ARE THERE ANY UP-COMING EVENTS THAT YOU WILL NEED OFF? YES     NO
   IF YES, WHAT ARE THE DATES?

IF YOU ARE HIRED, DO YOU EXPECT TO WORK ELSEWHERE? YES     NO

HOW LONG HAVE YOU LIVED AT YOUR CURRENT ADDRESS?

DO YOU KNOW ANYONE WHO IS WORKING FOR UNIVERSITY MANAGEMENT? YES    NO
   IF YES, WHO?

DO YOU HAVE A RELIABLE SOURCE OF TRANSPORTATION? YES    NO

HAVE YOU EVER BEEN CONVICTED OF A FELONY? YES    NO

HOW DID YOU HEAR ABOUT UNIVERSITY MANAGEMENT?


BESIDES INCOME, WHAT IS THE MOST IMPORTANT ASPECT OF A JOB TO YOU?


WHY DO YOU WANT TO JOIN THE UNIVERSITY MANAGEMENT TEAM?


WORK EXPERIENCE
Begin with your most recent or present employer. Please fill out completely.

Employer 1
EMPLOYER:     SUPERVISOR: PHONE:

ADDRESS:   CITY:   STATE:   ZIP:

POSITION HELD:   DUTIES:

DATES EMPLOYED: From  To:    HOURLY RATE: Start    Finish

REASON FOR LEAVING:


PLEASE DO NOT CONTACT THIS EMPLOYER/SUPERVISOR AT THIS TIME!

Employer 2
EMPLOYER:     SUPERVISOR: PHONE:

ADDRESS:   CITY:   STATE:   ZIP:

POSITION HELD:   DUTIES:

DATES EMPLOYED: From  To:    HOURLY RATE: Start    Finish

REASON FOR LEAVING:


PLEASE DO NOT CONTACT THIS EMPLOYER/SUPERVISOR AT THIS TIME!

Employer 3
EMPLOYER:     SUPERVISOR: PHONE:

ADDRESS:   CITY:   STATE:   ZIP:

POSITION HELD:   DUTIES:

DATES EMPLOYED: From  To:    HOURLY RATE: Start    Finish

REASON FOR LEAVING:


PLEASE DO NOT CONTACT THIS EMPLOYER/SUPERVISOR AT THIS TIME!

EDUCATION
WHAT IS THE HIGHEST GRADE YOU HAVE COMPLETED?

Elementary
SCHOOL: CITY/STATE: DID YOU GRADUATE? YES     NO

High School
SCHOOL: CITY/STATE: DID YOU GRADUATE? YES    NO   NOT YET

College
SCHOOL: CITY/STATE: DID YOU GRADUATE? YES    NO   NOT YET

EMERGENCY CONTACT:person to notify in case of an emergency

NAME:   PHONE NUMBER:  WORK NUMBER:

ADDRESS: CITY: STATE:

RELATIONSHIP:

UNIVERSITY MANAGEMENT is an equal opportunity employer, federal, and/or state law prohibits discrimination in employment because of race, color, creed, sex, age, disability, national origin, citizenship, veterans or marital status.

I certify that all the information furnished on this application is true, complete and correct. I understand and agree that any falsification, misrepresentation, misleading statement or omission or fact on either this application or during the pre-hire process will be sufficient for 1.) my not being offered employment, or 2.) dismissal at any time if I am employed.

I authorize my former employers to provide UNIVERSITY MANAGEMENT with any information regarding my employment and I release all parties from any liability for any damages, which result from furnishing such information.

I HAVE READ AND UNDERSTAND THE ABOVE, AND BY ME CHECKING "YES" I ACCEPT THE ABOVE TERMS AND CONDITIONS FOR EMPLOYMENT IF I AM OFFERED A POSITION.

YES, I UNDERSTAND & I ACCEPT
[you must accept the terms to submit your application]