Clark University Employment Application Form PDF Details

Clark University, located in Worcester, MA is a private university that offers undergraduate and graduate degrees. Clark University is unique in that it offers its students opportunities to study abroad. The Clark University Employment Application Form is a resource for potential employees looking to work for the university. The form can be filled out and submitted online. In addition to the application form, there are also instructions on how to submit a resume and cover letter. Potential employees can find information on available positions at the university on the website as well. Clark University is a private university located in Worcester, Massachusetts. It was founded in 1887 by outspoken abolitionist Henry W. Clark and his wife Mary E steeped in social activism which has been central to their legacy ever since .

QuestionAnswer
Form NameClark University Employment Application Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesSelectPROFESSIONAL, CAU, clark atlanta university application, SelectOTHER

Form Preview Example

CLARK ATLANTA UNIVERSITY

223 James P. Brawley Drive, S.W. y Atlanta, GA 30314

EMPLOYMENT APPLICATION

** APPLICATION REQUIRED EVEN IF RESUME IS ATTACHED PLEASE COMPLETE ALL SECTIONS**

APPLICATION DATE:

LAST NAME

FIRST NAME

M.I.

STREET ADDRESS

 

APT. #

CITY

 

STATE/ZIP CODE

 

 

 

 

 

 

DAY TIME TELEPHONE NO.

HOME TELEPHONE NO.

MESSAGE TELEPHONE

()

()

()

POSITION YOU ARE APPLYING FOR:

_________

______________________________________________________

Number

Position Title

_________

______________________________________________________

Number

Position Title

OFFICE/CLERICAL/ADMINISTRATIVE CANDIDATES MAY BE REQUESTED TO TAKE A SKILLS ASSESSMENT. IF HIRED, YOU MUST SUBMIT VERIFICATION OF YOUR LEGAL RIGHT TO WORK IN THE UNITED STATES.

ARE YOU UNDER 18 YEARS OF AGE?

NO

YES

APPLICANTS UNDER 18 YEARS OF AGE WHO HAVE NOT

 

 

GRADUATED FROM HIGH SCHOOL WILL BE REQUIRED TO

 

 

SUBMIT A WORK PERMIT IF HIRED.

HOW WERE YOU REFERRED TO CLARK ATLANTA UNIVERSITY? (PLEASE INSERT SPECIFIC INFORMATION)

 

 

Walk-In

 

 

CAU Website

Relative/Friend ________________________________________________________________

 

 

Advertisement ____________________________________

 

 

Other _________________________________________________

 

 

 

 

HAVE YOU PREVIOUSLY WORKED FOR CLARK ATLANTA UNIVERSITY (CLARK COLLEGE OR ATLANTA UNIVERSITY)?

 

 

 

 

 

 

 

 

 

 

NO

 

 

 

YES

 

IF YES, WHAT YEAR?_____________________

 

 

 

 

 

 

HAVE YOU PREVIOUSLY APPLIED AT CLARK ATLANTA UNIVERSITY?

 

 

 

 

 

 

 

 

 

 

NO

 

 

 

YES

IF YES, WHAT YEAR?_____________________

PLEASE LIST THE NAMES OF RELATIVES EMPLOYED BY CAU?

______________________________________________

________________________________________________________________________________________________

HAVE YOU EVER BEEN CONVICTED OF, OR ARE YOU AWAITING TRIAL OR CURRENTLY UNDER INDICTMENT FOR, A:

FELONY ? NO YES* - OR - MISDEMEANOR ? NO YES*

*IF YES, PLEASE STATE CIRCUMSTANCES, PLACE AND DATE. A CONVICTION WILL NOT NECESSARILY DISQUALIFY YOU FROM EMPLOYMENT. DO NOT INCLUDE ANY CONVICTION WHERE THE RECORD HAS BEEN SEALED.

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

IF ON PROBATION, PLEASE STATE NAME AND TELEPHONE NUMBER OF PROBATION OFFICER

_____________________________________________________________________________ (

)_______________________________

EDUCATION

 

 

 

 

 

 

 

 

 

 

 

NUMBER OF

 

DIPLOMA

 

 

NAME OF SCHOOL/COLLEGE

COURSES STUDIED/

YEARS

DID YOU

DEGREE

 

 

AND ADDRESS

MAJOR

COMPLETED

GRADUATE?

CERTIFICATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HIGH SCHOOL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNDERGRADUATE

 

 

 

 

 

 

STUDIES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GRADUATE

 

 

 

 

 

 

STUDIES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POST GRADUATE

 

 

 

 

 

 

STUDIES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROFESSIONAL/VOCATIONAL LICENSE(S) AND EXPIRATION DATES:

______________________________________________________________________________________________________

OTHER EDUCATIONAL AND TRAINING QUALIFICATIONS

(PLEASE INCLUDE FOREIGN LANGUAGE(S) YOU CAN SPEAK AND YOUR SKILL LEVEL)

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

PLEASE CHECK EQUIPMENT OPERATED AND INDICATE YOUR SKILL LEVEL WHERE APPROPRIATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Typewriter

_____

 

Typing Speed (Clerical Positions)_______________

Calculator

_____

(by touch)

_____

FAX Machine

_____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Copy Machine

_____

Internet

_____

 

Personal Computer

_____

Data Entry Keystrokes ________________ Email

_____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Computer Software

Basic

Competent

 

Proficient

 

 

 

Advance

 

COMPUTER SOFTWARE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MS WORD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE CHECK YOUR SKILL LEVEL

 

 

EXCEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AND/OR ENTER THE NAME (S) OF

 

POWER POINT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER PROGRAMS NOT LISTED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACCESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OUTLOOK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MS PROJECT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BANNER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DBASE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE LIST OTHERS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HISTORY OF EMPLOYMENT AND WORK EXPERIENCE

PLEASE INDICATE MOST RECENT EXPERIENCE FIRST INCLUDING U.S. MILITARY SERVICE. THIS SECTION MUST BE COMPLETED IN ITS’

ENTIRETY, EVEN IF YOU ARE ATTACHING A RESUME.

 

 

 

 

 

 

NAME OF EMPLOYER

 

POSITION or JOB TITLE

 

 

 

 

 

 

 

ADDRESS

 

BRIEF STATEMENT OF MAJOR RESPONSIBILITIES

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

SUPERVISOR’S/MANAGER’S NAME & TELEPHONE NUMBER

 

 

 

 

 

 

 

 

HIRE DATE

BEGINNING SALARY

 

 

 

 

 

 

 

 

SEPARATION DATE

ENDING SALARY

REASON FOR LEAVING

 

 

 

 

 

 

 

NAME OF EMPLOYER

 

POSITION or JOB TITLE

 

 

 

 

 

 

 

ADDRESS

 

BRIEF STATEMENT OF MAJOR RESPONSIBILITIES

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

SUPERVISOR’S/MANAGER’S NAME & TELEPHONE NUMBER

 

 

 

 

 

 

 

 

HIRE DATE

BEGINNING SALARY

 

 

 

 

 

 

 

 

SEPARATION DATE

ENDING SALARY

REASON FOR LEAVING

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF EMPLOYER

 

POSITION or JOB TITLE

 

 

 

 

 

 

 

ADDRESS

 

BRIEF STATEMENT OF MAJOR RESPONSIBILITIES

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

SUPERVISOR’S/MANAGER’S NAME & TELEPHONE NUMBER

 

 

 

 

 

 

 

 

HIRE DATE

BEGINNING SALARY

 

 

 

 

 

 

 

 

SEPARATION DATE

ENDING SALARY

REASON FOR LEAVING

 

 

 

 

 

 

IF THE LAST THREE EMPLOYERS DOES NOT COVER (10) YEARS OF EMPLOYMENT OR YOU NEED ADDITIONAL SPACE, PLEASE REQUEST AN ADDENDUM FORM TO ATTACH TO YOUR APPLICATION. PLEASE CHECK THIS BOX IF YOU HAVE ATTACHED A RESUME OR ADDENDUM.

RESUME/ADDENDUM ATTACHED

CAREER AND PROFESSIONAL ORGANIZATION MEMBERSHIPS

Please list JOB RELATED organizations, including clubs, professional societies, or other associations to which you currently belong. Please omit those that indicate your race, religion, color, national origin, ancestry, gender, marital status, disability, age or military affiliation.

PLEASE LIST THREE PROFESSIONAL REFERENCES

 

 

 

 

 

 

Name

Title

Phone #

 

 

 

(

)

 

Address

 

City/State/Zip

 

 

 

 

 

Name

Title

Phone #

 

 

 

(

)

 

Address

 

City/State/Zip

 

 

 

 

 

Name

Title

Phone #

 

 

 

(

)

 

Address

 

City/State/Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICANT’S ACKNOWLEDGEMENT

(Please read and sign)

I acknowledge that an Employer paid Background Investigation and/or Substance Abuse Test is required for all positions at the University. I certify that answers given herein are true and complete to the best of my knowledge. I authorize an investigation of all statements contained in this application for employment, from either current or former employers and a verification of my education degree, training certificate, or license. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false, misleading, or misrepresentation of information given in my application or interview(s) may result in immediate discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Signature of Applicant: ____________________________________________________ Date: ______________________

CLARK ATLANTA UNIVERSITY IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER

It is the policy of the University that all faculty and staff employees and applicants receive equal consideration and treatment. All recruitment, hiring, placements, transfers, promotions will be on the basis of qualifications of the individual for the position being filled regardless of race, color, religion, national origin, ancestry, age, sex, martial status, pregnancy, medical condition, non-disqualifying disability or handicap, or whether the individual is a Disabled Veteran of the Vietnam Era. All other terms of employment are governed by this policy.

Revised 08/02

EQUAL EMPLOYMENT OPPORTUNITY INFORMATION REQUEST

POSITION YOU ARE APPLYING FOR:

_________

_____________________________________________

 

Number

Position Title

We request your voluntary completion of the following questionnaire to be used only for the purpose of monitoring the success of our Affirmative Action Plan. This information will not be used to discriminate against or to show preference for any application in the hiring decision.

NAME:

 

 

 

 

 

SEX: M_____ F_____

BIRTHDATE:

 

 

 

 

 

SSN:________/_______/_______

CITIZENSHIP: YES

NO OTHER:

 

 

Ethnic Data:

3. White (not Hispanic origin; a person having origins in any of the original peoples of Europe, North Africa, or the Middle East)

4. Black (not of Hispanic origin; a person having origins in any of the Black racial groups).

5. Asian or Pacific Islander (a person having origins in any of the original peoples of the Far East, southeast Asia, the India subcontinent or the Pacific Islands. This includes, for example, China, Japan, Korea, India, Pakistan, Bangladesh, Sri Lanka (formerly Ceylon), Nepal, Sikkim, Bhutan, Afghanistan, the Philippine Islands, and Samoa)

6. American Indian or Alaskan Native (a person having origins in any of the original peoples of North America, and who maintain cultural identification through tribal affiliation or community recognition)

7. Hispanic (a person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race)

Veterans Data:

 

 

Do you qualify as a Vietnam Era veteran?

Yes

No

Any veteran of the armed services who served on active duty for at least 181 days, any part of which occurred between August 5, 1964 and may 7, 1975 and was discharged honorably or released sooner because of a service related disability qualifies as a Vietnam Era veteran.

Are you considered a disabled veteran by the U.S. Veteran’s Administration?

Yes

No

Any person entitled to compensation by the Veteran’s Administration for a disability rated at 30 percent or more, or who was discharged or released from active duty by reason of service connected disability qualifies as a disabled veteran.

Handicap Data:

Do you wish to declare yourself as mentally or physically handicapped under our affirmative action plan for the handicapped? Yes No

To qualify, you must have a physical or mental impairment which substantially limits one or more major life activities.

Speech impairment (S) Multiple disabilities

Other (O) Please specify

Hearing impairment (H) Motor impairment (A)

Visual impairment (M) Mental disability (M)

Signature of Applicant

Date

EQUAL OPPORTUNITY, AFFIRMATIVE ACTION EMPLOYER, EDUCATION AND CONTRACTOR

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Part no. 1 for submitting CAU

2. Just after completing this section, go to the next step and complete all required details in all these fields - HOW WERE YOU REFERRED TO CLARK, YES IF YES WHAT YEAR, YES IF YES WHAT YEAR, and HAVE YOU EVER BEEN CONVICTED OF OR.

Filling out section 2 in CAU

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CAU conclusion process outlined (stage 5)

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