Salaried Application
* required fields
* Position or type of work applied for:
* Application Date: (e.g. mm/dd/yy)

Please complete the 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.

Personal Information
* Last Name:
* First Name:
Middle Name:
Present Address
* Street/PO Box:
* City/Town:
* State/Province:
* Zip/Postal Code:
* Country:
Telephone
* Phone: (e.g. xxx-xxx-xxxx)
Fax: (e.g. xxx-xxx-xxxx)
* E-mail:
Other Address (if any) where you may be contacted
Street/PO Box:
City/Town:
State/Province:
Zip/Postal Code:
Other number where you may be reached: (e.g. xxx-xxx-xxxx)
* Have you ever worked for the University System? Yes   No
If yes, please give campus, department, title, and dates of employment:
If hired, when would you be able to begin work?
(e.g. mm/dd/yy)

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:
Last Year Completed:
Degree or Diploma:
Major or Course:
Trade School
Name and Address:
Last Year Completed:
Degree or Diploma:
Major or Course:
College or Business School
Name and Address:
Last Year Completed:
Degree or Diploma:
Major or Course:
Graduate or Professional School
Name and Address:
Last Year Completed:
Degree or Diploma:
Major or Course:

Computer and Data Processing Skills
Please list your background in the areas below if the position for which you are applying requires computer or data processing skills. If the information requested here is provided or your resume, you may skip this section.

Software Used:
Equipment Used:
Programming Languages:

Professional Licenses and Certificates
If the position for which you are applying requires a professional license or certificate or if you are registered in the profession, please list the information requested below. Also attach a photocopy of the license, certificate, or registration to this application.

Type of license, certificate, or registration: Issuing organization: Expiration date:
Military Service
* Have you ever served in the Armed Forces? Yes   No
If yes, what branch?
Date of service: From:  To:  (e.g. mm/dd/yy)
Briefly describe your military duties:

Employment History
Please list your last five employers, beginning with the most recent and working backwards. Unless you provide all information requested here on your resume, please do not skip this section.

1.
Employer's name and address:
Position:
Briefly describe your duties:
From:    To: (e.g. mm/yy)   Salary:
Reason for leaving:
Supervisor:
May we contact this employer for a reference? Yes   No
If no, please explain:
Telephone:
 
2.
Employer's name and address:
Position:
Briefly describe your duties:
From:    To: (e.g. mm/yy)    Salary:
Reason for leaving:
Supervisor:
May we contact this employer for a reference? Yes   No
If no, please explain:
Telephone:
 
3.
Employer's name and address:
Position:
Briefly describe your duties:
From:    To: (e.g. mm/yy)    Salary:
Reason for leaving:
Supervisor:
May we contact this employer for a reference? Yes   No
If no, please explain:
Telephone:
 
4.
Employer's name and address:
Position:
Briefly describe your duties:
From:    To: (e.g. mm/yy)    Salary:
Reason for leaving:
Supervisor:
May we contact this employer for a reference? Yes   No
If no, please explain:
Telephone:
 
5.
Employer's name and address:
Position:
Briefly describe your duties:
From:    To: (e.g. mm/yy)    Salary:
Reason for leaving:
Supervisor:
May we contact this employer for a reference? Yes   No
If no, please explain:
Telephone:

References:
Please list any additional professional reference who are familiar with your work record.

1.
Name:
Business:
Address:
Telephone:
 
2.
Name:
Business:
Address:
Telephone:
 
3.
Name:
Business:
Address:
Telephone:
 
Additional Comments:
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.

* 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