Fillable CAMERON UNIVERSITY STUDENT EMPLOYMENT APPLICATION Human Resources Department (Cameron University)

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CAMERON UNIVERSITY STUDENT EMPLOYMENT APPLICATION Human Resources Department (Cameron University)

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CAMERON UNIVERSITY STUDENT EMPLOYMENT APPLICATION
Human Resources Department 2800 W. Gore Blvd. Lawton, OK 73505 (580)581-2245
Instructions: Print application and complete all requested information thoroughly. Return completed application to hiring department. A
resume may be attached but will not be accepted in place of completing CU’s Application.
POSITION INFORMATION
Today’s Date
Position applying for
Date Available to Start Work
Specify Days and Hours Available to Work
PERSONAL INFORMATION
Last Name
First Name
Middle
Street Address
City, State
Zip code
Country
Previous Address (If current in less than 5 years)
Applicant E-mail Address
Home Phone
Cell Phone
Best time to Contact
Emergency Contact Name, Relation
Address
Phone
Are you Over 18 years of age? If no, employment is subject to verification that you are of
minimum legal age.
List any relatives currently working for Cameron
University
EDUCATION INFORMATION
School / Institution City State
Dates
Attended
Did you
Graduate /
Complete
Type of Certificate, Diploma, Degree, GED Courses or Major
High
School /
GED
Vocational
School
College or
University
College or
University
Other
Other
List Scholastic Achievements
MILITARY INFORMATION
Have you served the U.S. Armed Forces?
Branch Served
Are you a member of the :
List Service Schools or Special Experience
Equal Opportunity/Affirmative Action Employer
EMPLOYMENT HISTORY
*** List most recent employer first and work your way backwards
Employer Name and Address
Employer Phone
Date of Employment
Starting Title
Ending Title
Starting Salary
Ending Salary
Month
Year
Duties
From
To
Supervisor’s Name / Title
Phone
Reason for Leaving
May we contact this Employer?
Employer Name and Address
Employer Phone
Date of Employment
Starting Title
Ending Title
Starting Salary
Ending Salary
Month
Year
Duties
From
To
Supervisor’s Name / Title
Phone
Reason for Leaving
May we contact this Employer?
Employer Name and Address
Employer Phone
Date of Employment
Starting Title
Ending Title
Starting Salary
Ending Salary
Month
Year
Duties
From
To
Supervisor’s Name / Title
Phone
Reason for Leaving
May we contact this Employer?
Employer Name and Address
Employer Phone
Date of Employment
Starting Title
Ending Title
Starting Salary
Ending Salary
Month
Year
Duties
From
To
Supervisor’s Name / Title
Phone
Reason for Leaving
May we contact this Employer?
PLEASE READ THE FOLLOWING CAREFULLY, THEN SIGN AND DATE
This application will be given every consideration, but its receipt does not imply that the candidate will be employed. All information provided in support of
my application for employment is true and current and no attempt has been made to conceal or withhold pertinent information. I agree that any omission,
falsification, or misrepresentation is cause for my immediate termination at any time during my employment or removal from the application process. I also
fully understand the job duties required in this position and feel that I can perform all of these duties without a reasonable accommodation.
In connection with this request, I authorize enforcement agencies and former employees to release information they may have about me, and release them
from liability and responsibility from so doing. This authorization, in original, electronic reproduction (fax, e-mail) and copy form, shall be valid for this and any
future reports may be requested.
I hereby authorize Cameron
University to conduct an investigation of all statement at this time with no liability arising there from.
STUDENT ID # APPLICANT SIGNATURE DATE
Equal Opportunity/Affirmative Action Employer
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CAMERON UNIVERSITY STUDENT EMPLOYMENT APPLICATION Human Resources Department (Cameron University)

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Completed 18 August 2020

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