Application for Employment (Staff)

Personal Information
* Name: (Last, First, MNI)
* Have you used any other names for education, employment or other purposes?
* Please state all other names and dates used as well as the reasons

If you would like to attach a resume, cover letter, etc, please do so by typing the path in the boxes below or by clicking the "browse" to find it.
Attachment #1
Allowed file types: doc, docx, pdf
Attachment #2
Allowed file types: doc, docx, pdf
Thank you for your interest in employment at Walla Walla University.
Walla Walla University, committed to Equal Employment Opportunity in its hiring practices, does not discriminate on the basis of race, color, sex, age, national origin, or marital status.

Because of the religious nature of our mission, we do, however, give preference to hiring members of the Seventh-day Adventist faith. Walla Walla University exercises this practice as a legal and constitutional provision granted to religious institutions (RCW 49.60).
Are you a member of the Seventh-day Adventist Church?
* Church Name: * Pastor's Name:
* I understand that Walla Walla University reserves the right to hire a church member who may be less qualified. I also understand that if I am hired, I will respect the beliefs of the church in duties related to my position.
Applicant’s Contact Information
* Street Address:
* City, State, Zip:
(ex: College Place, WA, 99324)
* Phone (Daytime)
(ex: 509-555-5555)
Phone (Evening)
(ex: 509-555-5555)
* Email Address
Work Availability
* Do you want to work Full-time or Part-time?
* Are you legally eligible to work in the U.S.?
* Will you now or in the future require visa sponsorship for employment at Walla Walla University?
* Are there days of the week or hours of the day you are unavailable for work?
* Days of the week you are unavailable:

* Hours of the day you are unavailable:

* Do you plan to engage in other work while you are employed by the University?
* Describe the employer, the nature of the work and the hours and days of the week involved:

About You
* Are you over the age of 18?
(If not you will be required to furnish authorization to work)
* Do you read, speak or write any language other than English?
Please specify other languages known:

* Have you applied for work with us before?
* Position:
* Date:
* Have you worked for us before?
* When did you previously work for us, and in what department?

* Any relatives working for WWU?
* Relative's Name * Relative's Job Title
* Relative's Department * Relative's Relationship
* The university accepts applications for specific job postings. Please identify the position(s) for which you desire to be considered:

* Employee Name:
* Other:
* In the past 10 years have you ever been convicted of a criminal offense (misdemeanors and felonies, excluding minor traffic violations) received any form of probation, pled no contest, pled guilty or participated in a diversion or other alternative court program to obtain dismissal or deferral of prosecution? (A conviction will not necessarily result in a denial of employment)
* Describe in full, including dates, criminal offenses, location (city and state) and disposition:

* Are you currently on probation or suspended sentence for any criminal offense?
* Describe in full, including criminal offense(s), current status, expected date of completion and the name(s) and telephone number(s) of the probation or parole officer or other person or persons to whom you report:

Educational Background
(Please do not fill fields with "See Resume")
High School
Name
Street Address:
City, State, Zip:
(ex: College Place, WA, 99324)
How many years attended?
Did you graduate?
Did you earn a GED or high school equivalent?
College/University
(Please do not fill fields with "See Resume")
Name
Street Address:
City, State, Zip:
(ex: College Place, WA, 99324)
How many years attended?
Did you graduate?
Major/Degree
Post Graduate
(Please do not fill fields with "See Resume")
Name
Street Address:
City, State, Zip:
(ex: College Place, WA, 99324)
How many years attended?
Did you graduate?
Major/Degree
Business or Trade
(Please do not fill fields with "See Resume")
Name
Street Address:
City, State, Zip:
(ex: College Place, WA, 99324)
How many years attended?
Did you graduate?
Major/Degree
Other Schooling
(Please do not fill fields with "See Resume")
Name
Street Address:
City, State, Zip:
(ex: College Place, WA, 99324)
How many years attended?
Did you graduate?
Major/Degree
Licenses and/or Certificates
* Do you have the professional, vocational or other licenses or certificates that relate to the job position for which you are applying?
* Please provide information on license/certificate, issuing authority/organization, date issued, license number and expiration date:

* Has your license or certificate ever been denied, revoked, suspended or curtailed?
* Please explain action taken and reason

Personal References
(Excluding Former Employers or Relatives)

(Please do not fill fields with "See Resume")
Reference 1
* Name
* Occupation
* Street Address:
* City, State, Zip:
(ex: College Place, WA, 99324)
* Phone Number
Email Address
Reference 2
* Name
* Occupation
* Street Address:
* City, State, Zip:
(ex: College Place, WA, 99324)
* Phone Number
Email Address
Reference 3
* Name
* Occupation
* Street Address:
* City, State, Zip:
(ex: College Place, WA, 99324)
* Phone Number
Email Address
Work History
* Is this your first job?
Please list all present and past employment, beginning with the most recent. Explain any employment gaps in the comments section below.
Most Recent Employment
(Please do not fill fields with "See Resume")
* Employer Name
* Street Address
* City, State, Zip
(Ex: College,WA 99324)
* Phone
* Your Job Title
  Employment Dates: (Leave end date blank only if you are still employed there)
Start Date: End Date:
* Supervisor Name/Title
* Start Pay:
* End Pay:
* Summarize the work you did

* Reason for leaving

* Were you employed before this job?
Previous Employment
* Employer Name
* Street Address
* City, State, Zip
(Ex: College Place, WA 99324)
* Phone
* Your Job Title
  Employment Dates:
* Start Date: * End Date:
* Supervisor Name/Title
* Start Pay:
* End Pay:
* Summarize the work you did

* Reason for leaving

* Were you employed before this job?
Previous Employment
* Employer Name
* Street Address
* City, State, Zip
(Ex: College Place, WA 99324)
* Phone
* Your Job Title
  Employment Dates:
* Start Date: * End Date:
* Supervisor Name/Title
* Start Pay:
* End Pay:
* Summarize the work you did

* Reason for leaving

* Were you employed before this job?
Previous Employment
* Employer Name
* Street Address
* City, State, Zip
(Ex: College Place, WA 99324)
* Phone
* Your Job Title:
  Employment Dates:
* Start Date: * End Date:
* Supervisor Name/Title
* Start Pay:
* End Pay:
* Summarize the work you did

* Reason for leaving

Comments
* May we contact your current employer at this time?
* Please explain: (Information from your current employer will be required before hiring.)

* Have you ever been terminated from employment or asked to resign by any employer?
* Provide complete information on employer, dates, action taken and reason:

Please provide additional information including explanations for gaps in employment here:

Application Process
The University does not interview all applicants for vacant job positions. Those applicants to be interviewed will be contacted by the University. Applications will be considered for 180 days following their submission. Applicants who desire to apply for another job position, or who desire to reapply for a job position, must submit a new application form to the University.

All questions regarding the application for employment and position status should be directed to the Human Resources Department.
Applicant Verifiication
Read each paragraph carefully and initial each before signing the application for employment.
  I understand that, if employed by Walla Walla University, I will be required to complete the Federal I-9 form and provide proof of my identity and legal right to work in the United States within (3) business days of the date employment begins, to verify my employability in compliance with Federal Law.
* Initials:  
  I verify that all the information provided on this application form and exhibits, resumes and other documents provided to the University is true, correct and complete. I have accounted for all of my education, training, work experience and other information requested on this application. I understand that any false, misleading, incomplete or omitted information on this application form, exhibits, resumes and other documents submitted to the University will result in rejection of my application or termination of employment, whenever discovered.
* Initials:  
  If I am considered for employment, I authorize the University, its employees and agents to investigate all information on this application and my qualifications and suitability for employment. I agree to furnish additional information as requested by the University. I release the University, its employees, agents and all other persons or organizations from any claims, liabilities and damages resulting from obtaining or furnishing any information about me.
* Initials:  
  I understand that I may be asked to take job-related written tests and skill tests (if applicable) for the job position for which I am applying. If I decline to be tested, I understand that I will not be further considered for employment.
* Initials:  
  I understand that this employment application is not an offer of employment with the University. The employment relationship between the University and employees is based upon mutual consent for an indefinite time period and may be terminated by either the employee or the University at any time without notice or requirement of cause.
* Initials:  
  If offered employment with the University, I understand that I must comply with all of the University’s policies, rules and procedures.
* Initials:  
Electronic Signature
* By typing in your name and clicking on the "Submit" button below, you acknowledge your electronic signature and agree that all information you are providing to Walla Walla University on this document is true, complete and correct to the best of your knowledge.     Fri Apr 18, 2014 6:53 am
Timestamp
Fri Apr 18, 2014 6:53 am
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