Employment History
Employed – (State month and Year)
From To
State Job Title and Describe Your Work:
Employed – (State month and Year)
From To
State Job Title and Describe Your Work:
Employed – (State month and Year)
From To
State Job Title and Describe Your Work:
Employed – (State month and Year)
From To
State Job Title and Describe Your Work:
NCMC is committed to assuring equal opportunity to all persons and does not discriminate on the basis of race, color, national origin, sex,
disability, religion, age, genetic information, veteran status, ancestry, gender identity or expression, or sexual orientation in its educational
programs, activities, admissions, or employment practices as required by Title IX of the Education Amendments of 1972, Title VI of the
Civil Rights Act of 1964, the Rehabilitation Act of 1973, the Americans with Disabilities Act, other applicable statutes and college policy.
Sexual harassment, to include sexual violence, is a form of sex discrimination and is prohibited. Inquiries concerning these statutes and
nondiscrimination policies should be referred to the College President, Dr. Neil Nuttall, Frey Administrative Center, 1301 Main Street, (660)
359-3948 x1200, or nnuttall@mail.ncmissouri.edu.
I authorize NCMC to verify any information contained within this application and contact references I have provided. I release NCMC
from all liability that might result from making an investigation. I understand that neither completion of this application nor any other part
of the consideration for employment process, establishes any obligation for NCMC to hire me. I understand that no representative of
NCMC has that authority to make any assurance to the contrary.
I attest with my signature below I have given true and complete information on this application and no
requested information
has been
concealed. If any information I have provided is untrue or concealed, I understand this will constitute cause for the denial of employment
or immediate dismissal.
Date:
Signature:
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