Fillable Temp Application Form

Fill Online, Printable, Fillable, Blank Temp Application Form Form

Use Fill to complete blank online TENNESSEE TECHNOLOGICAL UNIVERSITY pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Temp Application Form

On average this form takes 36 minutes to complete

The Temp Application Form form is 6 pages long and contains:

  • 1 signature
  • 47 check-boxes
  • 117 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Tennessee Technological University

BROWSE TENNESSEE TECHNOLOGICAL UNIVERSITY FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
PLEASE READ BEFO
RE APPLYING FOR A POSITION
It is imperative t
hat information relative to education be complete. It is a Class A Misdemeanor to misrepresent academic
credentials, Tennessee Code Annotated Sec. 49-7-133.
Applications must have an original signature and must have a current date. All application materials become the property
of TTU and will not be returned.
The university is required by federal/state employment reporting regulations to maintain a record of applicant
demographic data including gender, race, age, disability, and veteran status. The “Affirmative Action Information” form
is provided for this purpose only. Completing and returning this form is optional.
TTU Human Resources
Derryberry Hall, Room 146
P.O. Box 5132
Cookeville, TN 38505-0001
For information relative to job opportunities, contact Human Resources: 931-372-3034
https://jobs.tntech.edu
Human Resources
Application Process
for Temporary Positions
Human Resources
How did you find out a
bout this job opening? (Please be specific)
Application Date
Position applied for month/day/year
Desired Shift Day Night Either Social Security Number
Name
Last First Middle Enter the last four digits only
Current Address
Street City State/Zip Code
Email Address
Home Telephone Cell Phone Business Telephone
Are you a citizen of the United States? _____ If no, indicate current VISA status _______ Citizenship Country
Have you ever worked for this university? ________
If yes, please list job title(s) and dates of employment.
Do you have the ability to perform all job related functions of the position for which you are applying? _________________________
If no,
please explain: ___________________________________________________________________________________________
Because TCA 40-39-211 prohibits sex offenders required to register under TCA Title 40, Chapter 39, Part 2 from knowingly accepting
employment within one thousand feet (1,000) of the property line of any public school, private or parochial school, licensed day care
center, other child care facility, public park, playground recreation center or public athletic field available for use by the general public,
registered sex offenders are not eligible for employment at many TBR institutions.
Are you required to register as a sex offender under TCA Title 40, Chapter 39, Part 2? Yes _______ No _______
Will you accept temporary employment for 6 months? _______ 4 months? _______ 1 month? _______
TEMPORARY POSITIONS
APPLICATION FOR EMPLOYMENT
Tennessee Technological University will hire only United States citizens and
aliens lawfully authorized to work in the United States. All new employees will
be required to complete an employer’s verification form, I-9, no later than the
first day of work for pay.
Education, Skills and Experience
Answer carefully and completely. If hired, official transcripts for postsecondary education will be required.
Type of School
Indicate
Grade/Hours
Completed
Major Subjects
Certificate, diploma
or degree received
and date received
Name and Location
(city/state) of School
High
School
Business/
Trade School
College/
University
Master’s/
Doctorate
Other
(Specify)
Skills:
CERTIFICATIONS & LICENSES: (Check professions you are currently certified/licensed to practice in this state.)
Attorney Electrician Mason
Boiler Operator Engineer ( ) Mechanic ( )
Certified Data Processor Law Enforcement (Police Academy) Notary Public
CFC Certification ( ) Librarian Pipe Fitter
Commercial Pest Control Operator License Licensed Physician’s Assistant Plumber
CPA (Certified Public Accountant) Locksmith Teacher ( )
CPS (Certified Professional Secretary) LPN (Licensed Practical Nurse) Other ( )
Do you possess
a valid Tennessee Driver’s License? Yes ____ No ____ and/or Commercial Driver’s License? Yes ____ No ____
Please check all j
ob related skills.
Air Conditioning/Heating Dump Truck Lawn Mowers Computer: List all software
Auto Mechanic Tools Foreign La
nguage Machinist Tools experience:
Backhoe ( ) Painting
Boiler Laboratory Equipment Photography
Bookkeeping Landscaping Plumbing Tools
*Work Experience: If resume provided, information below may be omitted.
May we contact your present employer? Yes _____ No _____ If No, please explain
Dates
Month & Year
Employer’s
Job Title
Supervisor’s Name
Rate of Pay
From:
To:
Duties and responsibilities:
Dates
Month & Year
Employer’s
Job Title
Supervisor’s Name
Rate of Pay
From:
To:
Duties and responsibilities:
Dates
Month & Year
Employer’s
Job Title
Supervisor’s Name
Rate of Pay
From:
To:
Duties and responsibilities:
*Attach additional sheet if necessary.
References:
Please list three people you wish to give as professional references and indicate when they may be contacted.
Name
Position
Company Name/Location
Phone
Best Time
to Contact
1.
2.
3.
Profession
al organizations, honors and publications:
WE ARE AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER.
We comply with Titles VI and VII of the Civil Rights Act of 1964, as amended; the Equal Pay Act of 1963, as amended; the Age Discrimination
in Employment Act of 1967, as amended; the Age Discrimination Act of 1975; the Pregnancy Discrimination Act; the
Rehabilitation Act of
1973; the Vietnam Era Veterans’ Readjustment Assistance Act of 1974; Title IX of the Educational Amendments of 1972; and the Americans
with Disabilities Act of 1990. Any inquiries or charges of violation concerning the application of these policies should be directed to the TTU
Affirmative Action Office, Derryberry Hall, Rm. 305, P.O. Box 5164, Cookeville, TN 38505- 0001. Requests for accommodation of a disability
should be directed to Human Resources at 931-372-3034.
Tennessee Tech University is an AA/EEO employer and does not discriminate on the basis of race, color, religion, ethnic or national
origin, sex, disability, age (40 and over), status as a protected veteran, genetic information or any other category protected by federal or
state law. Inquiries regarding the nondiscrimination policies should be directed to equity@tntech.edu
. Applicants who do not fully meet
the minimum qualifications will not be considered.
I certify that all answers and statements herein contained
and all other accompanying documentation are true to the
best of my knowledge and belief.
I understand that any misstatement or concealment of
material facts will subject me to disqualification before
appointment or dismissal after appointment. I consent to
references and former employers being contacted
regarding this application.
Signature of Applicant
Date
You may mail or deliver (DO NOT FAX)
this application to:
TTU Human Resou
rces
Derryberry Hall, Room 146
P.O. Box 5132
Cookeville, TN 38505-0001
(931) 372-3034
https//jobs.tntech.edu
click to sign
signature
click to edit
TENNESSEE BOARD
OF
REGENTS
EQUAL
EMPLOYMENT OPPORTUNITY INFORMATION REQUEST
As
a government
contractor,
the Tennessee
Board
of
Regents
is
subject to Executive
Order
11246, as
amended; Section
402
of
the Vietnam
Era
Veterans
Readjustment
Assistance Act
of
1974;
and
Section 503
of
the Rehabilitation Act
of
1973.
ALL
of
these require government
contractors
to
take
Affirmative Action in
the employment process.
We request
your
voluntary
completion
of
the following questionnaire
to
be used
ONLY
for
the
purpose
of
monitoring the success
of
our
Affirmative Action Plan. This information will
not
be used to
discriminate
against
or
show preference for
any
application in the hiring decision.
Your
immediate attention is
requested.
GENDER:
0 Female
0 Male
BIRTH
DATE:----------
CITIZENSHIP: 0 United States Citizen 0 OTHER: (list)
__________
_
1.
Do
you consider yourself to be Hispanic, Latino
or of
Spanish Origin?*
O Yes
2.
0
No
*The term "Hispanic or Latino or Spanish Origin"
is
defined
as
a person
of
Cuban, Mexican, Puerto Rican,
South or Central American, or other Spanish culture or origin, regardless
ofrace.
In addition, select one or more
of
the
following racial categories to describe yourself:
D
D
D
White
Asian
Alaska Native
0 Black
or
African
American
0 American
Indian
D
Native Hawaiian
or
Other
Pacific
Islander
Racial Category Definitions
• White - A person having origins in any
of
the original peoples
of
Europe, the Middle East, or North Africa
• Black or African American - A person having origins
in
any
of
the Black racial groups
of
Africa
• Asian - A person having origins in any
of
the original peoples
of
the Far East, Southeast Asia, or the Indian
subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the
Philippine Islands, Thailand, and Vietnam
• American Indian or Alaska Native - A person having origins
in
any
of
the original peoples ofNorth and
South America (including Central America), and who maintains a tribal affiliation or community
attachment
• Native Hawaiian or Other Pacific Islander - A person having origins in any
of
the original peoples
of
Hawaii, Guam, Samoa, or other Pacific Islands
Applicant Name:
________________
Date:
_________
_
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Temp Application Form

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 29 February 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document