Fillable OPS Staff Employment App (University of West Florida)

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OPS Staff Employment App (University of West Florida)

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May 4, 2011
OPS Staff Employment Application
PLEASE PRINT/TYPE
Hiring Department: Position Title:
Personal Information
Last Name: First Name: Middle Name:
Address: City: State: Zip Code:
Home Phone: Alternate Phone: Email Address:
Are you currently employed by UWF? Do you have relatives employed at UWF?
If yes, provide name(s) and departments(s):
Are you legally authorized to work in the United States?
Education – Please list highest level completed only
Name of School: Degree/Diploma: Graduated?
Work Experience
Employer Name: Job Title:
Dates Employed From: To: Phone: May we contact this employer?
Supervisor Name: Reason for Leaving:
Duties:
Employer Name: Job Title:
Dates Employed From: To: Phone: M ay we contact this employer?
Supervisor Name: Reason for Leaving:
Duties:
Print Form
May 4, 2011
Employer Name: Job Title:
Dates Employed From: To: Phone: M ay we contact this employer?
Supervisor Name: Reason for Leaving:
Duties:
Agreement
I hereby authorize UWF to verify all information contained in this application and any supplement hereto. I
certify that all statements made are true and complete to the best of my knowledge. I understand that any false
statements made by me on this application, or any supplement hereto, may be grounds for immediate discharge
or rejection from consideration for further employment.
I understand that as a condition of employment that UWF requires a background screening for employment.
Employees of all Public Employers are required to take an Oath of Loyalty to the United States and the State of
Florida as listed under Florida Statute 876.05.
Florida has both an inclusive public records law and an open meetings law. I understand that the information
contained within this application made by me, or any supplement hereto, is a Public Record and is subject to the
provisions of Florida Statutes Chapter 119 and Florida Sunshine Law.
________________________________________ /____________________________________/____________
Applicant’s Printed/Typed Name Signature Date
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OPS Staff Employment App (University of West Florida)

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Completed 22 July 2020

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