name and Address of Home Congregation: ___________________________________
___________________________________
EMPLOYMENT DATA
Position applied for: __________________________________ Salary Expected: ____________
Date available: ________________ What is your availability for work? □ Full Time □ Part Time
Would you like to be considered for temporary employment? □ Yes □ No
Were you previously employed by Oklahoma Christian University? □ Yes □ No
If yes, when and in what capacity? _________________________________________________
Do you have any relatives employed by Oklahoma Christian University? □ Yes □ No
If yes, name and relationship: _____________________________________________________
Do you smoke? □ Yes □ No Do you use illegal drugs? □ Yes □ No
Have you ever been convicted of a misdemeanor or felony? □ Yes □ No If yes, complete Insert B
EDUCATIONAL DATA
Name and Address of School
Major
Did you
graduate?
Degree/Certificate
Date Received
HIGH SCHOOL
□ Yes
□ No
COLLEGE
□ Yes
□ No
COLLEGE
□ Yes
□ No
GRADUATE SCHOOL
□ Yes
□ No
BUSINESS/TRADE SCHOOL
□ Yes
□ No
SPECIAL SKILLS
List any special skills, awards or honors that you have received or any information which supports your
qualifications.
EMPLOYMENT EXPERIENCE
List below your employment history beginning with your most recent position.
1. Employer: ________________________ Dates employed: from ________ to ____________
Address: ____________________________________________ Salary: ________________
Job Title: ___________________________________ Work Performed: ________________
Supervisor: _________________________________
Reason for Leaving: _________________________________________________________
2. Employer: ________________________ Dates employed: from ________ to ____________
Address: ____________________________________________ Salary: ________________
Job Title: ___________________________________ Work Performed: ________________
Supervisor: _______________________________
Reason for Leaving: __________________________________________________________
3. Employer: ________________________ Dates employed: from ________ to ____________
Address: ____________________________________________ Salary: ________________
Job Title: ___________________________________ Work Performed: ________________
Supervisor: _______________________________
Reason for Leaving: __________________________________________________________
REFERENCES
List three persons who are not related to you and who have knowledge of your qualifications.
Full Name
Years
Known
Business/
Occupation
Telephone
APPLICANT AGREEMENT
Read carefully before signing.
I certify that the statements or information furnished by me in this application are true and
correct. I understand that any false answers or information given in this application or any
supplement thereto, or the omission of pertinent information may result in withdrawal of any
employment offer, or if hired, immediate dismissal. I also understand that any offer of
employment or employment is conditioned on a satisfactory background check.
I hereby authorize Oklahoma Christian University to make a thorough investigation of my
employment record and references, including the authority to request a college transcript, a
credit report, and a criminal conviction report. I hereby release Oklahoma Christian
University and all persons, companies or corporations supplying such information from
liability or responsibility in connection with such investigation.
I understand that nothing contained in this application or in the granting of an interview is
intended to create any agreement between Oklahoma Christian University and myself for
either employment or the provision of any benefit. I understand that my employment, if
employed, can be terminated, with or without cause, at any time by the university or myself.
_____________________________________________ ___________________________
Signature Date
click to sign
signature
click to edit
OKLAHOMA CHRISTIAN UNIVERSITY APPLICATION
Insert A
ADDRESS INFORMATION
Present Address
Street City State Zip County
How long did you live at this address? ___________________________
Have you lived outside the state of Oklahoma in the last seven (7) years? □ Yes □ No
If yes, please list all previous addresses outside of Oklahoma within the past seven (7) years and the amount of time
spent at each address:
Previous Address
Street City State Zip County
How long did you live at this address? _____________________________
Previous Address
Street City State Zip County
How long did you live at this address? _____________________________
Previous Address
Street City State Zip County
How long did you live at this address? _____________________________
Previous Address
Street City State Zip County
How long did you live at this address? _____________________________
Previous Address
Street City State Zip County
How long did you live at this address? _____________________________
Previous Address
Street City State Zip County
How long did you live at this address? _____________________________
Previous Address
Street City State Zip County
I certify that the statements made by me in this section are true, complete and correct to
the best of my knowledge and belief and are made in good faith. I understand that any
false statements made herein, including omissions, will void my application and any actions
based on it and I will not be eligible for future employment with Oklahoma Christian
University.
_______________________________ ___________________________ ___________________
Print Name Signature Date
click to sign
signature
click to edit
OKLAHOMA CHRISTIAN UNIVERSITY APPLICATION
Insert B (To be completed only if applicant has a conviction)
CONVICTION DETAIL
Print Name:____________________________________________________________________
Date of Birth: _____________ SS#: ____________________ Drivers License #: ____________
Home Phone: _____________________ How long at current address? _____________________
Current Address:
Street City State Zip County
You are required to provide full, accurate and complete information on your criminal conviction history upon
application for employment. Refusal to complete these documents or providing false information shall result in
refusal of employment. The term conviction includes a determination of guilty by a trial, by a plea of guilty, or a
plea of no contest.
Convictions, Guilty or No Contest Pleas, and/or Deferred Judgments, or Adjudications
Date (mm/yyy): ________________________________________________________________________________
Location (city, state): ___________________________________________________________________________
Type of offense: _______________________________________________________________________________
Name of court: ________________________________________________________________________________
Nature of offense: ______________________________________________________________________________
Date (mm/yyy): ________________________________________________________________________________
Location (city, state): ___________________________________________________________________________
Type of offense: _______________________________________________________________________________
Name of court: ________________________________________________________________________________
Nature of offense: ______________________________________________________________________________
I certify that the statements made by me in this section are true, complete and correct to
the best of my knowledge and belief and are made in good faith. I understand that any
false statements made herein, including omissions, will void my application and any actions
based on it and I will not be eligible for future employment with Oklahoma Christian
University.
_______________________________ ___________________________ ___________________
Print Name Signature Date
click to sign
signature
click to edit
OKLAHOMA CHRISTIAN UNIVERSITY
RELEASE AND AUTHORIZATION FORM
I hereby authorize Oklahoma Christian University or authorized representatives bearing this
release to obtain and release any information pertaining to my background, including but not
limited to, information concerning my employment history, education, character, general
reputation, credit history, judgments, liens, driving history, criminal/civil history and any other
public records, for employment purposes. I hereby fully release and discharge all sources
providing information from all claims and damages arising out of or relating to any investigation
of my background for said purposes.
Name: ________________________________________________________________________
Date of Birth: __________________________ Social Sec. No.: __________________________
Driver’s License No.: ____________________________________ State: __________________
Current Address:
Street Address: ________________________________________________________________
City: ________________________________ State: ________________ Zip: _____________
_______________________________________ __________________________________
Signature Date
click to sign
signature
click to edit