I authorize persons, schools, my present employer (if applicable), and any previous employer or organization named in this
application (and accompanying resume, if any) to provide any relevant information requested by Hampton University in
order that Hampton University can arrive at an employment decision.
I hereby affirm that the information provided on this application for employment (and accompanying resume), if any, is true
and complete to the best of my knowledge. I agree that falsified information or significant omissions may disqualify me
from further consideration for employment and may be considered justification for dismissal if discovered at a later date.
Hampton University is an Equal Opportunity Employer. The Civil Rights Act of 1964 and state and local laws prohibit
discrimination on the basis of race, color, religion, sex or national origin. In addition, state and local laws prohibit
discrimination on the basis of disability and age, and the Age, Discrimination and Employment Act, and some state and local
laws prohibit discrimination on the basis of age with respect to individuals who are at least 40 years of age. It is our policy to
comply fully with these acts and information requested on this application will not be used for any purpose prohibited by law.
U.S. law requires that, if hired, you must furnish your social security card and one of the following documents within
seventy-two (72) hours of starting work:
1. A card issued by federal, state or local government showing your identity.
2. Driver’s license or state-issued ID card with photo.
3. Current INS forms with employment authorization stamp.
4. Voter registration card.
5. U.S. Military Card or other draft card.
If for some reason you do not have a social security card, you may present an original or a copy of a U.S. birth certificate, or
Department of State Forms FS-545 or DS-1350 or INS Forms I-327, I-571, I-197, I-179.
This application is current only for thirty (30) days, at the conclusion of which, if you have not heard from us and still wish to
be considered for employment, it will be necessary for you to fill out a new application.
(Failure to sign above or to answer all questions on this application may result in loss of employment opportunities at