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Position App

This document is an application for employment at Shoreline Community College. It requests information such as contact details, education history, work experience, skills, and references from applicants. It also includes a section for the applicant's signature acknowledging they understand the College may verify the application information and that any false statements could disqualify them or result in termination.

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Christopher Joss
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53 views2 pages

Position App

This document is an application for employment at Shoreline Community College. It requests information such as contact details, education history, work experience, skills, and references from applicants. It also includes a section for the applicant's signature acknowledging they understand the College may verify the application information and that any false statements could disqualify them or result in termination.

Uploaded by

Christopher Joss
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AA/ EOE Revised 04/22/10

APPLICATI ON FOR EMPLOYMENT




POSITION TYPE: Admin/Exempt Classified Faculty (Full & Part-Time)



POSITION TITLE: _______________________________________ DATE OF APPLICATION: __________________

NAME: _____________________________________ EMAIL: ____________________________________________

ADDRESS: __________________________________ CITY: ___________________ STATE: ______ ZIP: _________

HOME TELEPHONE: _______________________________ ALT TELEPHONE: ______________________________



Have you ever been previously employed at a Washington State agency (including Shoreline CC)? Yes No
I f yes, provide agency name/dates of employment: ___________________________________________________

Have you ever retired from any State Retirement Plan(s)? Yes No I f yes, please list: ____________________

Are you legally eligible for employment in the U.S.? Yes No
I f yes, can you verify your identity/eligibility to work? Yes No

Have you ever been convicted of a crime, excluding misdemeanors and summary offenses? Yes No
I f yes, please explain: ___________________________________________________________________________
______________________________________________________________________________________________

Do you know of any reason why you would not be able to perform the essential duties (with or without
accommodation) of the position you are seeking? Yes No
I f yes, please explain: ___________________________________________________________________________
______________________________________________________________________________________________

Shoreline CC prohibits relatives or household members from working in any capacity that may create a conflict of interest.
Note that answering Yes to the following question will not automatically exclude you from consideration.
Are you related to or residing with any current SCC employee(s)? Yes No I f yes, who? __________________



EDUCATION: List universities, colleges, schools attended, or other training received (including military, other trainings
and certifications) starting with most recent. List dates of attendance; degree or diploma earned, if any; and major field of
study (if applicable).

Name/ Location Dates of Attendance
From To
Degree, Diploma
Or Certification
Credits
Earned
Major




AA/ EOE Revised 04/22/10


WORK EXPERIENCE: Attach a chronological resume/curriculum vitae detailing your professional work experience with
your most recent experience listed first. For each position include the following information:

- Employer Name and Address
- Position Title, Dates Employed, and Salary Amount (Hourly or Annual Rate)
- Supervisor Name, Title, and Phone Number
- Reason for Leaving (if applicable)
- Summary of Duties, Responsibilities Held, and/or Subjects Taught
- Vocational, Professional, or Technical Certifications Held (if applicable)

Please be aware that a Shoreline CC hiring authority may contact your previous employers. Also note that
incomplete resumes/curriculum vitae will not be considered.

OTHER EXPERIENCE: Describe any military, volunteer work or other non-paid experience applicable to this position.

Name/ Location Month/ Year
Begin & End Dates
Type of Work





SKILLS & QUALIFICATIONS: Describe any special skills/qualifications you have related to this position.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________

REFERENCES: List the name and telephone number of three professional work references who are not related to you
and are not previous supervisors listed on your resume/curriculum vitae.

Name/ Title Address/ Phone Number Years Known




.

APPLICANT ACKNOWLEDGEMENT: PLEASE READ CAREFULLY

I am voluntarily submitting this application for employment to Shoreline CC. I hereby certify that the information provided by
me is true and complete to the best of my knowledge and belief. I give the College permission to verify and conduct reference
checks with the supervisors/references provided above and in my resume. I understand that any false or incomplete statements
may be considered grounds for rejection from the hiring process or for termination from employment.

_____________________________________________ ___________________________________
Applicant Signature Date

Shoreline Community College provides equal opportunity in education and employment and does not discriminate on the basis of race, sex,
age, color, religion, national origin, marital status, gender, sexual orientation or disability. Persons with disabilities needing assistance in the
application process may call the Office of Human Resources at 206-546-4769 or TTY at 206-546-4520. Shoreline Community College maintains
a smoke-free/drug-free work environment.

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