ࡱ> e bjbj0i0i 4RiRi&tw     8A\ @AF $($$$]&*+K.d???????COF?41;&"]&4141?$$y@D=D=D=41v8$$?D=41?D=D==h=$L?1=v?@<@=F,2F=F=|/Z 0@D=I04}0///??6///@41414141F///////// Y k: APPLICATION FOR EMPLOYMENT CORPORATION Please fill out application completely, even if your resume is attached. Use page three to explain any answer. All applicants will be given equal consideration without regard to age, physical or mental disability, gender or sex, genetic information, gender identity, gender expression, marital status, medical condition, nationality, race or ethnicity, religion or religious creed, sexual orientation, ancestry, and veteran or military status or any other status protected by federal, state or local laws.  Name (Last, First, Middle)  FORMTEXT      Today s Date:  FORMTEXT      Present Address:  FORMTEXT      Permanent Address:  FORMTEXT      Email Address  FORMTEXT      Home Phone:  FORMTEXT      Mobile Phone:  FORMTEXT      Business Phone: May we contact you there?  FORMTEXT        FORMCHECKBOX  Yes  FORMCHECKBOX  NoAre you over 18 years of age?  FORMCHECKBOX  YES  FORMCHECKBOX  NO If employed, you must produce proof of age and work permit if necessary.Are you legally eligible for employment in the United States?  FORMCHECKBOX  YES  FORMCHECKBOX  NO If employed, you will be required to submit proof of your legal right to work in the United States.If hired, would you have a reliable means of transportation to and from work?  FORMCHECKBOX  YES  FORMCHECKBOX  NOAre you a veteran of the U.S. military service?  FORMCHECKBOX  YES  FORMCHECKBOX  NO Position applied for:  FORMTEXT      Salary expected: $  FORMTEXT       per  FORMTEXT      Applying for full-time employment?  FORMCHECKBOX  YES  FORMCHECKBOX  NO Applying for part-time employment?  FORMCHECKBOX  YES  FORMCHECKBOX  NO Applying for temporary employment?  FORMCHECKBOX  YES  FORMCHECKBOX  NO Have you applied for a Corporation position within the past 2 years?  FORMCHECKBOX  YES  FORMCHECKBOX  NOHave you ever been employed by or Corporation?  FORMCHECKBOX  YES  FORMCHECKBOX  NO, If yes list dates of employment and job titles:  FORMTEXT       If employed, when can you start work?  FORMTEXT      Available to work evenings and/or weekends if relevant to the job?  FORMCHECKBOX  YES  FORMCHECKBOX  NO Currently enrolled in college?  FORMCHECKBOX  YES  FORMCHECKBOX  NOHow did you learn of this job opening? Please be specific.  FORMTEXT      Do you have any relatives employed by CSUSM or CSUSM Corporation?  FORMCHECKBOX  YES  FORMCHECKBOX  NO If yes, please give name(s):  FORMTEXT       PRIVATE  Education Name & Address of School(s) Course of StudyNo. Of Years Completed GPADid you Graduate?Degree or DiplomaHigh School FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT      Yes FORMCHECKBOX   FORMTEXT      College or University  FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT      Yes FORMCHECKBOX  Yr.  FORMTEXT       Yes FORMCHECKBOX  Yr.  FORMTEXT       Yes FORMCHECKBOX  Yr.  FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT      Graduate School  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Yes FORMCHECKBOX  Yr.  FORMTEXT       Yes FORMCHECKBOX  Yr.  FORMTEXT        FORMTEXT        FORMTEXT       CSUSM Corporation  FORMTEXT       Name Describe your employment history in full, starting with present or most recent employer. Use additional page if more space is required. Company Name (Present or most recent first)  FORMTEXT      Telephone  FORMTEXT       May we contact for references?  FORMCHECKBOX YES FORMCHECKBOX NOAddress: (Street, City, State, Zip):  FORMTEXT      Name of Supervisor:  FORMTEXT      Supervisor s Title:  FORMTEXT      Supervisor s current phone # & email address:  FORMTEXT      Your Title:  FORMTEXT      Describe your work:  FORMTEXT      # of hours per week:  FORMTEXT      Employed (mo/yr) From  FORMTEXT       to  FORMTEXT      Reason for leaving (or considering leaving):  FORMTEXT       Company Name  FORMTEXT      Telephone  FORMTEXT       May we contact for references?  FORMCHECKBOX YES FORMCHECKBOX NOAddress: (Street, City, State, Zip):  FORMTEXT      Name of Supervisor:  FORMTEXT      Supervisor s Title:  FORMTEXT      Supervisor s current phone # & email address:  FORMTEXT      Your Title:  FORMTEXT      Describe your work:  FORMTEXT      # of hours per week:  FORMTEXT      Employed (mo/yr) From  FORMTEXT       to  FORMTEXT      Reason for leaving:  FORMTEXT       Company Name  FORMTEXT      Telephone  FORMTEXT       May we contact for references?  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:#+VP^0,6    4 laytL> _ v8P$ "$')+-l0z125p8@;>@CFPI LNs<$*$If]s/"/$/8/://@/B/D/F/H/J/r/t/////////////////任䱥lllll^M!jOhCJOJQJUjhCJOJQJU*jh)@CJOJQJUmHnHu%j Nh)@CJOJQJUjh)@CJOJQJUh)@CJOJQJhCJOJQJ*jhE9@CJOJQJUmHnHu%jMh@CJOJQJUjh@CJOJQJUh@CJOJQJ///N=$ _ v8P$ "$')+-l0z125p8@;>@CFPI LNs<*$]sa$tkdN$$Ifl40+0,64 laf4ytL/// LtkdP$$Ifl40 +y0,64 laf4ytL> _ v8P$ "$')+-l0z125p8@;>@CFPI LNs<$*$If]s///////////0 \^z|~ "FӬӘӇ{hz /@CJOJQJ!jyQhCJOJQJU'jrPhE9hipCJOJQJU'jOhE9hipCJOJQJU!jOhCJOJQJUUhCJOJQJ&jhE9CJOJQJUmHnHujhCJOJQJU0MTEXT       May we contact for references?  FORMCHECKBOX YES FORMCHECKBOX NOAddress: (Street, City, State, Zip):  FORMTEXT      Name of Supervisor:  FORMTEXT      Supervisor s Title:  FORMTEXT      Supervisor s current phone # & email address:  FORMTEXT      Your Title:  FORMTEXT      Describe your work:  FORMTEXT      # of hours per week:  FORMTEXT      Employed (mo/yr) From  FORMTEXT       to  FORMTEXT      Reason for leaving:  FORMTEXT       CSUSM Corporation  FORMTEXT       Name List any relevant professional organization to which you belong. Please omit those that indicate your race, color, national origin, ancestry, religion, sex, age, or political affiliations.  FORMTEXT       Additional Information Please use this space to describe additional skills or abilities that would relate to this position, to add any additional references, or to explain any answer given in this application.  FORMTEXT       My signature below signifies my knowledge of, and agreement to, the following: The answers given by me to the foregoing questions and statements are true and complete and without omission. I understand that any falsification of information may result in refusal to hire. ( Falsified statements of material fact or omissions on this application may be considered sufficient cause for future dismissal. ( I understand that any employment with CSUSM Corporation would not be for any fixed period of time and that, if employed, I may resign at any time for any reason or CSUSM Corporation may terminate my employment at any time for any reason in the absence of a specific written agreement to the contrary. ( I understand that any offer of employment is conditional upon: - My ability to submit proof of my legal right to work in the United States - My agreement to participate in the CSUSM Corporation Defined Contribution Plan (if I am eligible to participate) - My agreement with, and signature on, the CSUSM Corporation s Confidentiality Agreement I hereby authorize CSUSM Corporation and its agents, employees, and representatives to obtain any and all information they deem appropriate regarding my employment and job performance from any of the organizations or contacts listed on this application for employment form or any of the organizations employees, representatives, and agents. This information may be provided either orally or in writing. In addition to authorizing the release of any information regarding my employment, I hereby fully waive any rights or claims I have or may have against CSUSM Corporation, its agents, employees, or representatives, or the listed persons or organizations and their agents, employees, and representatives from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of any such information by any person or party, whether such information is favorable or unfavorable to me. CSUSM Corporation  FORMTEXT       Name I have read and understand this Agreement and signed it of my own free will after having been given an opportunity to ask questions which, if asked, were answered satisfactorily and in a manner which I understood. I also acknowledge that I have been given the opportunity to review the crime statistics of the University (*).  FORMTEXT      _________ Signature Date *Cal State San Marcos annual security report includes crime statistics for the previous three years concerning reported crimes that occurred on campus, in certain off-campus buildings or property owned or controlled by Cal State San Marcos and on public property within, or immediately adjacent to and accessible from the campus. The report also includes institutional policies concerning campus security, such as policies concerning alcohol and drug use, crime prevention, the reporting of crimes, sexual assault and other matters. You can obtain a copy of this report by contacting the University Police Department or by accessing the following web site: HYPERLINK "http://www.csusm.edu/police" \t "_blank"http://www.csusm.edu/police     Page  PAGE 2 of  NUMPAGES 2 CSUSM Corporation Rev. September 2024 NOTE: Applications not fully completed will not be considered further.  See Resume is NOT an acceptable response. 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