Columbia College - Human Resources

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Application For Employment

Dear Applicant: Thank you for your interest in employment with Columbia College. In compliance with College policy and Federal and State laws, qualified applicants are considered for positions without regard to race, religion, gender, nationality, ethnicity, age, sexual orientation, marital or veteran status, the presence of a non-job-related medical condition or disability, or any other legally protected status.

Our selection process is designed to provide an equal employment opportunity for all and begins with the accurate completion, in its entirety, of this application. Further contact by a representative of Columbia College will be based on your application. Therefore, you should accurately complete the application in its entirety and return it for consideration. Failure to complete any part of the application may disqualify you from consideration for a position.
This application is current for the position(s) you have listed below. If you wish to be considered for future and/or alternative positions following the submission of this application, notify the Office of Human Resources at the Columbia College campus or the local Adult Higher Education Director, or submit another application.

Note: Items marked with a * are required.

Position(s) Applied For

Position Applied For:*
Position Applied For:

Name

First Name:*
Middle Name:
Last Name:*

E-mail Address An email address is required for consideration for an online adjunct faculty position.

Email:*

Address

Street Address:*
City:*
State:*		Zip:*

Phone Numbers

Phone (home):*	() - -
Phone (day):	() - -

Phone Numbers

May we contact you at work?	Yes No

Previous Employment/Application with Columbia College

Have you filled out an application and/or been employed here before?	Yes No

If 'Yes', date(s):

Other Names

Have you ever been employed or attended school under another name?	Yes No

If 'Yes', name(s):

Lawful Employment

Are you able to be lawfully employed in the United States?*	Yes No

Full Time/Part Time

Do you prefer*	Full Time Part Time employment?

Relatives at Columbia College

Are you related to anyone currently employed by Columbia College?*	Yes No

If 'Yes', name(s):

Having relatives employed at Columbia College will neither enhance nor diminish employment opportunities.

Criminal Record

Have you ever been convicted of a felony, or are charges now pending against you, other than minor traffic violations?** *
Yes No

If 'Yes', explain:

**Criminal convictions or charges will be considered only in relation to the job for which you apply. A conviction or pending criminal charges may or may not disqualify you.

Travel Restrictions

Would there be restrictions on travel if a job requires it?	Yes No

If 'Yes', explain:

Military Service

Are you a veteran?	Yes No

Branch:
Military Job Title:
Highest Rank:

Specialized Skills

A minimum of one is required*
	Word Processing		Desktop Publishing	PC/IBM
	Database		Switchboard	Apple/Mac
	Spreadsheet		Transcription	Ten key by touch
	Typing	words per minute

Languages/Software

List PC languages, systems and software with which you have a working knowledge:

You have 2000 characters remaining.

Other Skills

You have 2000 characters remaining.

Trade/Professional Organizations

List Trade or Professional Organizations to which you belong or with whom you are licensed
(Exclude memberships which would reveal gender, religion, national origin, age, ancestry, disability, or other protected status.)

You have 2000 characters remaining.

References (not relatives)

A minimum of one is required*
Name:			Occupation:
Address:			Phone No:

Name:			Occupation:
Address:			Phone No:

Name:			Occupation:
Address:			Phone No:

Name:			Occupation:
Address:			Phone No:

May we contact your current employer?	Yes No

Education

Name & Location of School	Select Last Year Completed	Major Course	Diploma/Degree
A minimum of one is required*
High School
College/University
College/University
Business or Trade School
Describe specialized training, apprenticeship and extracurricular activities: You have 2000 characters remaining.

If you attended Columbia College, under what name are your records held?
Copy from above:
First Name:
Middle Name:
Last Name:

Employment History

List each job held. Start with your present or last job, listing the month and year. Include military service assignments and volunteer activities.

Employer:		Address/City:
From (MM/YYYY):		To (MM/YYYY):
Supervisor:		Phone:
Salary Starting:		Salary Final:
Type of Work:
Reason for Leaving:

Employer:		Address/City:
From (MM/YYYY):		To (MM/YYYY):
Supervisor:		Phone:
Salary Starting:		Salary Final:
Type of Work:
Reason for Leaving:

Employer:		Address/City:
From (MM/YYYY):		To (MM/YYYY):
Supervisor:		Phone:
Salary Starting:		Salary Final:
Type of Work:
Reason for Leaving:

Employer:		Address/City:
From (MM/YYYY):		To (MM/YYYY):
Supervisor:		Phone:
Salary Starting:		Salary Final:
Type of Work:
Reason for Leaving:

Attach Your Resumé

If you have a resumé in Microsoft Word (.doc), Adobe PDF, or Rich Text File (.rtf)
you can attach it to your application by clicking "Browse…":

Agreement

Please read the following statements and sign below.

I certify that answers given herein are true and complete to the best of my knowledge. I understand that the absence of my signature on the application may disqualify me from consideration.

I understand and agree that neither this document nor any offer of employment from Columbia College constitutes an employment contract unless a specific document to that effect is executed in writing. If an employment relationship is established, I understand that both Columbia College and I may terminate my employment at any time for any reason. For all purposes, I will be an "at-will" employee.

I authorize Columbia College to make such investigations and inquiries of my personal, employment, financial, driving, or criminal history and other matters related to verifying information on this application as may be necessary in arriving at an employment decision. I hereby release Columbia College, employers, schools or persons from all liability in responding to inquiries in connection with my application.

In the event of employment, I understand and agree that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of Columbia College.

Columbia College reserves the right to conduct medical and drug testing of individuals to whom employment offers have been made and to make any employment offers contingent upon satisfactory results of such tests.

Check this box to certify that you have read and accept the above statement.*