Graceland University: Employment Application

Graceland University - Employment Application
Home > Employment > Employment Application

Open Positions - Online Employment Application - Downloadable Employment Application - Benefits Overview

Application for Employment

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, creed, sex, religion, national origin, disability or other protected classification. Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resource Department.

Graceland University promotes a drug-free, alcohol-free and clean air learning environment and workplace Illegal drugs, alcoholic beverages and smoking are strictly prohibited on campus.

Personal Data:

Last Name

First Name

Middle Initial


Street Address	City	State	Zip Code

Telephone:

E-mail Address:

Are you authorized to work in the U.S. on a unrestricted basis?

YES NO

Have you been employed by Graceland University previously?
If yes, please give approximate dates and department:

YES NO

Referral Source:

Advertisement Employee Relative Walk-In
Other Name of Source (If applicable)

Do you have relatives employed by Graceland Univesity?
If yes, please give name(s) and relationship:

YES NO

Do you currently hold a valid driver's license?
If yes, please give state and number.

YES NO

Are you a veteran of the U.S. military service?

YES NO

  Have you ever been convicted of a felony?
  If yes, describe conditions:
  (Conviction will not necessarily disqualify an applicant for employment)

YES NO

Type of Position Desired:

Listed are the kinds of positions usually available. Please check *all* those in which you would accept employment:
Accounting Housekeeping Information Technology	Clerical/Secretarial Building Maintenance	Cashier Security Mechanical Maintenance	Library Grounds
Other: Please Indicate:
When are you available to start work?
If you wish part time, what hours can you work?
Please give dates you are available for temporary work.

Skills:

Clerical:	Typing wpm Calculator Accounting Cashier
Facility Services:	Please list mechanical, construction, grounds keeping and custodial skills:
Library:	Please list specific skills:
Computer: (Familiar with)	Software: hardware:
Other skills that may pertain to the above listed positions:
In addition to your work history, what other experiences or qualifications would especially fit you for work with Graceland University?

Employment:

Company Name:	Telephone:
Address:	Employed - (State month and year):
Name of Supervisor:	Weekly pay:
State Job Title and Describe Your Work:	Reason for Leaving:
Company Name:	Telephone:
Address:	Employed - (State month and year):
Name of Supervisor:	Weekly pay:
State Job Title and Describe Your Work:	Reason for Leaving:
Company Name:	Telephone:
Address:	Employed - (State month and year):
Name of Supervisor:	Weekly pay:
State Job Title and Describe Your Work:	Reason for Leaving:
Company Name:	Telephone:
Address:	Employed - (State month and year):
Name of Supervisor:	Weekly pay:
State Job Title and Describe Your Work:	Reason for Leaving:
We may contact the employers listed above unless you indicate those you do not want us to contact.	DO NOT CONTACT Employer: Reason:

Educational Record:

High School Name & Address:

Year Graduated: Last Year Completed: 1 2 3 4 List Diploma/Degree:

College/Univ. Name & Address:

Year Graduated: Last Year Completed: 1 2 3 4 List Diploma/Degree:

College/Univ. Name & Address:

Year Graduated: Last Year Completed: 1 2 3 4 List Diploma/Degree:

Other Name & Address:

Year Graduated: Last Year Completed: 1 2 3 4 List Diploma/Degree:

Personal References:

Not former employers or relatives. Please list at least three people that you have known for a minimum of one year.
Name:	Complete Address:
Occupation:	Phone Number:
Name:	Complete Address:
Occupation:	Phone Number:
Name:	Complete Address:
Occupation:	Phone Number:
Name:	Complete Address:
Occupation:	Phone Number:

I authorize Graceland University to make an investigation of any or all of the facts set forth in this application.

I certify that all statements made by me on this application are true and complete to the best of my knowledge. I understand that the omission of pertinent and material facts or falsification of any information in this application is grounds for refusal to hire or, if I have been hired, grounds for termination.

I authorize my previous employers, schools, or persons named as references to give any information regarding an employment or educational record. I agree that Graceland University and my previous employers will not be held liable in any respect if a job offer is not extended, withdrawn or my employment terminated because of reference information, false statements, omissions or answers made by me on this application. If I am employed by Graceland, I will comply with all policy and procedures as set forth in any communication to employees.

In compliance with Immigration Reform and Control Act of 1986, I understand that I will be required to provide approved documentation that verifies my right to work in the United States on my first day of employment.

I understand that employment at Graceland University is "at will," which means that either I or Graceland University can terminate the employment relationship at any time, with or without pior notice, and for any reason not prohibited by statue. All employment is continued on that basis. I understand that no supervisor, manager or executive of Graceland University, other than the President, has any authority to alter the foregoing.

Date:

Applicants Signature:

Lamoni Campus - 1 University Place, Lamoni, IA 50140 (641) 784-5000