Methodist College, Incorporated卫理公会大学，成立

Methodist College, Incorporated卫理公会大学，成立 Methodist University, Incorporated Human Resources Office 5400 Ramsey Street Fayetteville, North Carolina 28311 Application for Non-Teaching Employment Staff Position Methodist University does not discriminate on the basis of race, color, national or ethnic origin, age, sex, religious denomination, or disabilities in the administration of its admission and educational policies, scholarships, loan programs, athletics, employment practices or any other university administered program. Please print. Full Name _____________________________, _______________________________, _________________ Last First Middle Current Address: _________________________________________________________________________ Street and Number __________________________________________________________________________ City State Zip Code Phone: (_____) ___________________________ Social Security Number ________-______-__________ Are you a U.S. Citizen or are you legally authorized to work in the U.S.? ________ yes _________ no Have you ever been convicted of a felony? _______ yes ________ no If yes, describe: ________________ _________________________________________________________________________________________ _________________________________________________________________________________________ __________________________________________________________________________________________ Criminal convictions are not an absolute bar to employment and will only be considered in relation to specific Job requirements. Position Applied for: _________________________________________________________________________ Desired Position (Please rank. #1 highest rank): ____ Custodial ____ Accounting ____ Secretarial ____ Maintenance ____ Administrative ____ Receptionist ____ Other: ____ Security ____ Bookkeeping ____ Recruiting _______________________ Desired Placement (optional) (Please rank. #1 highest rank): ____ Academic/Registrar ____ Business Area ____ Student Affairs ____ Admissions ____ Development/Alumni ____ Other ____ Athletics ____ Facility/Plant _______________________ What type of position are you seeking? _______ Part-Time ________ Full-Time Have you ever been employed by Methodist University? _______ yes ________ no WORK EXPERIENCE PLEASE CHECK TYPE OF WORK IN WHICH YOU HAVE HAD EXPERIENCE: ___ General Clerical ___ Switchboard Operator ___ Inventory Clerk ___ Salesclerk ____ Typing ___ Bookkeeping ___ Stock Clerk ___ Hoist-Lift Operation ____ Cashier ___ Purchasing ___ Maintenance ___ Computer Operator ____ Financial Reports ___ Payroll ___ General Warehouse ___ Invoicing PLEASE CHECK BUSINESS MACHINES YOU HAVE OPERATED: ____ Adding machines ___ Photocopier ___ Transcription ___ Computers ___ Calculator ____ Projectors ___ Bookkeeping ___ Scanner ___ Fax Machine ___ Other Typing Speed_____________ Other special abilities__________________________________________________________ EMPLOYMENT RECORD INFORMATION Fill out carefully. Begin with present or last job held and work back, regardless of the time worked. Use additional sheet if necessary. If you were sick, attending school, out of work, so state, giving dates. DO NOT SKIP ANY DATES. ACCOUNT FOR ALL TIMES. THIS INFORMATION WILL BE CLOSELY CHECKED. If you have not had any previous work experience, fill out the next section, “Volunteer or other non-paid work.” DO YOU HAVE ANY OBJECTION TO OUR CONTACTING YOUR PREVIOUS EMPLOYERS OR REFERENCES? _______________ 1. FROM: TO: _________________________________ ___/___/___ __/___/___ $___________ $____________ COMPANY NAME EMPLOYMENT DATES BEG SALARY END SALARY _________________________________ _______________________________________________________ ADDRESS JOB TITLE/DUTIES _____________________ (____)________________ _________________________________________ SUPERVISOR TELEPHONE NO. REASON FOR LEAVING 2. FROM: TO: _________________________________ ___/___/___ __/___/___ $___________ $____________ COMPANY NAME EMPLOYMENT DATES BEG SALARY END SALARY _________________________________ _______________________________________________________ ADDRESS JOB TITLE/DUTIES _____________________ (____)________________ _________________________________________ SUPERVISOR TELEPHONE NO. REASON FOR LEAVING 3. FROM: TO: _________________________________ ___/___/___ __/___/___ $___________ $____________ COMPANY NAME EMPLOYMENT DATES BEG SALARY END SALARY _________________________________ _______________________________________________________ ADDRESS JOB TITLE/DUTIES _____________________ (____)________________ _________________________________________ SUPERVISOR TELEPHONE NO. REASON FOR LEAVING 4. FROM: TO: _________________________________ ___/___/___ __/___/___ $___________ $____________ COMPANY NAME EMPLOYMENT DATES BEG SALARY END SALARY _________________________________ _______________________________________________________ ADDRESS JOB TITLE/DUTIES _____________________ (____)________________ _________________________________________ SUPERVISOR TELEPHONE NO. REASON FOR LEAVING *VOLUNTEER OR OTHER NON-PAID WORK *This section is optional. In this section you may include any verifiable work performed on a volunteer basis. Begin with present or last activity and work Back. Use additional sheet if necessary. DO YOU HAVE ANY OBJECTION TO OUR CONTACTING YOUR PREVIOUS VOLUNTEER ORGANIZATIONS? ____________________ 1. FROM: TO: _____________________________________ ____/___/____ ___/____/____ ORGANIZATION NAME PARTICIPATION DATES _____________________________________ ________________________________________________________ ADDRESS JOB TITLE/DUTIES __________________ (___)_________________ _____________________________________________ SUPERVISOR TELEPHONE NO. REASON FOR LEAVING 2 FROM: TO: _____________________________________ ____/___/____ ___/____/____ ORGANIZATION NAME PARTICIPATION DATES _____________________________________ ________________________________________________________ ADDRESS JOB TITLE/DUTIES __________________ (___)_________________ _____________________________________________ SUPERVISOR TELEPHONE NO. REASON FOR LEAVING EDUCATION CIRCLE HIGHEST GRADE COMPLETED: ELM 6 7 8 HIGH 9 10 11 12 COLLEGE 13 14 15 16 17 18 19 HIGH SCHOOL ______________________________________________________________________________________ CITY STATE COLLEGE OR UNIVERSITY: (List all whether or not degree was obtained) NAME LOCATION MAJOR FIELD MINOR FIELD DEGREES YEAR OF STUDY OF STUDY *ACADEMIC HONORS OR SPECIAL RECOGNITION _______________________________________________________________________________ *EXTRA CURRICULAR ACTIVITIES ____________________________________________________________________________________________ *OFFICES HELD ______________________________________________________________________________________________________________ *OTHER NIGHT SCHOOL, CORRESPONDENCE, HOME STUDY OR COURSES ________________________________________________________ *DO YOU HAVE ANY OBJECTION TO CONTACTING YOUR PREVIOUS SCHOOLS? __________________________________________________ *YOU MAY OMIT THOSE WHICH INDICATE RACE, RELIGIOUS CREED, COLOR, NATIONAL ORIGIN, ANCESTRY, SEX OR AGE. Business References: Give name, address, and telephone number of three references who are not related to you and who are not previous employers. 1. __________________________________________________________________________________________________ Name Address City/State/Zip Code 2. __________________________________________________________________________________________________ Name Address City/State/Zip Code 3. __________________________________________________________________________________________________ Name Address City/State/Zip Code You may attach any additional information (i.e. resume, references) which you would like to have considered with this application. I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that falsified or incomplete statements on this application shall be grounds for disqualification from further consideration or for dismissal from employment if hired. I am an able bodied person, fully capable of performing the functions of the position I am applying for. I authorize investigation of all statements contained herein and the references listed above to give Methodist University any and all information concerning my education and previous employment and any pertinent information they may have, and I release all parties from all liability for any damage that may result from furnishing same to the University. This investigation may include a search of public records. I further agree to conform to the rules and regulations of Methodist University. I understand that Methodist University is an employer “at will” and that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of the University or myself. ________________________________________________ ______________________________ Signature of Applicant Date DO NOT WRITE BELOW THIS LINE (UNIVERSITY USE ONLY) INTERVIEWED BY: ___________________________________________ DATE: ________________________________ REMARKS: __________________________________________________________________________________________ ____________________________________________________________________________________________________ HIRED: YES: ______ NO: ______ FULL-TIME: ______ PART-TIME _______ TEMPORARY: ______ THIS POSITION IS: _________ HOURLY __________ EXEMPT DEPARTMENT: ____________________________ POSITION: _______________________________________________ SALARY/WAGE: ___________________________ DATE REPORTING TO WORK: _____________________________ APPROVED: 1. _________________________ 2. __________________________ 3. _______________________________ EMPLOYMENT MANAGER DEPARTMENT HEAD IMMEDIATE SUPERVISOR NOTIFICATION AND RELEASE Methodist University - Fayetteville The information contained in my application for employment or student admissions with Methodist University (hereinafter The Organization”) is true to the best of my knowledge and belief. I understand that any misrepresentation or false statement made by me in connection with the application or any related documents which is deemed material by The Organization may result in The Organization not employing me or, if employed terminating my employment, or may cause me to be rejected as a student. I understand and agree that all information furnished in my application and all attachments may be verified by The Organization or its authorized representative. I hereby authorize all individuals and organizations named or referred to in my application and any law enforcement agency to give The Organization all information relative to such verification and hereby release and full discharge such individuals, Agencies, and The Organization from any and all liability for any claim or damage resulting therefrom. I hereby acknowledge that I have been informed by The Organization that The Organization may seek to obtain a consumer report and/or investigative report that will include personal information regarding me, including but not limited to: educational history, work references, driving records, drug testing, and criminal convictions or arrest records, in order to assist The Organization in making certain employment and student selection decisions. I further acknowledge notification by The Organization that such reports may be provided to The Organization by third parties. I, my heirs, assigns and legal representatives, hereby release and fully discharge The Organization its parent and affiliated companies and the respective officers, trustees, directors, shareholders, employees, members, managers or agents of each, including subcontractors, from any and all liability for any claim or damage, arising out of the making, or use of, either a consumer report and/or investigative report, including any errors or omissions contained or omitted from such reports or investigations. The Organization agrees to inform candidates if an employment or volunteer decision has been influenced by information contained in a consumer report requested by The Organization and preformed by Castle Branch Inc. You may obtain a free copy of the report within sixty days by calling Castle Branch Inc. collect @ 1-910-815-3880 or toll free @ 1-888-723-4263. The Organization will make available to you "A Summary of Your Rights Under the Fair Credit Reporting Act.” PLEASE PRINT OR TYPE List all names you have used in the past 7 years including married, maiden, and aliases. Name (First, Middle, Last) _________________________________________________________ Date of Birth (mo/day/yr)_______________________________ Maiden Name or "AKA"___________________________________________________ Dates Used (yr) from___________ to _______________ Social Security #______________________________ Drivers License #____________________________________ State __________________ Current and previous address(es). PROVIDE ALL ADDRESSES FOR PREVIOUS 7 YEARS. (Use back of page if necessary). Street_________________________________________________________________________From ______________ to __________________ City, State, Zip,County Street_________________________________________________________________________From ______________ to __________________ City, State, Zip,County Street_________________________________________________________________________From ______________ to __________________ City, State, Zip,County Street_________________________________________________________________________From ______________ to __________________ City, State, Zip,County Street_________________________________________________________________________From ______________ to __________________ City, State, Zip,County Street_________________________________________________________________________From ______________ to __________________ City, State, Zip,County