Malone University
A Christian University for the Arts, Sciences and Professions
Adjunct Faculty Employment Application
Date:
Name:
L
ast
F
irst
M
iddle
Address:
S
treet City
S
tate
Z
ip Code
Years Lived at this Address:
Telephone: ( )
Are you legall
y authorized to work in the United States?
Yes No
If yes, can you verify your identity and eligibility to work in the United States?
Yes No
If your education or employment records are under any other name, please specify:
Are you over
age 18?
Yes No. If yes, can you verify your birth date? Yes No
Have you ever been discharged or asked to resign from a position?
Yes No
If yes, please explain conditions or circumstances:
Have you eve
r been convicted of any crime under civilian or military law,
Yes No
other than minor traffic violations? If yes, list the date and nature of each pertinent
offense (although such conviction does not necessarily exclude applicant from employment categories):
Have you eve
r served in the U.S. Armed Forces? If yes, please give dates of service,
Yes No
branch, highest rank attained and primary military duties, including special training or skills acquired:
If related to anyone in ou
r employ, state the name and relationship:
Please see www.malone.edu/hr for adjunct faculty opening announcements
All adjunct faculty applications must include:
faculty employment application
letter of application
curriculum vitae
Statement of Christian Belief and Practice in response to the following prompt:
Malone University takes seriously the integration of the orthodox Christian faith and all academic disciplines
and requires that faculty (full-time and adjunct) profess faith in Jesus Christ. Therefore, we ask that you
provide a statement (250-500 words) in which you:
- Discuss your faith in relationship to the University’s Doctrinal Statement and Community Agreement.
- Describe your engagement with a local congregation or faith community.
names and contac
t information of three references (two professional, one pastor, or spiritual mentor)
Transcripts will be requested if adjunc
t faculty employment is granted.
MISSION AND DOCTRINAL STATEMENTS OF MALONE UNIVERSITY
APPLICANT'S STATEMENT OF UNDERSTANDINGS, AUTHORIZATIONS AND AGREEMENTS
I UNDERSTAND THAT ACCEPTANCE OF MY APPLICATION FOR EMPLOYMENT DOES NOT COMMIT MALONE
UNIVERSITY ("THE UNIVERSITY") IN ANY WAY TO HIRE ME; AND THAT NOTHING IN MY APPLICATION, OR IN ANY
COMMUNICATION OR DOCUMENT, CREATES OR IMPLIES A CONTRACT OR PROMISE OF EMPLOYMENT, OR REQUIRES THAT
I BE HIRED OR RETAINED BY THE UNIVERSITY IN ANY POSITION FOR ANY PERIOD OF TIME.
I AUTHORIZE THE UNIVERSITY TO INVESTIGATE ALL WRITTEN OR ORAL STATEMENTS BY ME AND TO OBTAIN SUCH
INFORMATION AND REPORTS AS REASONABLY SHALL BE REQUIRED BY THE UNIVERSITY CONCERNING ME. I AUTHORIZE
EACH PERSON CONTACTED IN CONNECTION WITH THIS APPLICATION TO GIVE THE UNIVERSITY ANY INFORMATION
REQUESTED CONCERNING ME. FURTHERMORE, I RELEASE ALL SUCH PARTIES FROM ANY CLAIM, DAMAGE OR LIABILITY
RESULTING FROM THEIR FURNISHING SUCH INFORMATION TO THE UNIVERSITY.
I UNDERSTAND THAT, IF EMPLOYED, I MUST BE IN AGREEMENT WITH AND COMMITTED TO THE STANDARDS AND
MISSION OF MALONE UNIVERSITY AS EXPRESSED IN THE UNIVERSITY'S "DOCTRINAL STATEMENT," "MISSION STATEMENT"
AND "STATEMENT OF COMMUNITY RESPONSIBILITIES" (WHICH I ACKNOWLEDGE RECEIVING); AND THAT ANY EMPLOYMENT
WITH THE UNIVERSITY SHALL BE SUBJECT TO AND IN ACCORDANCE WITH ANY APPLICABLE LAW OR UNIVERSITY
EMPLOYEE HANDBOOK(S) AND OTHER POLICIES, RULES, PRACTICES AND PROCEDURES OF THE UNIVERSITY OR ANY
AMENDMENTS THERETO. I ALSO UNDERSTAND THAT THE UNIVERSITY SHALL HAVE THE RIGHT TO AMEND, MODIFY OR
REVOKE ITS POLICIES, RULES, PRACTICES AND PROCEDURES AT ANY TIME, AND THAT SUCH MATTERS SHALL BE BINDING
UPON ME AS THEY NOW OR HEREAFTER ARE IN EFFECT.
I FURTHER UNDERSTAND THAT ANY EMPLOYMENT BY THE UNIVERSITY SHALL BE CONDITIONED UPON
SATISFACTORY COMPLETION OF SUCH BACKGROUND RESEARCH, INVESTIGATION AND REFERENCE CHECKS, MEDICAL
EXAMS, SUBSTANCE TESTS AND/OR OTHER EMPLOYMENT-RELATED PROCEDURES AS SHALL BE REQUIRED BY THE
UNIVERSITY.
I CERTIFY THAT THE INFORMATION GIVEN BY ME ON THIS APPLICATION IS TRUE AND COMPLETE (AS IS THE
INFORMATION WHICH I HAVE PROVIDED TO THE UNIVERSITY IN ANY DOCUMENT OR INTERVIEW), AND THAT I HAVE NOT
WITHHELD ANY FACT WHICH, IF DISCLOSED, WOULD UNFAVORABLY AFFECT MY QUALIFICATIONS FOR EMPLOYMENT. I
AGREE THAT ANY FALSE OR SUBSTANTIALLY MISLEADING INFORMATION FURNISHED BY ME ON OR IN CONNECTION WITH
THIS APPLICATION, OR IN ANY RELATED INTERVIEW OR DOCUMENT, SHALL BE SUFFICIENT REASON FOR REJECTION OF
MY APPLICATION, OR TERMINATION OF MY EMPLOYMENT, AS APPROPRIATE.
I HAVE CAREFULLY READ THE FOREGOING APPLICATION AND UNDERSTAND ITS CONTENTS.
APPLI
CANT’S SIGNATURE DATE
EQUAL OPPORTUNITY POLICY
MALONE UNIVERSITY HAS AN ESTABLISHED POLICY OF EQUAL ACADEMIC AND EMPLOLOYMENT OPPORTUNITY. THIS
POLICY IS APPLIED TO ALL QUALIFIED STUDENTS, EMPLOYEES AND APPLICANTS FOR ADMISSION OR EMPLOYMENT, IN ALL
UNIVERSITY PROGRAMS AND ACTIVITIES, WITHOUT UNLAWFUL DISCRIMINATION BASED ON RACE, COLOR, NATIONAL
ORIGIN, RELIGION, SEX, AGE, DISABILITY OR MILITARY OR VETERAN STATUS.
Rev. 12/10