Fillable Employment Application Here (Kennebec Valley Community College)

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Employment Application Here (Kennebec Valley Community College)

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The Employment Application Here (Kennebec Valley Community College) form is 3 pages long and contains:

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  • 7 check-boxes
  • 122 other fields

Country of origin: US
File type: PDF

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92 Western Avenue
Fairfield ME 04937
207-453-5000
www.kvcc.me.edu
EMPLOYMENT APPLICATION
Please print all information.
Today’s Date:
MAINE COMMUNITY COLLEGE SYSTEM
PERSONAL
Name:
Last
First
Middle
Address:
City, State, Zip:
Previous Maine Community College System Employee? Yes No
If Yes, When?
Department:
Type of work you are seeking: Full-Time Part-Time
If Part-Time, days & hours available:
REFERRAL SOURCE
WORK ELIGIBILITY
Advertisement
Agency
Friend
Relative
Do you have the legal right to work in the United States? Yes No
Can you verify your legal right to work in the United States by providing a
birth certificate, proof of citizenship or other authorization? Yes No
Walk-in
Internal Posting
Other
EMPLOYMENT
Start with current or most recent employer. Please give complete information for Full-Time, Part-Time and Military Positions, even if resume is attached.
1
Employed (State Month & Year)
Employer
Address
City, State, Zip
From
To
Supervisor: Name, Title and Phone No.
Reason for leaving
Job Titles and Duties:
2
Employed (State Month & Year)
Employer
Address
City, State, Zip
From
To
Supervisor: Name, Title and Phone No.
Reason for leaving
Job Titles and Duties:
EDUCATION AND TRAINING
SCHOOL
NAME AND LOCATION OF
SCHOOL
DATES
COURSE OF STUDY
DID YOU
GRADUATE?
DEGREE/
DIPLOMA HELD
FROM
TO
MO/YR
MO/YR
High School
College
Graduate
Tech/Trade
Other
Licenses/Certifications:
Relevant/Specialized Training:
EMPLOYMENT CON’T
Start with current or most recent employer. Please give complete information for Full-Time, Part-Time and Military Positions, even if resume is attached.
3
Employed (State Month & Year)
Employer
Address
City, State, Zip
From
To
Supervisor: Name, Title and Phone No.
Reason for leaving
Job Titles and Duties:
4
Employed (State Month & Year)
Employer
Address
City, State, Zip
From
To
Supervisor: Name, Title and Phone No.
Reason for leaving
Job Titles and Duties:
SKILLS/QUALIFICATIONS
Complete information for job-related skills only
Computers:
Type of Equipment
Software:
Spreadsheet
Word Processing
Statistical
Database
Programming languages
Typing: WPM
Physical Plant — List Craft Skills:
Other applicable skills:
ADDITIONAL QUESTIONS
Do you have a current ME driver’s license? Yes No
Have you ever resigned from a prior employment or volunteer position after a complaint
has been received against you or your conduct was under investigation or review?
Yes No
Have you ever been dismissed or discharged for misconduct from an employment or
volunteer position? Yes No
Disclosures to these questions are not necessarily a bar to employment.
Are you 18 years or older? Yes No
If under 16, a work permit must be issued through local
school district.
Have you ever been disciplined by a professional or
licensing board? Yes No
PROFESSIONAL REFERENCES
Please complete information for three professional references, excluding relatives, including a minimum of one current or former supervisor.
Candidates will be notified prior to references being contacted.
Name
Address
Office Phone
Home Phone
Relationship
APPLICANT STATEMENT
I certify that the information provided on this application (and accompanying resume, if applicable) is true and complete to the best of my
knowledge.
I authorize investigation of all statements contained herein and the contacting of references and previous employers. I release such persons and
all parties from liability for communications involving my potential employment.
I understand that my application for employment with the Maine Community College System (“MCCS”) may be subject to public disclosure.
I understand that neither this application nor any offer of employment from the MCCS constitute an employment contract unless a specific
document to that effect is executed in writing by both the MCCS and me.
I understand that if employed, my employment is for no specified period of time and may be ended by either myself or by the MCCS at any
time.
If employed, I understand that false or misleading information provided in my application, resume or interview(s) may result in immediate
discharge.
I agree to abide by all rules and regulations of the MCCS.
________________________________________________________________ _______________________________
Signature Date
Kennebec Valley Community College is an equal opportunity/affirmative action institution and employer.
For more information, please call 207-453-5019.
Revised 09/2019
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Employment Application Here (Kennebec Valley Community College)

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Completed 26 July 2020

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