Application For Employment

It is the policy of the University of Redlands to be in full compliance with all Federal and State Non-discrimination and Equal Opportunity Laws, Orders, and Regulations relating to race, color, religion, national origin, age, gender, marital status, sexual orientation, non-disqualifying disability or status as a disabled veteran or veteran of the Vietnam Era.

The University of Redlands is an Equal Opportunity Employer.


PERSONAL INFORMATION

(Please review your information before submitting form as spell check is not an option.)

Name:
Last
First
Init.
E-mail:
Phone: Work ()- - Home: ()- -
Address:
City: State: Zip:

Applying For Position(s):
Title: Position Code:
Title: Position Code:
Hourly Wage Desired: Date Available for Work:

If hired, can you present evidence of your U.S. Citizenship or proof of your legal right to live and work in this country? Documents which establish identity and employment eligibility will be required upon employment. Yes No

Are you at least 18 years old? If under 18, hire is subject to verification that you are of minimum legal age. Yes No

List name and department of any friends or relatives employed by the University of Redlands:

Can you meet the travel requirements necessary or appropriate for the job for which you are applying? Yes No

Have you been employed previously by the University of Redlands? Yes No
If yes, give position title(s) and date(s):

Are you able to perform the essential functions of the job for which you are applying? Yes No
If no, describe the functions that cannot be performed:
(Hire may be subject to passing a medical examination and skill agility test)

Have you ever been convicted of a felony or a serious misdemeanor? Yes No
If yes, when, where, details and dates:
(Note: A conviction may be but is not necessarily a disqualification from employment.)

How were you referred to the University? (Check all that apply)
Advertisement Other Company Agency
Employment Service Employee School
Self Other:

Desired Work Schedule: (Check all that apply)
Full Time Summer Part Time Temporary

Are you available to work:
Days Weekends Evenings Rotating Shifts

EMPLOYMENT HISTORY


List all present and past employment starting with your most recent employer (include military service assignments, volunteer activities and account for all periods of unemployment).

Most Recent Employer
EmployerJob Title:

Immediate Supervisor: Type of Business:
Dates of Employment   From: Mo. Yr.     To:Mo.Yr.
Address:
City: State: Zip:
Phone: ()--
Starting salary or hourly wage: Ending salary or hourly wage:
Summary of Duties:
Reason for Leaving:
May we contact? Yes No
Job History #2
Employer Job Title:

Immediate Supervisor: Type of Business:
Dates of Employment   From: Mo. Yr.     To:Mo. Yr.
Address:
City: State: Zip:
Phone: ()--
Starting salary or hourly wage: Ending salary or hourly wage:
Summary of Duties:
Reason for Leaving:
May we contact? Yes No
Job History #3
Employer Job Title:

Immediate Supervisor: Type of Business:
Dates of Employment   From: Mo. Yr.     To:Mo.Yr.
Address:
City: State: Zip:
Phone: ()--
Starting salary or hourly wage: Ending salary or hourly wage:
Summary of Duties:
Reason for Leaving:
May we contact? Yes No
Job History #4
Employer Job Title:

Immediate Supervisor: Type of Business:
Dates of Employment   From: Mo. Yr.     To:Mo.Yr.
Address:
City: State: Zip:
Phone: ()--
Starting salary or hourly wage: Ending salary or hourly wage:
Summary of Duties:
Reason for Leaving:
May we contact? Yes No

EDUCATIONAL BACKGROUND/MILITARY SERVICE


Schools Attended Past and Present
Name
of School		 Location
Yrs.
Completed
 Did you
Graduate?		 Major/Course
Degree
High School
Yes
No
College or University
Yes
No
Post Graduate Work
Yes
No
Technical or Vocational
Yes
No
Other Schooling
Yes
No
Honors or Awards Received:
Professional Certificates or Licenses Held:
(Indicate certificate of license #, issuing state, & whether the certificate or license has ever been revoked, suspended or restricted.)
Are you taking any educational courses at present? Yes No
If Yes, What and Where?

Please indicate any foreign language that you:
Speak Read Write

Extra curricular activities related to the job you are applying for.

Community and professional affiliations - offices held
* You may exclude affiliations which indicate race, color, religion, national origin, age, gender, marital status, or sexual orientation

U. S. Military Service:
Branch:
Highest Rank Held

Special Training

U. S. Military duties that relate to this job

SPECIAL TRAINING OR QUALIFICATIONS
Check the skills in which you have had training or experience
Bookkeeping Cash Register Main Frame
Dictaphone Calculator Mac
Switch Board Computer IBM/Compatible
Typing WPM:
Stenography WPM:
Word Processing Specify Software:
Spreadsheet Program Specify Software:
Specify other clerical skills:
Building Services Skills
Grounds Carpentry Refrigeration
Shipping Welding Electrical
Painting Heating Plumbing
Custodial Irrigation Landscaping
Engineering Boilers
    

Specify other building services & skills:

List any other experiences, skills or qualifications which may be pertinent to your employment at the University of Redlands

REFERENCES


List three business and professional references we may contact who are qualified to evaluate your capabilities (Do not include relatives).


Name Address Telephone Occupation Yrs Known

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION

ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID

I certify that all answers or statements given on this application or on my resume or other supplementary materials are true and correct without omissions and that I, the undersigned applicant, have personally completed this application. I understand that any untrue statements, omissions, or misrepresentation on this application, accompanying resume or supplementary materials whether made or omitted knowingly, or unknowingly, will be cause for refusal to hire or sufficient cause for immediate dismissal from employment at any time during the period of my employment, regardless of the time elapsed before discovery.

I authorize the University of Redlands to thoroughly investigate my references, work record, education and other matters related to my suitability for employment. I release the University of Redlands, my former employers, and all other persons and organizations from any and all claims, demands, and liabilities of any nature arising from or any way related to such investigations or disclosures. In making this application for employment I understand that I may be required to submit to a background investigation, including motor vehicle and criminal record. The information received is the property of the University of Redlands and will be held confidential.

I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the University of Redlands.


Enter your name in the "Applicant's Signature" field and your valid email address in "Email Address" field, this will be considered as your valid signature.
Applicant's Signature:
E-mail address:
Date: