* Position or type of work applied for:
There are no classified positions available at this time.
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| * Application Date: |
(e.g. mm/dd/yy)
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| You must also complete the entire application.
The University provides reasonable accommodations to enable applicants with disabilities to participate in the job application and interview process. If you need assistance, please contact the Human Resources Office at (207) 834-7533.
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| Personal Information |
| * Last Name: |
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| * First Name: |
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| Middle Name: |
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| Present Address |
| * Street/PO Box: |
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| * City/Town: |
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| * State/Province: |
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| * Zip/Postal Code: |
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| * Country: |
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| Telephone |
| * Phone: |
(e.g. xxx-xxx-xxxx) |
| Fax: |
(e.g. xxx-xxx-xxxx) |
| * E-mail: |
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| Other Address (if any) where you may be contacted |
| Street/PO Box: |
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| City/Town: |
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| State/Province: |
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| Zip/Postal Code: |
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| Other Number where you may be reached: |
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| Have you ever worked for the University System? Yes No |
If yes, please give campus, department, title, and dates of employment:
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| If hired, when would you be able to begin work? |
Education
If education background is provided on your resume and includes all information requested here, you may skip this section. |
| High School |
| Name and Address: |
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| Last Year Completed: |
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| Degree or Diploma: |
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| Trade, Business School or College |
| Name and Address: |
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| Last Year Completed: |
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| Degree or Diploma: |
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| Major or Course: |
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| Other (include relevant training workshops and continuing education) |
| Name and Address: |
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| Last Year Completed: |
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| Degree or Diploma: |
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| Major or Course: |
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| General Skills/Training |
| What office machines can you operate? |
| Word processing skills: None Beginning Intermediate Advanced |
| Typing:
wpm Shorthand:
wpm Dictaphone:
wpm
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| Equipment/software used:
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Data processing/Database skills:
None Beginning Intermediate Advanced |
| Equipment/software used: |
| Spreadsheet skills: None Beginning Intermediate Advanced |
| Equipment/software used: |
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| Specific Job Related Skills |
| If you are skilled in a trade, please list:
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| Are you licensed in that trade? Yes No |
| Type of license:
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| If the job you are applying for involves operating a vehicle, do you have a valid driver's license? Yes No |
What type of license do you have? Class C Class B or Class A |
Have you learned any other skills through military service, work-study, volunteer work, continuing education, etc., which are appropriate for the job category applied for?
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If you are applying for a specific position, please read carefully the job/position description and identify below any other skills or experience you have that makes you well qualified for the position.
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| Military Service |
| Have you ever served in the Armed Forces?
Yes No |
| If yes, what branch? |
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| Date of service: |
From: To: (e.g. mm/dd/yy) |
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| Work Experience Please list your last three employers, beginning with the most recent and working backwards. |
1. Employer's name and address:
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| Position: |
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Briefly describe your duties:
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From: To: (e.g. mm/yy)
Salary: |
| Reason for leaving: |
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| Supervisor: |
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| May we contact this employer for a reference? Yes No |
| If no, please explain: |
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| Telephone: |
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2. Employer's name and address:
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| Position: |
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Briefly describe your duties:
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From: To: (e.g. mm/yy)
Salary: |
| Reason for leaving: |
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| Supervisor: |
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| May we contact this employer for a reference? Yes No |
| If no, please explain: |
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| Telephone: |
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3. Employer's name and address:
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| Position: |
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Briefly describe your duties:
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From: To: (e.g. mm/yy)
Salary: |
| Reason for leaving: |
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| Supervisor: |
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| May we contact this employer for a reference? Yes No |
| If no, please explain: |
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| Telephone: |
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| References: Please list any additional professional reference who are familiar with your work record. |
| 1. Name: |
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| Business: |
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| Address: |
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| Telephone: |
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| 2. Name: |
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| Business: |
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| Address: |
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| Telephone: |
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| 3. Name: |
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| Business: |
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| Address: |
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| Telephone: |
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| Additional Comments: |
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| The University permits the employment of close relatives. However, an employee who is a close relative of an applicant may not participate in the employment decisions involving that applicant. To help us carry out this policy, please list names and departments of any relatives working for the University.
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| Is there anything that would interfere with your ability to perform the job-related functions of the job for which you have applied? Yes No |
| Are you able to perform the essential functions of the job for which you have applied, either with or without reasonable accommodations? Yes No |
Have you ever been convicted of any crime other than a minor traffic violation?
Yes No |
If yes, please describe and give date.
(A conviction will not necessarily bar you from employment. The time, circumstances, seriousness, and nature of the violation and rehabilitation will be taken into consideration.) |
| Are you authorized to work in the United States? Yes No
The University requires proof of citizenship or immigration status from all new employees at the time of hire. |
* Certificate of Applicant
I certify that all answers and statements contained in my application materials are true to the best of my knowledge and belief. I understand that any false or misleading information may subject me to DISQUALIFICATION before appointment or DISMISSAL after appointment. I also understand that employment is contingent upon my providing proof of identity and the right to work, and may be contingent upon the successful completion of a pre-employment, post-offer medical examination, background and/or credential check.
I Accept These Terms |
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