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Application for employment

Central Methodist University is an Equal Opportunity Employer. It is the policy of CMU to ensure equal employment opportunities for all applicants and employees in regards to our employment practices. Personnel policies and procedures are designed and administered without regard to race, religion, color, sexual preference, ethnicity, disability, genetic information, age, sex, or any other protected class, except where age or sex is a bona fide occupational qualification.

 

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CENTRAL METHODIST UNIVERSITY - APPLICATION FOR EMPLOYMENT

 

 

 

Position(s) applied for:

About You

 

First Name:

 

Last Name:

 

Middle Initial:

 

Address:

 

City:

 

State:

 

Zip:

 

Home Phone:

 

Work Phone:

     May we contact you at work:


*

Email:

 

What date are you available for work?

     Are you now or have you been employed by Central Methodist University?


 

If yes, list dates

    Are you related to anyone currently employed by Central Methodist University?


 

If yes, list name and relationship

    Are you authorized to work in the United States? If employed, you must show documents that prove your identity and employment eligibility.


    Have you ever been convicted of a crime other than a minor traffic violation?


 

If yes, please explain

Disclosure of a criminal record will not necessarily disqualify you from employment consideration. Each offense will be
evaluated on its own with respect to time, circumstance and seriousness in relation to the job for which you are applying.

    Do you currently hold a valid driver license?


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CENTRAL METHODIST UNIVERSITY - APPLICATION FOR EMPLOYMENT

 

 

Educational record

     High School

 

Name and Address:

 

Course of Study:

 

Years Completed:

 

Diploma/Degree:

     Vocational/Technical

 

Name and Address:

 

Course of Study:

 

Years Completed:

 

Diploma/Degree:

     College

 

Name and Address:

 

Course of Study:

 

Years Completed:

 

Diploma/Degree:

     Other

 

Name and Address:

 

Course of Study:

 

Years Completed:

 

Diploma/Degree:

     Related Skills/Certifications

 

List technical or specialized skills relevant to this position:

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CENTRAL METHODIST UNIVERSITY - APPLICATION FOR EMPLOYMENT

 

 

Employment History

List ALL relevant employment history starting with the most current position held, including any volunteer experience or experience obtained in military service. Please explain gaps in employment. You may attach a resume, but you must complete the employment section in its entirety. Failure to answer all items in the following section may eliminate you from further consideration.

Recent Employer

 

Most Recent Employer:

 

Title:

 

Date Employed From:

 

Date Employed To:

 

Address:

 

Telephone:

 

Salary Starting:

 

Salary Final:

 

Name and Title of Supervisor:

 

Reason for Leaving:

 

May we contact for references?

 

Describe Duties:

Employer

 

Employer:

 

Title:

 

Date Employed From:

 

Date Employed To:

 

Address:

 

Telephone:

 

Salary Starting:

 

Salary Final:

 

Name and Title of Supervisor:

 

Reason for Leaving:

 

May we contact for references?

 

Describe Duties:

Employer

 

Employer:

 

Title:

 

Date Employed From:

 

Date Employed To:

 

Address:

 

Telephone:

 

Salary Starting:

 

Salary Final:

 

Name and Title of Supervisor:

 

Reason for Leaving:

 

May we contact for references?

 

Describe Duties:

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CENTRAL METHODIST UNIVERSITY - APPLICATION FOR EMPLOYMENT

 

 

Professional References

Please list three people that can attest to your skills and abilities relating to the position applied for.

Reference 1

 

Name and Occupation:

 

Address:

 

Phone Number:

 

Email Address:

Reference 2

 

Name and Occupation:

 

Address:

 

Phone Number:

 

Email Address:

Reference 3

 

Name and Occupation:

 

Address:

 

Phone Number:

 

Email Address:

PLEASE READ CAREFULLY AND SIGN – I certify that all information I have provided on this application is true and complete to the best of my knowledge and that I have withheld nothing which, if disclosed, would affect this application unfavorably. I understand that the willful omission of pertinent material facts or falsification of any information in this application is grounds for refusal to hire me or termination without notice. I understand and agree that neither this document nor any offer of employment from Central Methodist University constitutes an employment contract unless a specific document to that effect is executed in writing. If an employment relationship is established, I understand that both Central Methodist University and I may terminate my employment at any time for any reason. For all purposes, I will be an “at-will” employee. The “at-will” status can be changed only by a written agreement signed by the President. No employee, manager or other agent of the University has the authority to enter into any agreement, oral, written or otherwise, which alters the at-will policy. I authorize Central Methodist University to make such investigations and inquiries of my personal, employment, financial, driving, or criminal history and other matters related to verifying information on this application as may be necessary in arriving at an employment decision. I hereby release Central Methodist University, employers, schools, or persons from all liability in responding to inquiries in connection with my application.

 

Date:

 

11/19/2019
*

I acknowledge that by typing my name, it will serve as my signature

*

Signature: