Saint Francis University


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Office of Human Resources
102 Raymond Hall
(814) 472-3264
Fax: (814) 472-3894
Email

Mailing Address
Saint Francis University
P.O. Box 600
Loretto, PA
15940-0600

Application for Employment

Saint Francis University
P.O. Box 600
Loretto, PA 15940

Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or disability. 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 the Office of Human Resources at (814) 472-3264. All finalists for employment at SFU must undergo a criminal background check.

Position Applied For:

If other, please specify:

Last Name:	First Name:	Middle Initial:	Suffix:
Street Address 1:	Street Address 2:	City:	State:	Zip:
Country:	Daytime Phone Number:	Evening Phone Number:	Email Address:

If employed and under 18, can you furnish a work permit?	Yes No n/a
Have you ever been employed here before?	Yes No
Are you employed now?	Yes No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment)	Yes No
Are you available to work	Full-Time Part-Time Seasonal Temporary
Date Available?
Have you been convicted of a felony within the last 7 years? (Conviction will not necessarily disqualify applicant from employment)	Yes No
If yes, please explain:

Educational Background (if job related)
Did you graduate from high school or receive a G.E.D.?	Yes No
List All post-secondary, undergraduate and graduate work: (college, University, Business or Trade School)
Name and Location	Course of Study	Degree or Certification	Honors Received

Skills and Qualifications - Summarize any training, skills, licenses, etc. that may qualify you as being able to perform job related functions in the position for which you are applying.

List professional, trade, business or civic activities and offices held. (Exclude those which indicate race, color, religion, sex, or national origin).

Employment Experience (attach additional sheets if necessary)
Start with your present or last job. Include military service assignments and volunteer activities. Exclude organization names which indicate race, color, religion, sex or national origin.
1. Employer	Dates Employed		Work Performed
Address:	From:	To:
Job Title:	Hourly Rate/Salary
Supervisor:	Starting:	Final:
Phone	Reason for leaving:

2. Employer	Dates Employed		Work Performed
Address:	From:	To:
Job Title:	Hourly Rate/Salary
Supervisor:	Starting:	Final:
Phone	Reason for leaving:

3. Employer	Dates Employed		Work Performed
Address:	From:	To:
Job Title:	Hourly Rate/Salary
Supervisor:	Starting:	Final:
Phone:	Reason for leaving:

References - List the names of three personal references. Exclude relatives or close friends.
Name	Address	Telephone	Years known

Applicant's Statement & Electronic Signature

Before submitting this application, you will be required to enter an electronic/digital signature which will be binding as your actual signature. Your electronic signature below indicates your agreement with the following statements:

By typing my full name in the box, I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at en employment decision. I release from any liability all representatives of the University for their acts performed in good faith in connection with evaluating me and my credentials. I understand that this application is not intended to be a contract of employment; however, it does signify my willingness to appear for interviews in regard to my application.

Electronic Signature of Applicant:

Date: