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Application for Employment
Western Texas College is an equal opportunity employer.
Please Type or Print in ink clearly.
Personal Data
Last Name First Name Middle Name
Social Security Number
Present Address (Street) (City, State, Zip)
Phone
Type of Employment:
Full-time
Part-time
Email Address:
Position that you are applying for:
Date Available:
Have you ever filed an application with us before?
Yes
No
May we contact your current employer?
Yes
No
Are you a current or former WTC employee?
Yes
No
If former employee, please state separation date:
Are you related by blood or marriage to any current employee or any member of the Board of Trustees at Western Texas College?
Yes
No
If Yes, give name, title, & relationship:
NAME:
TITLE:
RELATIONSHIP:
Education
High School Graduate or GED? Yes N If Yes, name and location of high school or
Name and Location of School
Dates Attended
From To
Date
Graduated
Type of Degree/Credential
Fields of Study
Please list any skills you have which relate to the position for which you are applying.
2
Employment History
Please list last three positions held, with most recent first. Complete all applicable data. DO NOT note “see resume.
Name of Most Recent Employer
Job Title or Position Held
Date Started
Date Left
Address
City
State
Zip
Beginning Salary
$
Hour
Week
Month
Ending Salary
$
Hour
Week
Month
Supervisors Name & Title
Reason For Leaving
May we contact this employer?
Yes
No
Telephone Number:
Description of Duties
Name of Employer
Job Title or Position Held
Date Started
Date Left
Address
City
State
Zip
Beginning Salary
$
Hour
Week
Month
Ending Salary
$
Hour
Week
Month
Supervisors Name & Title
Reason For Leaving
May we contact this employer?
Yes
No
Telephone Number:
Description of Duties
Name of Employer
Job Title or Position Held
Date Started
Date Left
Address
City
State
Zip
Beginning Salary
$
Hour
Week
Month
Ending Salary
$
Hour
Week
Month
Supervisors Name & Title
Reason For Leaving
May we contact this employer?
Yes
No
Telephone Number:
Description of Duties
Explain any periods of unemployment
Faculty Position Only: Educational Philosophy
Please state your philosophy on education, especially as it relates to the community college. (Use only space provided)
Personal References
List four individuals who are NOT related to you, and who can provide information about your work performance. Do not repeat
names of supervisors provided in your employment history.
Name
Position, Title, or Occupation
Phone #
Street
City
State & Zip code
Have you ever been convicted of a felony? Yes No
If so, give year, location, and nature of conviction and disposition.
If hired, can you provide proof that you are legally entitled to work in the United States?
Yes
No
PLEASE READ CAREFULLY and SIGN BELOW
I certify that all information and statements contained in this application (and accompanying documents) are true, complete, and correct
to the best of my knowledge and belief. I understand that any false statements or omissions made by me in connection with my application may be
grounds for rejection of my application or for dismissal after employment. If employed, I agree to abide by the policies, procedures, rules, and
regulations of Western Texas College. I acknowledge the College's prerogative of revising, at any time, its policies, procedures, rules, and
regulations and I agree to abide and be governed by such revisions.
X
X
Signature of Applicant
Date
Return completed application to:
Director of Human Resources
Clear Form