APPLICATION FOR EMPLOYMENT

ANDERSON UNIVERSITY

Submit Completed Application to:

Office of Human Resources

1100 East 5th Street, Decker Hall, Room 10

Anderson, IN  46012-3495

765/641-4132

 

INSTRUCTIONS:  Applicants are considered for employment without regard to age, gender, ethnic or racial origin, physical or mental disability, marital or veteran status.  Answer all questions as completely as possible.  Applicants will be selected for interviews based on skills, training and previous experience.  If you are selected for an initial interview, you will be given the opportunity to review the job description and provide additional information about your skills, training and experience.  Information provided will remain strictly confidential.

 

Date Completed:  _______________________________   Date Available for Work:  ___________________

 

Type Position Desired:       _____  General Office                         Work hours desired:      ___  Full-time, 12 months

(Indicate your first and      _____  Secretary/Clerical                     (Check all that apply)      ___   Part-time, 12 months, ___

second choice of                  _____  Service/Maintenance                                                                             ___ hours per week

positions.)                             _____  Skilled Trades                                                                     ___  Full-time, ___ months per year

                                                _____  Technical                                                                             ___  Part-time, ___ months

                                                _____  Management                                                                                           per year, ___ hours per week.

                                                _____  Administrative                                                                       

                                                _____  Other Professional                                                                                

 

PERSONAL DATA  (Please Print or Type)

 

Last Name ______________________________ First Name  _______________________ Middle __________

Other names under which you have worked  ______________________________________________________

Street Address  ____________________________________________ Home Phone (____) ________________

City  ________________________  State ___________ Zip  ________ Business Phone (____) _____________

                                                                                                                   Cell Phone (___) __________________

                                                             E-Mail Address:______________________________________________

Have you ever been employed by Anderson University?  [     ] Yes       [     ]  No

If so, when and in what department?  ___________________________________________________________

Have you been convicted of a felony in the past seven (7) years?  [     ] Yes                   [     ]  No

If yes, please explain, ________________________________________________________________________

__________________________________________________________________________________________

Anderson University is required to verify your eligibility to work in the United States by completing the Immigration and Naturalization Service Form I-9.  If offered employment, you will be asked to provide this information, as required by law, when you begin work.

 

Name(s) of person(s) to be notified in case of emergency  ___________________________________________

_________________________________________________________________________________________

Anderson University is an Equal Opportunity Employer

EDUCATION

School

Name and Location

Course of Study

Number Years

Completed

Graduated

Degree/

Diploma

Elementary

(K - 8)

______________________

______________________

 

 

[   } Yes

[   ]  No

 

 

High School

 (9 - 12)

______________________

______________________

 

 

[   } Yes

[   ]  No

 

 

College

______________________

______________________

 

 

[   } Yes

[   ]  No

 

Other Training

______________________

______________________

 

 

[   } Yes

[   ]  No

 

WORK EXPERIENCE         Please give an accurate and complete record of your employment experience.

                                                Begin with your present, or most recent, employer.

1.

 

 

 

Company Name  ___________________________________________________

Address:  _________________________________________________________

Supervisor:  _______________________________________________________

Job Titles and Duties:  ______________________________________________

_________________________________________________________________

Telephone  (____) _______________

Employed (month/year)

From __________ to __________

Salary  $ ________ per ________

Reason for leaving:  ______________

_______________________________

2.

 

 

 

Company Name  ___________________________________________________

Address:  _________________________________________________________

Supervisor:  _______________________________________________________

Job Titles and Duties:  ______________________________________________

_________________________________________________________________

Telephone  (____) _______________

Employed (month/year)

From ________ __to __________

Salary  $ ________ per ________

Reason for leaving:  ______________

_______________________________

3.

 

 

 

Company Name  ___________________________________________________

Address:  _________________________________________________________

Supervisor:  _______________________________________________________

Job Titles and Duties:  ______________________________________________

_________________________________________________________________

Telephone  (____) _______________

Employed (month/year)

From ___________to __________

Salary  $ ________ per _________

Reason for leaving:  ______________

_______________________________

4.

 

 

Company Name  ___________________________________________________

Address:  _________________________________________________________

Supervisor:  _______________________________________________________

Job Titles and Duties:  ______________________________________________

_________________________________________________________________

Telephone  (____) _______________

Employed (month/year)

From __________ to __________

Salary  $ ________ per __________

Reason for leaving:  ______________

_______________________________

 

May we contact any employer listed?  [     ] Yes           [     ] No, do not contact, ___________________________

MILITARY EXPERIENCE (This information is optional.)

Branch of Service                                           

Active Duty     From                            to

 

Rank at Time of Discharge

Re-Enlistment Code

 

Duties and/or Special Training:  ____________________________________________________________

______________________________________________________________________________________

 

 

Please list skills and qualifications acquired from other employment, training or experience, for example, typing speed, machines operated, computer programs used, etc.  ___________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

OPTIONAL INFORMATION:  You may choose to list membership in professional or civic organizations, volunteer or unpaid work experience.  You may wish to list offices held or other responsibilities.  You may exclude those which may disclose your age, gender, ethnic or racial origin, physical or mental disability, marital or veteran status.  __________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

PERSONAL REFERENCES  Do not include persons related to you or previous employers.

Name

Address

Phone

 

____________________________________

 

 

 

____________________________________

 

 

 

____________________________________

 

 

 

____________________________________

 

 

 

____________________________________

 

 

            I certify the information given in this application is true and complete to the best of my knowledge.

            In the event I am employed by Anderson University, I understand that false or misleading information given in my application or interview(s) may result in discharge.  I also understand that if employed I am required to abide by all the rules and policies of the University.

            I authorize Anderson University to contact my personal references, current and/or previous employers, except as noted above, as it may be necessary to arrive at an employment decision.  I understand that the information obtained from my references will remain confidential.  I will not hold the University liable for any information obtained.

 

________________________________________________________________________________________

Applicant                                                                                              Date

THIS PAGE TO BE COMPLETED IF YOU ARE APPLYING FOR A MANAGEMENT, PROFESSIONAL OR ADMINISTRATIVE POSITION AT ANDERSON UNIVERSITY

__________________________________________________________________________________________

 

ANDERSON UNIVERSITY EMPLOYMENT STANDARDS

 

1.      A belief in an commitment to Jesus Christ and the Christian faith as these are interpreted through the historic witness of the Bible and the contemporary ministry of the Holy Spirit.

2.      A vitality of Christian experience which is maturing in insight and application and which is appreciative of differing viewpoints.

3.      Evident competence and a commitment to the continuing development of one’s abilities.

4.      A commitment to liberal arts education and preparation to serve in an environment of purposeful and rigorous inquiry.

5.      A capability by temperament, preparation and will to support students as they confront the intellectual, social, physical, emotional, and spiritual challenges of their lives.

6.      A sensitivity and support for the ethos and tradition of the Anderson University campus community and the Church of God, Anderson, Indiana.

 

            I have read and understand the above University Employment Standards.

 

                                                                                    ________________________________________________

                                                                                    Applicant

 

 

What are your plans for continuing or advancing your professional preparation?  _________________________

 

__________________________________________________________________________________________

 

Church, Fellowship or Denomination affiliation?  _________________________________________________

 

What do you consider your level or participation in your congregation or fellowship?

            [     ] Very Active/Active           [     ]  Moderately/Somewhat Active                 [     ]  Inactive

 

Anderson University, an institution of the Church of God, Anderson, Indiana, does not condone the use of any alcohol or tobacco.  As a potential candidate for a management or administrative position, please respond to the following questions.

            Do you use alcoholic beverages?           [     ] No           [     ]  Yes  If yes, how often? _________________

            Do you use tobacco?                [     ]  No          [     ]  Yes

 

OTHER PERSONAL DATA

            Marital Status               [     ] Single                   [     ] Married, Spouse’s Name  ______________________

            Number of children, if any ________________            Ages  _______________________

 

 

Interviewer Notes:  _________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________