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Allen Community College

Application for Employment

Personal Information

Must contain a date in M/D/YYYY format
Are you applying for:
Are you a KPERS Retiree:
Are you legally authorized to work in the United States?required

Please input each level of education that you have completed, starting with the most current.

Did you Graduate?
Did you Graduate?
Did you Graduate?
Did you Graduate?

Please list your last three positions.  Start with your present or most recent employer.

Are you still employed here?
May we contact this employer?
Are you still employed here?
May we contact this employer?
Are you still employed here?
May we contact this employer?

References

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The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal.
 
I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.
 
If you decide to engage an investigative consumer-reporting agency to report on my credit and personal history I authorize you to do so. If a report, is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.
Allen Community College is committed to a policy of nondiscrimination on the basis of race, color, sex, national origin, religion, age, and disability in admissions, educational programs or activities, and employment; all as required by applicable laws and regulations under the Title VI Civil Rights Act of 1964, the Title IX Regulations of 1972, Section 504 of the Social Rehabilitation Act of 1973, and the Americans with Disability Act of 1990. Responsibility for coordination of compliance and receipt of inquiries has been delegated to the Vice President for Student Affairs, Allen Community College, 1801 North Cottonwood Street, Iola, Kansas 66749, 620-365-5116, vpsa@allencc.edu.