Staff Employment Application

Harding University is currently accepting applicants to fill available staff positions.

To ensure proper consideration, please fill in the information below as completely and accurately as possible.

Personal Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Phone *

Email Address *

Are you a member of the church of Christ? *

Yes

No

What is the name of your church? *

Church Street Address *

City *

State *

Zip *

Name of Elder or Minister *

Phone Number *

Are you legally authorized to work in the United States? *

Yes

No

Are you 18 years or older? *

Yes

No

Have you ever been convicted of a crime? *

Yes

No

If yes, please explain.

Employment Data

Position Applying For *

Availability for work? *

Full-time

Part-time

Temporary

Have you been employed with Harding before? *

Yes

No

Department(s) *

Dates Employed *

Reason for leaving *

Are you related (by blood or marriage) to anyone currently working at Harding? *

Yes

No

Name of person(s) and how you are related *

Educational Data

Name of High School/GED

Did you graduate

Yes

No

Name of College

Did you graduate?

Yes

No

Major

Name of Graduate School

Did You graduate

Yes

No

Degree

Employment History

Current Employer

Company Name

Phone

Address

City

State

Zip

Start Date +

Position

Salary

Responsibilities

Supervisor/Manager

May we contact?

Yes

No

Previous Employer 1

Company Name

Phone

Address

City

State

Zip

Position

Responsibilities

Start Date +

End Date +

Salary

Supervisor/Manager

Type of separation

Voluntary

Involuntary

Reason for Leaving

Previous Employer 2

Company Name

Phone

Address

City

State

Zip

Start Date +

End Date +

Salary

Position

Responsibilities

Supervisor/Manager

Type of separation

Voluntary

Involuntary

Reason for Leaving

Do you have additional work history? *

Yes

No

If yes, how many additional previous positions? *

Previous Employer 3

Company Name

Phone

Address

City

State

Zip

Start Date +

End Date +

Salary

Position

Responsibilities

Supervisor/Manager

Type of separation

Voluntary

Involuntary

Reason for Leaving

Previous Employer 4

Company Name

Phone

Address

City

State

Zip

Start Date +

End Date +

Salary

Position

Responsibilities

Supervisor/Manager

Type of separation

Voluntary

Involuntary

Reason for Leaving

Previous Employer 5

Company Name

Phone

Address

City

State

Zip

Start Date +

End Date +

Salary

Position

Responsibilities

Supervisor/Manager

Type of separation

Voluntary

Involuntary

Reason for Leaving

Previous Employer 6

Company Name

Phone

Address

City

State

Zip

Start Date +

End Date +

Salary

Position

Responsibilities

Supervisor/Manager

Type of separation

Voluntary

Involuntary

Reason for Leaving

Optional Survey Information

The following information is used for statistical purposes only and allows Harding University to provide information upon request by the EEOC. While we strongly encourage applicants to complete both questions, completing or declining to complete will not preclude, enhance, or detract from your opportunities for employment or advancement with Harding University. All information is confidential and will not be made available to those making employment decisions.

Are you Hispanic or Latino? (This includes anyone of Spanish culture or origin.)

Yes

No

Select one or more of the following racial groups that apply to you.

American Indian or Alaska Native (A person having origins in any of the original peoples of North and South America, including Central America, and who maintains a tribal affiliation or community attachment.)

Asian (A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.)

Black or African American (A person having origins in any of the black racial groups of Africa.)

Native Hawaiian or other Pacific Islander (A person having origins in any of the original people of Hawaii, Guam, Samoa, or other Pacific Islands.)

White (A person having origins in any of the original peoples of Europe, the Middle East or North Africa.)

Authorizations and Notices

Authorization for Reference

For each employer previously named on this application, except my current employer if so limited on this application, I authorize Harding University to obtain from such employer work related information regarding my qualifications and fitness for all Harding jobs for which I might be considered. I also authorize Harding University to inquire into all statements I have made on this application.

Employment Is At Will

I also understand that, if employed, I can resign at any time and for any reason and that Harding University may release me at any time and for any reason or no reason.

Employee Handbook

I recognize that, if employed, I am obligated to abide by and am subject to all rules, terms, conditions, and regulations of the Harding University Employee Handbook, as amended from time to time.

Verification of Work Idenity and Work Authorization

I understand that an offer of employment is contingent upon my completing the Homeland Security Employment Eligibility Verification (Form I-9) and providing documents to verify my identity and employment eligibility as required by law on the first day of work. When completing the Form I-9, I understand I will be required to attest that I am a citizen or national of the United States, a lawful permanent resident, or an alien authorized to work. All new employees will be required to produce documentation.

Statements In This Application Are True

I attest that all statements made on this application are true and correct. I understand that false statements made intentionally on this form or any of my other application materials would eliminate me from further consideration for employment or, if employed by Harding University, would be grounds for dismissal.

By signing and typing my name in the spaces below I agree to the terms of the above statements.

Signature *

clear

Full Name *

Today's Date * +

Resume Submission

Please submit a copy of your resume.