Employment Application

Step 1 of 5

Position You're Applying For

Type of Position Applying for

Position Applying for:(Required)

Referral Source(Required)

Other(Required)

Are you a current Benedict College employee?(Required)

Personal Information

Your Name(Required)

Prefix First Middle Last

Your Email Address(Required)

Enter Email Confirm Email

SSN(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Home Phone(Required)

Cell Phone(Required)

Best Time To Call You(Required)

When is the best time for us to reach you via telephone?

Date Available(Required)

If you are under 18 years of age, can you provide required proof of your eligibility to work?(Required)

Have you ever filed an application with us before?(Required)

If "Yes", please provide dates(Required)

Have you ever been employed with us before?(Required)

If "Yes", please provide dates(Required)

Are you currently employed?(Required)

May we contact your current employer?(Required)

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?(Required)

(Proof of citizenship or immigration status will be required upon employment)

On what date are you available for work?(Required)

Are you available to work:(Required)

Full-Time

Part-Time

Shift Work

Temporary

Can you travel if a job requires it?(Required)

Have you ever been convicted of a felony?(Required)

If "Yes", please explain(Required)

Have you been convicted of a criminal offense within the last seven years?(Required)

(Conviction will not necessarily disqualify an applicant from employment)

If you answered "Yes" to the previous question, please explain in detail.(Required)

Have you ever been found in violation of a College or University Code of Ethics or any other ethical standard?(Required)

If you answered "Yes" to the previous question, please explain in detail.(Required)

Has there ever been a finding against you of any employment related sexual harassment?(Required)

If you answered "Yes" to the previous question, please explain in detail.(Required)

Employment History

Please list your employers completely and accurately, beginning with most recent. If you wish for additional employment information to be considered, please use the Upload option.

Name of Employer

Phone

Name & Title of Supervisor

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Employed From

Employed To

Full-Time/Part-Time

Hours per week

Initial Position Title

Final Position Title

Describe Responsibilities

Employer may be contacted at this time

Name of Employer

Phone

Name & Title of Supervisor

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Employed From

Employed To

Full-Time/Part-Time

Hours per week

Initial Position Title

Final Position Title

Describe Responsibilities

Employer may be contacted at this time

Name of Employer

Phone

Name & Title of Supervisor

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Employed From

Employed To

Full-Time/Part-Time

Hours per week

Initial Position Title

Final Position Title

Describe Responsibilities

Employer may be contacted at this time

Position You're Applying For

Personal Information

Education/Training

Language

Specialized Training

Employment History

VOLUNTARY SURVEY

Position You're Applying For

Personal Information

Education/Training

Language

Specialized Training

Employment History

VOLUNTARY SURVEY

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