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Employment
Andrews University
Berrien Springs, MI 49104-0860
Phone: 269. 471. 3570
Fax: 269. 471. 6293
employment@andrews.edu
Human Resources

Andrews University Employment Application

Andrews University is an Equal Opportunity Employer offering employment without regard to race, color, national origin, sex, age, disability, or other legally-protected characteristics. The University is owned and operated by the Seventh-day Adventist Church. All of the auxilary enterprises are an integral part of the University operation. Questions regarding this application should be directed to Human Resources.

As a part of the financial assistance for its students, the University often gives priority to the employment of spouses of currently enrolled students.

Please fill out all requested information before submitting the form. Items marked with an asterisk (*) are required.

Personal Information
Last Name: *
First Name: *
Middle Name:
Other Name: If you have ever attended Andrews or worked
under any other name, please give that name.
Street Address: *
City: *
State: *
Zip Code: *
Daytime Phone #: *
Mobile Phone #:
E-mail Address: *
Age 18 or older: *
US citizen/perm. resident: *
If no, visa type:
    EAD Expiration Date, if applicable:
Speak english fluently:
Other languages spoken:
Seventh-Day Adventist: *
Pastor Name: If yes, please give the name and phone number of
your pastor, or a conference worker who knows you.
Pastor Phone #:
Any relatives at Andrews: *
Relative's Name: If you have relatives at Andrews University or its
auxillary enterprises, please give the following:
Relative's Job:
Relative's Department:
Relative's Relationship:
Job Desired
Job Title: Please list the jobs you are applying for.
*
Department: *
Job Title:
Department:
Acceptable Work: Full Time *
Part Time *
     Hours per week
     to Specific hours available to work
Planned length of stay: *
Days Available: *
Minimum acceptable wage: *
Date you can begin: *
Education
Please indicate below all secondary education, post-secondary education, and training that believe qualifies you for the position you are seeking.
School 1 Name and Address:
Dates of Attendance: From to
Degree/Certificate awarded:
Degree type/specialization:
School 2 Name and Address:
Dates of Attendance: From to
Degree/Certificate awarded:
Degree type/specialization:
School 3 Name and Address:
Dates of Attendance: From to
Degree/Certificate awarded:
Degree type/specialization:
School 4 Name and Address:
Dates of Attendance: From to
Degree/Certificate awarded:
Degree type/specialization:
School 5 Name and Address:
Dates of Attendance: From to
Degree/Certificate awarded:
Degree type/specialization:
Certificate 1 Type: If appropriate, please list professional registrations,
certifications, or licenses you hold:
Expiration Date:
Number:
State:
Certificate 2 Type:
Expiration Date:
Number:
State:
Military
Date Entered Military:
Date of Discharge:
Rank on Entrance:
Rank/Rating at Discharge:

Major military duties:		 (Emphasize duties that relate to
the position you are seeking.)
Employment History
Please account for all periods of employment for the last five years beginning with your most recent position, and include any employment prior to that period that indicates your work experience.
Name and address of
present or last employer:
Telephone:
Dates employed: From to
Starting salary:
Final salary:
Immediate Supervisor:
Reason for leaving:
Job Title & Duties:
May we contact this
present/past employer?
Name and address of next
previous employer:
Telephone:
Dates employed: From to
Starting salary:
Final salary:
Immediate Supervisor:
Reason for leaving:
Job Title & Duties:
May we contact this
previous employer?
Name and address of next
previous employer:
Telephone:
Dates employed: From to
Starting salary:
Final salary:
Immediate Supervisor:
Reason for leaving:
Job Title & Duties:
May we contact this
previous employer?
Name and address of next
previous employer:
Telephone:
Dates employed: From to
Starting salary:
Final salary:
Immediate Supervisor:
Reason for leaving:
Job Title & Duties:
May we contact this
previous employer?
Previous AU employment: If not indicated above, have you ever been
employed by Andrews University?
If yes, when:
Acknowledgement
Please account for any time
since the age of 16 during
which you were not in the
military, employed, in
school, or in training:
Have you ever received
unemployment
compensation?		 *
If yes, when and where:
Have you ever been
convicted of a felony?		 *
If yes, please give the following information:
Date of felony:
Place of felony:
Felony Charge:
Disposition and rehabilitation activities:
Have you ever been denied a bond or had a bond canceled?
If yes, please explain:
    
Summarize other skills or experience including typing speed, machines operated, etc. which you feel qualify you for employment at Andrews University:
If you have other comments or requests, please include them here:
If you would like to attach a resume, you may do so by typing the path in the box on the left or clicking "Browse" to search for it:
Application Agreement
To be read and initialed by the applicant

I certify that the information contained in this application is correct to the best of my knowledge and understand that falsification is grounds for refusal to hire, or if hired, dismissal.

I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application and release such parties from all liability for any damage that may result from furnishing such information to you. I authorize you to make any investigation of my personal history and financial credit record through any investigative or credit agencies of your choice. I authorize you to request and receive such information. (The Provisions of the Fair Credit Reporting Act may apply if a credit report is obtained and considered.)

I agree that if offered employment I will conform to the policies of the employer which may be changed, interpreted, withdrawn, or added to by the employer at any time at the employer's sole option and without prior notice to me.

I understand that the employer recognizes the right of any employee to terminate employment at any time for any reason, and the employer retains a similar right. No oral or verbal statements, promises, or representations may alter your right or that of the employer to terminate your employment at any time and for any reason.

I further understand that, if employed, I may be subject to a qualifying period, which may be extended at the employer's discretion, and I will be required to provide additional pertinent information.
Please review the information you are submitting. After you have verified the information and read the application agreement type the date and your initals: Date *
Initials *