Northern Oklahoma
College
Application for Employment
Return
to: Human Resources Office
P.O.
Box 310, Tonkawa, OK
74653
Please type or print in
ink
Position applying for: Tonkawa Enid Stillwater Other
Full-Time Part-Time Temporary
Personal Information
Last
Name
First Name Middle
A
ddress
City, State,
Zip
Contact
Phone
Email
address
A
re you willing to take a drug test? Yes No Are you legally authorized to work in the United States? Yes
No
Documentation of your identity and employment eligibility must be provided upon hire as
required by the Immigration Reform and Control Act of 1986.
Do you have any relatives employed at NOC? Yes No (If yes, please list below) (Name, Relationship, and Department)
Education
High School Diploma/G.E.D: Yes No If no, indicate highest grade
completed:
Names of colleges or universities attended
(list
most recent education
first)
Dates
Attended
Major
Minor
Degree or Certificates
earned
Where
did
you
hear
of
this
opening?
Newspaper
Website
Other:
list
Skills and Certifications
List all valid professional licenses you hold; include the certification number and the date of expiration.
Indicate other employment skills, special training or related courses that you would like considered as part of your application.
Describe significant contributions and achievements, including publications or awards, in professional and/or civic activities that you would like
considered as part of your application.
Employment Experience
Please list all prior employment beginning with current or most recent employment first.
May we contact your present employer? Yes No Supervisor:
Employer Immediate Supervisor Title
Employer's Address City, State, Zip Phone and/or email
Position Held Date of Employment Reason for Leaving
Employer Immediate Supervisor Title
Employer's Address City, State, Zip Phone and/or email
Position Held Date of Employment Reason for Leaving
Employer Immediate Supervisor Title
Employer’s Address City, State, Zip Phone and/or email
Position Held Date of Employment Reason for Leaving
Professional References
First and Last
Name
Email
address
Address
City, State,
Zip
Phone
number
First and Last Name
Email address
Address City, State, Zip
Phone number
First and Last Name
Email address
Address City, State, Zip
Phone number
I hereby understand that all information provided on this application is true and accurate, and understand that a background search will
be processed for every NOC employee prior to the finalization of their
employment.
_______________________________________________________ __________________________________________
Signature of Applicant
Date
Notice of Nondiscrimination
Northern Oklahoma College does not discriminate on the basis of race, color, national origin, sex/gender, age or disability in admission to its
programs, services or activities, in access to them, in treatment of individuals or in any aspect of their operations. Northern Oklahoma College also
does not discriminate in its hiring or employment practices. This notice is provided as required by Title VI of the Civil Rights Act of 1964, Section
594 of the Rehabilitation Act of 1973, Title IX of the Education Amendments of 1972, the Age Discrimination Act of 1975 and the Americans with
Disabilities Act of 1990, Questions, complaints or requests for additional information regarding these laws may be forwarded to the
designated compliance coordinator, Jason Johnson, Vice President for Student Affairs, 1220 East Grand Avenue, PO Box 310, Tonkawa, OK
74653-0310; telephone 580-628-6240 8 a.m. to 5 p.m. Monday through Friday.
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