Employment Application Step 1 of 5 20% Position You're Applying ForType of Position Applying forStaffFaculty/ProfessionalPosition Applying for:(Required)Referral Source(Required)SC Employment ServiceAdvertisementFriendRelativeWalk-InBenedict College EmployeeBenedict College WebsiteOtherOther(Required)Are you a current Benedict College employee?(Required)NoYesPersonal InformationYour Name(Required) Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Middle Last Your Email Address(Required) Enter Email Confirm Email SSN(Required)Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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?MorningsEarly AfternoonLate AfternoonEarly EveningDate Available(Required) MM slash DD slash YYYY If you are under 18 years of age, can you provide required proof of your eligibility to work?(Required)YesNoHave you ever filed an application with us before?(Required)NoYesIf "Yes", please provide dates(Required)Have you ever been employed with us before?(Required)NoYesIf "Yes", please provide dates(Required)Are you currently employed?(Required)YesNoMay we contact your current employer?(Required)YesNoAre 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)YesNoOn what date are you available for work?(Required) MM slash DD slash YYYY Are you available to work:(Required) Full-Time Part-Time Shift Work Temporary Can you travel if a job requires it?(Required)YesNoHave you ever been convicted of a felony?(Required)YesNoIf "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)NoYesIf 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)NoYesIf 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)NoYesIf you answered "Yes" to the previous question, please explain in detail.(Required)An affirmative answer to any of the above questions will not necessarily disqualify you from being considered for employment.(Required) I hereby certify that all statements made in this application are true, and I agree and understand that any misstatements of material facts herein may cause forfeiture on my part of all rights to any employment. I authorize Benedict College to obtain a reference/background check as needed. I agree to a physical examination if required as a condition of employment.I further certify that I have not been convicted of, or has pled nolo contendere or guilty to, a crime involving the acquisition, use, or expenditure of Federal, State, or local government funds, or has been administratively or judicially determined to have committed fraud or any other material violation of Law involving Federal, State, or local government funds. Education/TrainingPlease list your education/training, dates of completion, and certification/degree awarded(Required)Please list your education/training, dates of completion, and certification/degree awardedName/Location of SchoolAttendance DatesGraduation DateDiploma/Degree/CertificateMajorSemester Hours Add RemovePlease list your education/training, dates of completion, and certification/degree awarded(Required)Please list your education/training, dates of completion, and certification/degree awardedType of Institution (HS, College, etc.)Name/Location of SchoolCourse of StudyGraduation DateDiploma/Degree/Certificate Add RemoveList the area(s) in which your graduate courses total 18 or more semester credit hours.(Required)Graduate CourseSemester Credit Hours Add RemoveList courses you have have taught on the college level.(Required)CourseCollege/University Add RemoveLanguageIndicate any foreign languages you can speakSpeak FluentlySpeak GoodSpeak Fair Add RemoveIndicate any foreign languages you can readRead FluentlyRead GoodRead Fair Add RemoveIndicate any foreign languages you can writeWrite FluentlyWrite GoodWrite Fair Add RemoveSpecialized TrainingDescribe any specialized training, apprenticeship, skills and extra-curricular activities.Describe any job-related training received in the United States Military.Specialized Skills PC Calculator Typewriter Fax Machine MS Office Suite HRIS Jenzabar Copier Other Skills/QualificationsSummarize special job-related skills and qualifications acquired from employment or other experience. Employment HistoryPlease 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 EmployerPhoneName & Title of SupervisorAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY Full-Time/Part-TimeFirst ChoiceSecond ChoiceThird ChoiceHours per weekInitial Position TitleFinal Position TitleDescribe ResponsibilitiesEmployer may be contacted at this timeYesNoName of EmployerPhoneName & Title of SupervisorAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY Full-Time/Part-TimeFirst ChoiceSecond ChoiceThird ChoiceHours per weekInitial Position TitleFinal Position TitleDescribe ResponsibilitiesEmployer may be contacted at this timeYesNoName of EmployerPhoneName & Title of SupervisorAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY Full-Time/Part-TimeFirst ChoiceSecond ChoiceThird ChoiceHours per weekInitial Position TitleFinal Position TitleDescribe ResponsibilitiesEmployer may be contacted at this timeYesNo Upload Your ResumeUpload your resume in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB. VOLUNTARY SURVEYGovernment agencies at times require periodic reports on the sex, ethnicity, handicapped, veteran and other protected status of applicants. This data is for analysis and possible affirmative action only. SUBMISSION OF INFORMATION IS VOLUNTARY.Sexual OrientationMaleFemaleRace/Ethnic Group Caucasian African-American Hispanic American Indian Alaskan Native Asian Pacific Islander If applicable Vietnam Era Veteran Disabled Veteran Handicapped Individual Other List "Other" here:AUTHORIZATION TO RELEASE EMPLOYMENT INFORMATION I authorize Benedict College to investigate my records with employers, school, activities, police and FBI records and hereby release all sources from all liability.SignatureDate MM slash DD slash YYYY