Jobline: (254) 299-8612
Web site: www.mclennan.edu
E-mail:
Copi
es of college transcripts are required when applying for positions requiring degrees; official transcripts are required
within the first
30 days of employment.
SCHOOL GRADUATED COMPLETED
1400 College Drive
Waco, TX 76708
Phone: (254) 299-8611
Fax: (254) 299-6237
Employment Application
McLennan Community College does not accept nor maintain on file unsolicited applications and/or related materials.
Equal Employment Opportunity Policy: McLennan Community College declares a policy of equal opportunity in
employment and in
all other personnel functions of the College such as, but not limited to: up-grading, demotion, transfer,
recruitment, layoff, or termination; rates of pay or other forms of compensation; and training opportunities. Equal opportunity
shall be provided to all applicants for employment and employees, without regard to their race, religion, color, sex (including
pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or
genetic information, political affiliation, military service, or other non-merit based factors.
LAST NAME
FIRST NAME
MI
CITY
STATE ZIP
HOME AREA CODE AND PHONE NUMBER BUSINESS AREA CODE AND PHONE NUMBER E-MAIL ADDRESS
PERMANENT MAILING ADDRESS CITY
POSITION AT MCC
MAJOR/MINOR AND YEARS ATTENDED
HIGH SCHOOL/GED/OTHER
CITY STATE
YES NO DIPLOMA
GED
COLLEGE/UNIVERSITY 1 DEGREE(S) YES NO YEARS ATTENDED
NONE
COLLEGE/UNIVERSITY 2
CITY STATE CERTIFICATE
NONE
COLLEGE/UNIVERSITY 3 DEGREE(S) YES NO
CERTIFICATE
NONE
MCCjobs@mclennan.edu
CERTIFICATE
NONE
Note to Applicant: Please print clearly in ink or type. All sections must be completed even if resume is attached.
Personal Data
CITY STATE CERTIFICATE
S
TREET ADDRES
S
DEGR
EE(S
)
YES
NO YEAR
S
ATTENDED
STATE
ZI
P
YES NO
CITY STATE
YEARS ATTENDED
Position for which Applying
POSITION TITLE
DATE AVAILABLE
FULL TIME
PART TIME SALARY DESIRED
$
Record of Education
DO YOU HAVE ANY RELATIVES EMPLOYED BY MCC?
IF YES, NAME OF RELATIVE
LIST ALL PREVIOUS LEGAL NAMES:
Personal References
List two people who are not related to you who can provide general information about you.
Do not repeat names of supervisors listed in your employment history.
NAME ADDRESS AREA CODE/PHONE OCCUPATION
1.
2.
Licenses and/or Certifications
LICENSES, CERTIFICATIONS, PERMITS HELD (Provide Number)
STATE OF RECORD DATE ISSUED EXP. DATE
DRIVERS LICENSE NUMBER
1.
2.
General History Information
3OHDVHFKHFNDOOWKDWDSSO\
Are you a veteran?
YES NO
Are you an orphan of a veteran, if veteran was killed while on active duty?
YES NO
Are you a surviving spouse of a veteran (who has not remarried)?
YES NO
YES NO
Have you ever been convicted of a felony?
If yes, give year, locatio
ns, and nature of conviction and disposition.
YES NO
Have you ever been convicted for a violation of any law other than mino
r traffic violations?
If yes,
give year, locations, and nature o
f conviction and disposition.
Why do you wish to leave your present position?
Skills Inventory Please list any skills you may have which relate to the position for which you are applying.
(include U.S. Armed Forces where applicable)
Veteran Status
History
Work Experience
May we contact the employers listed? YES
Start with your present
or most recent work experience. All periods of employment or unemployment should be covered.
This section must be completed even if enclosing a resume.
DATE LEFT NAME OF EMPLOYER
NO
DATE STARTED (mm-dd-yy) DATE LEFT NAME OF EMPLOYER
STREET ADDRESS C
ITY STATE
STREET ADDRESS
CITY
STATE
ZIP
AREA CODE AND PHONE SUPERVISOR
ZIP
AREA CODE AND PHONE
SUPERVISOR’S POSITION
SUPERVISOR
SUPERVISOR’S POSITION
ENDING ANNUAL OR HOURLY SALARY
$
JOB TITLE
ENDING ANNUAL OR HOURLY SALARY
$
RESPONSIBILITIES
JOB TITLE
RESPONSIBILITIES
REASON FOR LEAVING
Section 5
REASON FOR LEAVING
Section 2
DATE STARTED (mm-dd-yy)
DATE STARTED (mm-dd-yy) DATE LEFT NAME OF EMPLOYER
DATE LEFT NAME OF EMPLOYER
STREET ADDRESS CITY STATE
STREET ADDRESS CITY STATE
ZIP
AREA CODE AND PHONE
SUPERVISOR SUPERVISOR’S POSITION
ZIP
AREA CODE AND PHONE SUPERVISOR
SUPERVISOR’S POSITION
JOB TITLE
ENDING ANNUAL OR HOURLY SALARY
$
RESPONSIBILITIES
JOB TITLE
ENDING ANNUAL OR HOURLY SALARY
$
RESPONSIBILI
TIES
REASON FOR LEAVING
REASON FOR LEAVING
Section 3
DATE STARTED (mm-dd-yy)
DATE LEFT NAME OF EMPLOYER
STREET ADDRESS CITY STATE
ZIP
AREA CODE AND PHONE SUPERVISOR
SUPERVISOR’S POSITION
ENDING ANNUAL OR HOURLY SALARY
$
JOB TITLE
RESPONSIBILITIES
REASON FOR LEAVING
Section 4
DATE STARTED (mm-dd-yy)
Status:
Full-Time
Part-Time
Status:
Status:
Status:
Status:
Full-Time
Full-Time
Full-Time
Full-Time
Part-Time
Part-Time
Part-Time
Part-Time
Section 1
If no, when?
All applicants must read and sign the following statements . . .
1. I certify that statements made by me in this application 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 dismissal after
employment.
2. I hereby authorize McLennan Community College to investigate, through whatever means
deemed appropriate by MCC, any information included in this application and all facts resulting
from the investigation unless otherwise noted. MCC is also authorized to use any information
obtained from its investigations to determine my suitability for employment. I release MCC from
any liability in connection with such investigation.
3.
If employed, I
agree to abide by the policies, procedures, rules and regulations of MCC.
I acknowledge the College’s prerogative of revising its policies, procedures, rules and regulations
at any time, and I agree to abide and be governed by such revisions.
4.
I understand that any employee without written contract of employment, is employed on an
at-will basis and employment may be terminated at any time by either the employee or MCC,
with or without cause.
5. I understand that submission of this application does not obligate MCC in any way.
6.
I hereby authorize any
former e
m
ploy
ers or
any
other persons give
n as referenc
es (unless
otherwise noted) to answer any questions that may be asked.
7. The Immigration Reform and Control Act of 1986 required all applicants to provide proof of
identity and eligibility to work in the United States prior to any offer of employment being made.
8.
MCC prohibits the unlawful m
a
nufa
c
ture, dist
ribution, dispensation, possession, or use of
controlled substances, illegal drugs, i
n
halants, and alcohol by em
p
loyees on its property or as part
of any of its activities. Any employee who violates these standards of conduct for illicit drugs,
inhalants, or alcohol is subject to disciplinary sanctions including, but not limited to, termination
of employment.
9. Except for licensed police officers, possession or use on the MCC
cam
pus of any weapon is
prohibited (specifically
including firearms, explosive
weapons, clubs, illegal kni
ves, and other
weapons as d
e
fined b
y
Chapter 46, Texas Penal Code). Any employee who violates this standard
for weapon possession is subject to disciplinary sanctions including, but not limited, termination
of employment.
By checking this box you have agreed and acknowledged the statements above. Only signed
applications will be considered complete. (Printed and Electronic signatures are acceptable)
_____________________________________________
Signature of Applicant Date (mm-dd-yy)
McLennan Community College is proud to be an Equal Employment Opportunity Institution.
McLennan Community College
Applicant Characteristic Survey
DATE OF BIRTH POSITION FOR WHICH APPLYING DATE
The information requested below will be used for Equal Employment Opportunity record keeping and study purposes. It will
not be available to the person making the employment decision for this position. Your voluntary cooperation is appreciated.
PRINT OR TYPE FULL NAME SOCIAL SECURITY NUMBER
What is Your Race/Ethnic Category?
Are you Hispanic or Latino? (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish
culture or origin, regardless of race)
Yes No
Asian
Native Hawaiian or other Pacific Islander
Please select the racial category or categories with which you most closely identify. Check as many as apply.
American Indian or Alaska Native
Black or African American
White
1. Male
Female
2.
What is Your Sex?
How Did You Learn About This Job? (Check all applicable)
1. Friend 2. Walk-In 3. Texas Workforce Commission
4. Private Employment Agency 5. Professional Publication
6.
Job Posting- MCC Website
7. Newspaper
10.
9. Placement Office
MCC Jobline- Phone
Other (please specify)
8.