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Human Resources
Employment Application
Step 1: Applicant
Full Legal Name
Social Security Number
Address
City
Zip
Home Phone
Cell Phone
Email
Step 2: Position
Position you are applying for
Available to work
Full Time
Part Time
Day
Evening
Ever applied to Belmont College?
Yes
No
Ever been employed at Belmont College?
Yes
No
Can you work legally in the United States?
Yes
No
Ever been convicted of a felony?
*Selecting "Yes" is not an automatic dis-qualification
Yes
No
If convicted of a felony, please explain
Where did you hear about this position?
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Belmont College Website
Friend/Relative
Other
Step 3: Education
I.
School Name
Name of Degree
Degree Status
Graduated
Now Attending
Incomplete
Major/Area of Study
City
State
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Step 5: Work Experience
I.
Employer Name
Job Title
Start Date (month,year)
End Date (month,year)
Do you currently work at this Job?
Yes
No
City
State
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Step 4: Licenses/Certificates
I.
Type of License/Certificate
Issuing State/Agency
Contact Phone Number
Expiration Date
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Step 6: References
I.
Name
Title
Phone Number
City
State
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I give permission for Belmont College to contact the references I've provided.
Step 7: Cover Letter / Other Notes (optional)
Step 8: Terms and Agreements
I certify that the information contained in this application is true and complete to the best of my knowledge. I understand that if this application is not completed in its entirety, it will not be processed and I will be automatically disqualified. I understand that I am responsible for the correctness of this application and that omissions or false or misleading statements made by me on this application will be sufficient cause for rejection of my application or termination of my employment. I also understand that a background check may be required prior to employment and that drug testing may be required. I waive all provisions of law forbidding colleges or universities which I attended, or past employers, from disclosing any information which they acquired relevant to my employment. I consent that they may disclose such information to Belmont College and/or its representatives. I understand that any offer of employment is conditional upon proof of legal authorization to work within the United States as required by the Immigration Reform and Control Act. I agree to the terms and conditions above.

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