Manchester College Staff Application

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Staff Employment Application Thank you for considering Manchester College in your career plans! To make the best match between your skills and experience with our requirements, we need a clear and accurate understanding of your background. Please complete all sections of this employment application and provide full information, even if you are including a resume, which may be electronically submitted below. If a request for information is not applicable, type NA in the space provided. Manchester College is an equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, gender, marital status, sexual orientation, veteran status, disability or age. Notice: All applicants for employment who receive an offer of employment may be required to submit to substance abuse testing and/or criminal background checks. Click here to download a printable version of the application.
Personal Information
Name (Last, First, MI):	Preferred name:	Date of application:

E-mail address:	Other names under which you have worked or attended school:

Address:	City:	State:	ZIP:

Home phone:	Office phone:	Cell phone:


Are you legally eligible to work in the U.S.?		Yes No
Have you ever been convicted of a crime? (This information will not necessarily prohibit your employment by the College.)		Yes No
Have you ever worked for Manchester College?		Yes No
If yes, provide dates and title.
Are any members of your family or household currently employed by Manchester College?		Yes No
If yes, please list.
Work Preference
Position for which you are applying:

Availability:		Full time
		Part time
		Temporary
		Weekdays
		Weekends
		Evening/Nights

Where did you hear about this position?		Newspaper (specify):
		www.manchester.edu
		Agency (specify):
		Employee referral (name):
		Other source (specify):
Employment Data Please fill out this section completely. Do not indicate "refer to resume." List all current and former employers for the past 10 years, beginning with the most recent employer. Include military service and self-employment.
Are you including a resume as part of your application?		Yes No
Are you currently employed?		Yes No
If yes, may we contact your current employer?		Yes No
Employer 1
Employer (present or most recent):	Phone (including area code):

Address:	City:		State:	ZIP:

Job title:	Full name while employed (if different):		Dates employed: mo./year to mo./year:

Full or part time:	Starting annual/hourly compensation:		Ending annual/hourly compensation:
Full time Part time
Job duties:
Did you voluntarily end your employment?	Yes No
Please explain your reason for leaving.
Immediate supervisor:
Supervisor's phone (including area code):


Employer 2
Employer:	Phone (including area code):

Address:	City:		State:	ZIP:

Job title:	Full name while employed (if different):		Dates employed: mo./year to mo./year:

Full or part time:	Starting annual/hourly compensation:		Ending annual/hourly compensation:
Full time Part time
Job duties:
Did you voluntarily end your employment?	Yes No
Please explain your reason for leaving.
Immediate supervisor:
Supervisor's phone (including area code):

Employer 3
Employer:	Phone (including area code):

Address:	City:		State:	ZIP:

Job title:	Full name while employed (if different):		Dates employed: mo./year to mo./year:

Full or part time:	Starting annual/hourly compensation:		Ending annual/hourly compensation:
Full time Part time
Job duties:
Did you voluntarily end your employment?	Yes No
Please explain your reason for leaving.
Immediate supervisor:
Supervisor's phone (including area code):
Employer 4
Employer:	Phone (including area code):

Address:	City:		State:	ZIP:

Job title:	Full name while employed (if different):		Dates employed: mo./year to mo./year:

Full or part time:	Starting annual/hourly compensation:		Ending annual/hourly compensation:
Full time Part time
Job duties:
Did you voluntarily end your employment?	Yes No
Please explain your reason for leaving.
Immediate supervisor:
Supervisor's phone (including area code):

References List only those we may contact at this time. References should be persons who can speak to your work performance.
Name:	Title:
Company:	Phone:

Name:	Title:
Company:	Phone:

Name:	Title:
Company:	Phone:
Educational Background
High school attended:	Years completed:		Diploma or degree received:
	1 2 3 4

College or other education:	Years completed:		Course or Major:	Diploma or degree received:
	1 2 3 4

College or other education:	Years completed:		Course or Major:	Diploma or degree received:
	1 2 3 4

List special training, certificates and licenses:
List your job-related knowledge and skills:
List specific software (for example, Microsoft Word or Excel) in which you are proficient:
List other skills that you feel would be useful in the position for which you are applying (for example, a second language):

Document Submission If you are unable to provide any of these documents electronically, they may be mailed to: Office of Human Resources 604 E. College Avenue North Manchester, IN 46962 or faxed to: 260-982-5449 or e-mailed to: ajjudy@manchester.edu
	Upload cover letter:
	Upload resume:
Agreement, Authorization and Release By checking the box below and submitting this application, I agree to these terms and conditions.
I certify that the answers given by me are true and correct to the best of my knowledge. I further certify that I have personally completed this application. I understand and agree that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I authorize Manchester College and/or its agents to investigate my references, work record (except current employer, if marked "no"), education, criminal record and other matters related to my suitability for employment, including, but not limited to, my job performance and attendance records. Further, I authorize my former employers to disclose to the College any and all information related to my work record, without giving me prior notice of such disclosure. In addition, I hereby release the College, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities in any way related to such investigation or disclosure. I understand that, if hired, I will be required to provide approved documentation that verifies my right to work in the United States. I understand that nothing contained in the application or conveyed during any interview is intended to create an employment contract between the College and me. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either me or the College, and that no promises or representations contrary to the foregoing are binding on the College unless made in writing and signed by the College's president and me. I understand and agree that if employed by Manchester College, I will comply with all Manchester College policies and regulations, and if required, sign confidentiality and/or conflict of interest documents provided by the College.
Manchester College is an Equal Opportunity Employer