We Are An Equal Opportunity Employer We consider applicants for all positions without regard to race, color, sexual orientation, religion, gender, national origin , age, marital or veteran status, the presence of the non-job-related medical condition or disability or any other legally protected status. Please Print Date _____________________ Email__________________________________________ Name _____________________________________________________ Telephone No ._______________________________________ Last First MI Address _______________________________________________________________________________________________________ Street City State Zip Code Wh at position are you applying for? _______________________________________________________________________________ How d id you learn about us? Advertisement Friend/Relative Website Other ______________________________ Do you have any friends or relative s who are currently working for King’s College? Yes No If y es: Name(s) ____________________________________________________ Relationship __________________________________ Are y ou over the age of 18? Yes No If no, can you provide required proof of your eligibility to work? Yes No Are y ou currently employed? Yes No Were you previously employed by King’s College? Yes No On what date would you be available to work? ________________________________ Have y ou ever been convicted of or pled guilty to a felony or misdemeanor ? Yes No explain: _______________________________________________________________________________________________________ *A conviction will not necessarily disqualify you from the job for which you have applied. Are you legally eligible for employment in the U.S.A? Yes No If hired, you are required to submit proof of work eligibility. Education High School _____________________________________________________________________________ Years attended _________ Name Address Cou rse of Study __________________________________ Did you graduate? Yes No Coll ege/Technical School _________________________________________________________________ Years attended _________ Name Address Cou rse of Study__________________________________ Did you graduate? Yes No Other (Specify)___________________________________________________________________Years attended________ Name Address Course of Study__________________________________ Did you graduate? Yes No Application for Employment (Over) Revise d 6/2017 We Are An Equal Opportunity Employer Employment History List below present and past employment, beginning with your most recent. Include job-related service assignments and volunteer activities. You may exclude organizations, which indicate race, color, sexual orientation, religion, gender, national origin, disabilities or other protected status. 1. Employer : _______________________________________________________________Phone_____________________ Name Address Dates: From________ To________ Salary: Starting ________Final________ Supervisor ____________________________ Job Title ____________________________________ Reason for Leaving ________________________________________ May we contact this employer? Yes No Duties Performed_______________________________________________ ____________________________________________________________________________________________________ 2. Employer : _______________________________________________________________Phone_____________________ Name Address Dates: From________ To________ Salary: Starting ________Final________ Supervisor ____________________________ Job Title ____________________________________ Reason for Leaving ________________________________________ May we contact this employer? Yes No Duties Performed_______________________________________________ ____________________________________________________________________________________________________ 3. Employer : _______________________________________________________________Phone_____________________ Name Address Dates: From________ To________ Salary: Starting ________Final________ Supervisor ____________________________ Job Title ____________________________________ Reason for Leaving ________________________________________ May we contact this employer? Yes No Duties Performed_______________________________________________ ____________________________________________________________________________________________________ Are there any other job related experiences, skills, or qualifications which will be of special benefit in the job for which you are applying? _________________________________________________________________________________________ ____________________________________________________________________________________________________ Are you physically/mentally able to perform the duties of the job you are applying for? Yes No If No, what reasonable accommodation could be made? _______________________________________________________ References (Please give name and telephone number of three references not related to you.) 1. __________________________________________________________________________________________________ 2. __________________________________________________________________________________________________ 3. __________________________________________________________________________________________________ The facts set forth in my application for employment are true and complete. I understand that, if employed, any false statement on this application may result in my dismissal. I further understand that this application is not a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. My employment may be terminated at any time with or without reason or notice by the College or myself. I hereby authorize King’s College to investigate my personal history and financial and credi t record through any investigation or credit agencies or bureaus of your choice, if job related. ____________________________________________ Signature of Applicant
