MANOR COLLEGE
APPLICATION FOR EMPLOYMENT
Manor College is an Equal Opportunity Employer. Manor College is commied to making employment decisions
without regard to race, color, sex, age, handicap or disability, religion, creed, national origin, ancestry or any other
prohibited characteristics.
Name:
First Middle Last
Date of Application:
Present Address:
Number & Street Address City State
Zip
Telephone:
Are you at least 18 years of age? Yes No
Are you authorized to work in the United States? Yes
No
Have you ever been convicted of or pled guilty to (a) a crime involving dishonesty or a beach of trust; and/or (b) a
crime consisting of a summary oense, misdemeanor or felony, excluding minor trac violations?
Yes No
If yes, please explain:
A guilty plea or conviction will not necessarily disqualify you from consideration from employment.
How were you referred to Manor college?
Employment or Temporary Agency:
Newspaper Name:
Employee Name:
Other:
Have you ever applied to or worked for Manor College in the past? Yes No
Are you employed now? Yes No
EMPLOYMENT REQUEST
is application apples only to currently available position(s) and department(s) which you have
listed below. You must submit a new application if you wish to seek employment in the future.
Position(s) applying for:
Departments(s):
Hours & days not available (if any):
Salary Range Requested:
When would you be available to begin work?
EDUCATIONAL EXPERIENCES
High School
College
Graduate College
Other, e.g
Trade or Business
School
Are there any other experiences, skills or qualications that you feel would especially t you for the work with our organization?
Name and Location of School
Did you Graduate or
complete the Program?
Degree Awarded,
Subjects Studied
EMPLOYMENT EXPERIENCE
List your three last employers, starting with the most recent. Include military service
and volunteer work, if applicable.
Employer
Address
Position
Supervisor
Reason for leaving
Employer
Address
Position
Supervisor
Reason for leaving
Employer
Address
Position
Supervisor
Reason for leaving
CERTIFICATION OF APPLICANT: I certify that the information provided by me in connection with my application for employment with
Manor College is true and complete to the best of my knowledge. I understand and agree that, if I am oered employment with Manor College, the
oer of employment will be subject to my successful completion of drug screening and/or medical examination (if applicable), background check,
criminal record check, and any other requirements. If the drug screening, medical examination, background check, criminal record check, or other
investigation discloses any misrepresentations, falsications or relevant omissions on my application/resume or information provided in
connection with my application, or indicates, in Manor College’s sole discretion, that I am not suited for employment with Manor College, my
application will be rejected or, if already employed, my employment may be terminated. I authorize Manor College and any aliated entities and
any agent(s) acting on their behalf to investigate any and all information I have provided in connection with this application. I release Manor
College and any aliated and their agents(s) from any and all claims, causes of action and liabiities arising out of verication of the information I
have provided and its determination of my qualications and abilities. I further release from all claims, causes of action and liabilities all persons
or entities that provide information about me in connection with said investigation.
I understand that, if hired, I will be an employee “at will” and that either I or Manor College may terminate my
employment, at any time and for any reason, without prior notice.
Signature of Applicant
Date
Dates of Employment
Describe Work Performed
Weekly Salary (Start and Final)
Describe Work Performed
Describe Work Performed
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