Employment Application

Please complete this application for employment at Villa Maria College. All applications must be submitted electronically through this form.

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Please complete this application for employment at Villa Maria College. All applications must be submitted electronically through this form.

Instructions
Please fill out all required fields in this application. All applications to the College must be submitted electronically. Once you begin filling out this application, you cannot leave this page and complete it at another time. Please make sure you attach all relevant application files to this application at the end of the process.
Disclosures
Villa Maria College does not discriminate on the basis of age, race, religion or creed, color, gender, sexual orientation, national or ethnic origin, veteran status, marital status, physical or mental disability, nor any other protected status in admissions, employment, or in any other aspect regarding the conduct of College programs and activities.
Villa Maria College is an Equal Opportunity Employer. The College is committed to opening our doors and encouraging applications from all individuals to apply to a culturally diverse workforce. The College is committed to and promotes equal opportunity to all qualified individuals.

Personal Information
Name*
First Last
Home Phone*
Mobile Phone
Email*
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Permanent Address (leave blank if same as above)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Today's Date*
MM slash DD slash YYYY
Are you authorized to work in the United States? (proof of identity and eligibility will be required upon employment)*
- Yes, I am authorized.
- No, I am not authorized.

Employment Experience
Current or Last Employer:*
Position Held:*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Dates of Employment (from___ to ___) and Hours Per Week:*
Supervisor's Name*
Supervisor's Phone Number*
Reason for Leaving:*
This field is hidden when viewing the form
Final Salary:*
May We Contact This Employer?*
Previous Employment
Previous Employer:
Position Held:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Dates of Employment (from___ to ___) and Hours Per Week:
Supervisor's Name
Supervisor's Phone Number
Reason for Leaving:
This field is hidden when viewing the form
Final Salary:
May We Contact This Employer?
Previous Employment
Previous Employer:
Position Held:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Dates of Employment (from___ to ___) and Hours Per Week:
Supervisor's Name
Supervisor's Phone Number
Reason for Leaving:
This field is hidden when viewing the form
Final Salary:
May We Contact This Employer?

References
If your reference does not have an e-mail address, please enter 'N/A'
Reference 1
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
E-mail*
Reference 2
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
E-mail*
Reference 3
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Equal Opportunity Self-Identification
Gender
Please check one of the descriptions below corresponding to the ethnic group with which you identify: