All candidates interviewed for academic and administrative faculty positions must execute the following
certification as a condition of being considered for employment. Failure to submit a timely certification
when requested may result in disqualification from employment consideration.
Certification of Credentials & Qualifications
I certify that all application materials submitted for employment consideration (e.g., letter of interest,
curriculum vitae or application, educational and employment records, publications, or work samples) are a
true, accurate, and complete representation of my credentials and qualifications. I understand that degrees
offered in support of my candidacy must be issued by an institution accredited by a regional, national,
professional, or specialized accrediting body and that degrees issued outside the U.S. must be evaluated for
equivalency to U.S. degrees.
Acknowledgement of Responsibility to Obtain/Maintain Eligibility to Work in the United States
I understand SUNY Cobleskill employs only individuals who are lawfully eligible to work in the United
States and that employment eligibility will be verified upon employment. If I do not currently have
permanent eligibility to work in the U.S., I understand that it is my responsibility to obtain and/or maintain
eligibility to work and that loss of eligibility to work at any future date will invalidate my employment
relationship and result in concurrent separation from employment without recourse or appeal.
Certification or Disclosure Pertaining to Criminal Convictions
I understand that in selected circumstances, convictions for a misdemeanor, gross misdemeanor, or felony
related to the duties and responsibilities of a given position may influence consideration for employment. I
certify that unless I have listed below a statement about the dates, charges, and circumstances of any such
convictions, I have not been convicted of a misdemeanor, gross misdemeanor, or felony in any jurisdiction
inside or outside the U.S.
Authorization to Verify Application Materials
I understand that any falsification, misrepresentation, or material omission in my application materials
(including this certification) or making other false or fraudulent representations in securing employment
may be grounds for disqualification of my candidacy or may be grounds for termination if discovered after
the date of hire.
My signature below authorizes SUNY Cobleskill to verify all of my application materials including
contacting listed references as well as validating educational and employment records, with the
understanding that facsimiles or photocopies of this authorization shall be deemed as valid as the original.
If submitted electronically, I acknowledge and agree that by typing my name on the signature line, I am
authorizing and validating the statements above to the same degree as my original signature.
Signature of Candidate: __________________________________________________________________
Printed Name of Candidate: ______________________________________________________________
Position Applied For: ____________________________________________________________________
Name in which degree(s) issued (if different): ________________________________________________
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