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Eastern Wyoming College
3200 West C Street • Torrington, WY 82240 Application for Employment
Clerical
Eastern Wyoming College is committed to providing equal opportunity for access to and participation in college programs of instruction, services, and
activities. It is the policy of the college to neither favor nor disfavor any individual on the basis of race, color, creed, religion, sex, disability, or
national origin. The college is subject to and complies with the regulations of Title VII of the Civil Rights Act of 1964, Title IX of the Education
Amendments of 1972, and Section 504 of the Rehabilitation Act of 1973 and Americans with Disabilities Act. Inquiries regarding compliance may be
directed to the Director of Human Resources, Eastern Wyoming College, Torrington, WY, 82240 or phone (307) 532-8330, or the Wyoming Department
of Education, Office for Civil Rights Coordinator, 2nd Floor, Hathaway Building, Cheyenne, WY 82002-0050, or (307) 777-6218.
Date____________________________________________________________ Name __________________________________________________
_____
(Last) (First) (Middle)
Email ___________________________________________________________
Address_____________________________________________________
______________________________________________________
Telephone_______________________________________________________
U.S. Citizen Yes No ______
If not, VISA Class
_________________________________________________
Student Non Student _______________________
For what position are you applying? _________________________________
Other work you would consider:
1.______________________________________________________________
2.______________________________________________________________
3.______________________________________________________________
Have you ever been convicted of a misdemeanor or felony? _________
Explain:
________________________________________________________________________
_____________
___________________________________________________________
Name and address of person to be notified in case of emergency.
____________________________________________________________
____________________________________________________________
____________________________________________________________
Can you accept position immediately?____________________________
If not, how soon?
_____________________________________________
Have you ever worked at EWC before?____________________________
When? Department __________
Reason for leaving?
____________________________________________
Have you ever been suspended or discharged from a job? ____________
Reason:______________________________________________________
Education
High School:_____________________________________________________
Business College:______________________________________________
Location:________________________________________________________
Location: ____________________________________________________
Years Completed:_________________________________________________
Years Completed: _____________________________________________
Did You Graduate? __________________________ Did You Graduate? _______________________________________
College or University:_____________________________________________
Special Training:______________________________________________
Location:_______________________________________________________
Location:____________________________________________________
Years Completed:________________________________________________
Years Completed:_____________________________________________
Did you Graduate? __________
Major: _____________________________ Minor: ________________
Did you Graduate? __________
Major: _____________________________ Minor: ________________