Rev 3/3/15
EMPLOYMENT HISTORY
REFERENCES (List below the names of three person not related to you, whom you have known at least 3 years)
Do you have any relatives currently working at Butte College? Yes No
SUPPLEMENTAL QUESTIONS (please answer in your own handwriting)
1. What is your major?
2. What are your long-term career goals?
3. To date, what has been your greatest achievement?
4. Describe yourself in 3 words.
5. Please describe any work-related skills (typing speed, 10-key, computer software/hardware, certificates, training).
6. Why should we hire you?
NOTE: Your signature below authorizes Butte College to:
1) Contact your employers and references and
2) Investigate all statements contained in this application.
I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite
period and may, regardless of the date of payment of my wages, be terminated at any time without previous notice. Butte College is an Equal Opportunity
Employer. Women, ethnic minorities, the disabled and other protected groups are encouraged to apply.
Signature Date
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signature
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