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Online Employment Application Form

First Name: *
Middle Initial:
Last Name: *
   
Address:
City
State:
Zip:
   
Telephone:
   
Position applying for:
   
Expected Salary
   
Are you eligible for employment in the USA? YesNo
   
Date available to work:
   
Are you available to work on a: Full-time basis
Part-time basis
Temporary basis
   
Please specify schedule limitations:
   
Were you ever previously employed by Ottawa University? YesNo
If yes, when?
   
Were you referred to Ottawa by someone? YesNo
If yes, whom?
   
List friends and/or relatives employed by Ottawa:
   

Personal Email Address:

(Please specify a valid personal e-mail address)

 *
   
EDUCATION  
   
Name and Location Course of Study Dates of Attendance Graduated
Yes/No Mo/Yr Degree
High School Yes No
College Yes No
Other Yes No
Additional comments regarding education:
   
COMPUTER SKILLS  
   
Keyboarding Skills: YesNo
Systems:
Word Processors:
Spreadsheets:
Presentation Software:
Graphics Software:
   
EMPLOYMENT HISTORY  
   
Name of Company:
Job Title:
Phone:
Supervisor:
Date Started:
Date Left:
Salary:
Job Description:
Reason for leaving:
May we contact this employer? YesNo
   
   
Name of Company:
Job Title:
Phone:
Supervisor:
Date Started:
Date Left:
Salary:
Job Description:
Reason for leaving:
May we contact this employer? YesNo
   
   
Name of Company:
Job Title:
Phone:
Supervisor:
Date Started:
Date Left:
Salary:
Job Description:
Reason for leaving:
May we contact this employer? YesNo
 
REFERENCES
Please list the name, address, and telephone numbers of three references who are not related to you.
   
Name:
Occupation:
Address:
Phone:
   
Name:
Occupation:
Address:
Phone:
   
Name:
Occupation:
Address:
Phone:
   
Please use this space to summarize any additional information necessary to fully describe your qualifications.
 

***PLEASE READ***

I certify that all of the statements made in this application are true, complete, and correct to the best of my knowledge, and I understand that any false information or omission of facts called for in this form is grounds for refusal to hire or discharge from employment. I authorize the verification of all statements in this application, including past work experience and school references. I understand that, if considered for hire, I may be subject to a criminal and financial check.

I understand that, if hired, I will be required to comply with all university policies. I also acknowledge that Ottawa University is an "at-will" employer and employment is not guaranteed for any specific period of time, unless modified by an express, written contract signed by the employee and the appropriate Ottawa University official.
 
 
Ottawa University is committed to equal employment opportunity and does not
unlawfully discriminate in the recruitment of applicants, employment opportunities,
or general employment practices on the basis of race, age, sex, color, religion,
disability, national origin, sexual orientation or any other characteristic protected by law.