TOWSON UNIVERSITY EMPLOYMENT APPLICATION - DOC - DOC by gtd16694

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									TOWSON UNIVERSITY EMPLOYMENT APPLICATION                                                                                                                     DISPOSITION CODE _____________

                                                                                                                              FOR HR USE:           Keyed by ________ Date _______________
   www.towson.edu - For the most current job information and listings.
FAX: 410-704-2891 Mail: Human Resources; 8000 York Road; Towson, MD 21252-0001                                                        Job Line: 410-704-2161             TDD: 410-704-2682


ONLY THOSE APPLICANTS TO RECEIVE FURTHER CONSIDERATION WILL BE CONTACTED.
INSTRUCTIONS: Enter your information in the gray boxes.                                            Complete ALL sections, even if you attach a resume.                                       Print the
application, and sign and date where indicated..


POSITION:                          VACANCY#:                            DEPARTMENT:

LAST NAME:                              FIRST NAME:                              MIDDLE INITIAL:                            PREVIOUS LAST NAME:

Street Address:                         City:                State:                  Zip Code:
E-mail Address:                            Home Phone:                        Other Phone:                         Soc Sec #:
Date Available to Start:                    | Shift Available?           * Full-Time             Part-Time | Days & Hours available:
Are you Currently attending Towson University?                             Full-Time            Part-Time           Not Attending
  * If a Full-Time student, explain your availability for this position:
Were you ever employed by TU, USM or another State agency?                      No |         Yes  If yes, list agencies, departments and dates employed:

Are you a State of MD Retiree?             No       Yes | Under Senate Bill 1?              No       Yes  If yes, list Agencies you’ve retired from:
If employed in the position for which you have applied, would you be in a supervisory relationship to any relative or member of your household?                              No          Yes
Have you ever served in any branch of the United States Armed Forces?                      No        Yes  If yes, list branch:

                                                                                                                       Number Yrs or               Major or
                                                                                                                                                                          Type of Degree or
                                                                                                     Did You            Credit Hours               Program
        Education                           School Name and Address                                                      Completed                                          Certification
                                                                                                    Graduate?                                        Type
                                  Name
                                  Street
 High School
                                  City, State
                                  Name
                                  Street
 College
                                  City, State
                                  Name
                                  Street
 Graduate School
                                  City, State
 Vocational /                     Name
 Business School                  Street
 or Other                         City, State


Have you received a high school equivalency certificate?                               No            Yes  If yes, Name of State:

If the position for which you are applying requires a license, including driver's license, certification or other authorization to practice a trade or
profession, complete the following section:

Type and/or Class:                       License Number:                          Expiration Date:                         Issuing Authority:                       State:
Type and/or Class:                       License Number:                          Expiration Date:                         Issuing Authority:                       State:

Have you been found guilty of a crime (other than a minor traffic violation), including Military crimes?   No      Yes  If yes, please list the date of conviction(s) or other finding(s) of guilt
(including the entry of probation before judgment), the crime or crimes for which you were found guilty, and the court(s) in which the guilty finding(s) was/were made:
                                                                                                               This information will be verified. A finding of guilty does not necessarily bar employment.

Towson University is in compliance with federal and state regulations regarding non-discrimination on the basis of race, color, national origin, religion, sex, marital status, age, political affiliation,
veteran status, disability or other prohibited reason. For further information contact the Towson University Office of Fair Practices (410) 704-2358, or the 504 Officer at (410) 704-2000.
The University does not discriminate on the basis of sexual orientation.

                                                                                                                                                                      Per.018.P h:\APPL-Interactive 11/5/01


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EMPLOYMENT INFORMATION ~ Complete ALL information requested. DO NOT state “Refer to Resume”,                     although you may
include a resume. List your work history beginning with your current or most recent employer. If you held more than one position
with an employer, list each job separately. Include service in the Armed Forces and pertinent volunteer experience.


CURRENT OR MOST RECENT EMPLOYER:                                     Business Type:
Street, City, State, Zip:          | Telephone (           )
Number of Hours per Week:              |     Supervisor's Name & Title:
POSITION TITLE:                SALARY: $              | Per:       Year    Week         Hour
EMPLOYMENT Start – Month:                    Year:             |    EMPLOYMENT End – Month:           Year:
Describe your duties in detail, (take as much space as needed):
Specify details of any supervisory duties:
Number of employees you supervised:                  | Dates you performed as a supervisor – Start:      End:
   Still Employed  Explain reason for wanting to leave.
   No Longer employed here           Resigned           Lay-off      Terminated |   Explain:


CURRENT OR MOST RECENT EMPLOYER:                                     Business Type:
Street, City, State, Zip:          | Telephone (           )
Number of Hours per Week:              |     Supervisor's Name & Title:
POSITION TITLE:                SALARY: $              | Per:       Year    Week         Hour
EMPLOYMENT Start – Month:                    Year:             |    EMPLOYMENT End – Month:           Year:
Describe your duties in detail, (take as much space as needed):
Specify details of any supervisory duties:
Number of employees you supervised:                  | Dates you performed as a supervisor – Start:      End:
   Still Employed  Explain reason for wanting to leave.
   No Longer employed here           Resigned           Lay-off      Terminated |   Explain:


CURRENT OR MOST RECENT EMPLOYER:                                     Business Type:
Street, City, State, Zip:          | Telephone (           )
Number of Hours per Week:              |     Supervisor's Name & Title:
POSITION TITLE:                SALARY: $              | Per:       Year    Week         Hour
EMPLOYMENT Start – Month:                    Year:             |    EMPLOYMENT End – Month:           Year:
Describe your duties in detail, (take as much space as needed):
Specify details of any supervisory duties:
Number of employees you supervised:                  | Dates you performed as a supervisor – Start:      End:
   Still Employed  Explain reason for wanting to leave.
   No Longer employed here           Resigned           Lay-off      Terminated |   Explain:


CURRENT OR MOST RECENT EMPLOYER:                                     Business Type:
Street, City, State, Zip:          | Telephone (           )
Number of Hours per Week:              |     Supervisor's Name & Title:
POSITION TITLE:                SALARY: $              | Per:       Year    Week         Hour
EMPLOYMENT Start – Month:                    Year:             |    EMPLOYMENT End – Month:           Year:
Describe your duties in detail, (take as much space as needed):
Specify details of any supervisory duties:


                                                                          2
Number of employees you supervised:                          | Dates you performed as a supervisor – Start:                        End:
    Still Employed  Explain reason for wanting to leave.
    No Longer employed here                   Resigned            Lay-off         Terminated |        Explain:


CURRENT OR MOST RECENT EMPLOYER:                                                 Business Type:
Street, City, State, Zip:                  | Telephone (             )
Number of Hours per Week:                       |    Supervisor's Name & Title:
POSITION TITLE:                        SALARY: $                 | Per:       Year        Week             Hour
EMPLOYMENT Start – Month:                            Year:                |    EMPLOYMENT End – Month:                          Year:
Describe your duties in detail, (take as much space as needed):
Specify details of any supervisory duties:
Number of employees you supervised:                           | Dates you performed as a supervisor – Start:                         End:
    Still Employed  Explain reason for wanting to leave.
    No Longer employed here                   Resigned            Lay-off         Terminated |        Explain:


READ THIS SECTION AND SIGN AND DATE BELOW
Pursuant to Title II of Federal Public Law 101-542 (The Crime Awareness and Campus Security Act of 1990), Towson University prepares and distributes to the University
Community an annual security report, entitled, "A Guide to Crime Awareness and Campus Security". As a prospective employee of Towson University, you may request a
copy of the University's most recent security report. This report contains information regarding the University's policies about the reporting of crimes, access to campus
facilities, alcohol and drugs, and sexual assault; provides crime statistics for Towson University; and explains the police services and crime prevention programs which are
available to the University Community. You may obtain a copy of this report by contacting the Towson University Police Department at 410-704-2505 or by accessing the
University Police website at www.towson.edu/police.
I hereby affirm that this application contains no willful misrepresentations and that this information given by me is true and complete to the best of my knowledge and belief. I
understand that any false statements or misleading omissions made by me in connection with my application, or in responding to requests for information, can be sufficient
grounds for my rejection as a candidate for employment or for my immediate discharge.
I authorize persons, schools, my current employer (if applicable), and previous employers and organizations named in this application (and accompanying documents if any)
to provide any relevant information that may be required to arrive at an employment decision.           I also hereby release from liability the potential employer and its
representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.
      May we contact your current employer?                Yes           No

In order to be hired into the position for which you have applied, you must be a citizen or national of the United States or an alien lawfully admitted for United States
permanent residence, or an alien authorized under United States Immigration Reform and Control Act of 1986.
Under Maryland law, an employer may not require or demand any applicant or prospective applicant for employment or any employee to submit to or take a polygraph, lie
detector or similar test or examination as a condition of employment or continued employment. Any employer who violates this provision is guilty of a misdemeanor and
subject to a fine not to exceed $100. This provision however, does not apply to law enforcement officers as that tern is defined in Maryland's Code, Article 27, Section 727.

I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.


  Signature ______________________________________________________                                        Date ___________________



                                                      ~ SUPPLEMENTAL INFORMATION ~
  Please provide a clear and concise answer to the following questions. Use as much space as needed.


1. Why are you interested in THIS position?


2. Explain in detail how you meet the REQUIRED qualifications.


3. What are your career goals?




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                                            ~ EXPERIENCE PROFILE ~
Please check all items in which you have experience. You may be asked to demonstrate your skills and knowledge on any
items checked. Your application or resume should describe how you have utilized each of the items checked.


PC HARDWARE / SOFTWARE
   Access                                       IBM PC Compatible                            SQL
   ACCPAC                                       Installation                                 Systems Analysis
   Aldus Pagemaker                              LAN                                          Systems Design
   AutoCAD                                      LAN Systems                                  Training
   Client / Server                              Lotus                                        Troubleshooting
   COBOL                                        Macintosh                                    UNIX
   Corel Office Suite                           Microsoft Office                             User Support
   Data Processing                              MS-DOS                                       VAX
   Data Programming                             Novell                                       Windows ‘98 / 2000
   Desktop Publishing                           Operations                                   Windows NT
   Electronic Mail                              Paradox                                      Word
   Excel                                        Peachtree                                    Word Perfect
   FoxPro                                       PowerPoint                                   Other
   Harvard Graphics                             Publisher                                    Other
   Help Desk                                    Purchasing                                   Other


MEDIA / NETWORKING
   Cable / Video Wiring                         Network Design / Maintenance                 Writer / Composer
   Design & Publication                         Printing                                     Video Technology
   Instructional Design                         Telecommunications                           Other
   Internet / WWW                               Training                                     Other
   Multimedia Technology                        Troubleshooting                              Other
   Network Administration                       Web Site Design                              Other


TRADES / POLICE

   Asbestos Removal                             Groundskeeping                               Safety Inspections
   Automotive Repair                            Heavy Equipment Operation                    Security
   Cabinetry                                    HVAC                                         Sheet Metal
   Carpentry                                    Law Enforcement                              Special Events / Moving / Storage
   Construction                                 Lawn Equipment                               Steamfitting / Boilers
   Delivery / Pick-up                           Locksmith                                    Trades Supervisor
   Designs / Specifications                     Masonry                                      Training
   Drafting                                     Painting                                     Vehicle Maintenance
   Driver - 40+ Passenger Bus                   Physical Inventory                           Vehicle Repair
   Driver - Car                                 Plumbing                                     Welding
   Driver - Van                                 Preventative Maintenance                     Other
   Dry Wall                                     Roofing                                      Other
   Electrical Installation / Repair             Routine Building Repair                      Other




                                                               4
OFFICE / CLERICAL

    Accounting / Auditing                                 Executive Assistant                                   Retail
    Accounts Payable                                      Expense Reports                                       Scheduling - Work, Meetings
    Accounts Receivable                                   Filing                                                Scientific Terminology
    Bookkeeping                                           Library                                               Shorthand / Speed-Writing
    Budget                                                Marketing / Advertising                               Student Contact
    Cashier                                               Mathematics                                           Supervising
    Coordinate Projects                                   Office Supply Maintenance                             Training
    Create Letters, Forms on PC                           Payroll                                               Travel Arrangements
    Create Reports on PC                                  Personnel / Human Resources                           Typing
    Customer Service                                      Public Contact                                        Other
    Data Entry                                            Public Relations                                      Other
    Dictaphone                                            Purchasing / Invoicing                                Other
    Employment                                            Receptionist                                          Other




This information is collected for the purpose of applying for employment at Towson University (TU). Failure to provide this information will prevent
the application from being considered for potential employment at TU. This information may be inspected, amended or corrected by contacting the
Office of Human Resources. This information is not generally available for public inspection. It will be shared only with other departments at TU, the
University System of MD, the State of MD, the US federal government, and with other entities as permitted by law and/or as authorized by you.



                   ----------------------------------------- End Application -------------------------------------------




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                                           ~ DEMOGRAPHIC INFORMATION ~
The federal government requires that an employer maintain records on the race, sex, and ethnic group of its applicants.
In order to comply with these requirements, Towson University requests that you supply the information sought below.
Completing this form is voluntary. The information is for recordkeeping purposes only and will be kept separate from
your application; it will not affect employment or be used in the selection process.
        Please be sure this section prints as a separate page from the rest of the application.


NAME:                                                        DEPARTMENT:

SOCIAL SECURITY NUMBER:                                      VACANCY #:

POSITION TITLE:                                              GENDER:           Male        Female


RACE / ETHNICITY

    Asian / Pacific Islander              Hispanic                                            White

    African-American                      Native Alaskan or American Indian                   Other


REFERRAL SOURCE

    Baltimore Sun                                   Maryland Job Service                            TU Job Line

    OHR Bulletin Board                              NCAA News                                       Washington Post

    Chronicle of Higher Education                   Newsletter / Trade Journal                      World Wide Web

    Job Fair                                        TU website                                      Other


In conformity with applicable laws, Towson University is an Equal Opportunity Employer and does not discriminate on the
basis of national origin, religion, sex, age, marital status, race, sexual orientation, or physical or mental handicap.




This information is collected for the purpose of EEO record keeping. Failure to provide this voluntary data will not prevent your application materials
from consideration for employment at Towson University (TU). This information may be inspected, amended or corrected by contacting the Office of
Human Resources. This information is not generally available for public inspection. It will be shared only with other departments at TU, the University
System of MD, the State of MD, the US federal government, and with other entities as permitted by law and/or as authorized by you.




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   Keep in mind that your application is the ONLY information an organization has to determine whether to
offer you an interview. Following is some helpful information you may use when completing your application.



      NEATNESS
     Make sure your application is neat.

     Make sure it is easy to read.

     This will be the organization's first impression of you. Make it a great one!



      SPELLING & GRAMMAR
     Your goal should be to have 0 errors with spelling & grammar.

     Double-check and triple-check everything.

     Have someone look over the application for you.



      COMPLETE THE ENTIRE APPLICATION
     Provide a complete response to each and every part of the application.

     Do not refer the reviewer to your resume, although you may attach one.
     If you do not know an answer, indicate this by writing "unknown". Likewise, if an item does not
        pertain to you, write “N/A” for “not applicable”. This will indicate you did not disregard or
        overlook the item.
  Pause and give some thought before answering any written questions. This is your chance to
     express yourself and describe your qualifications.



      CONTENT
  In each description of current or past jobs, be sure to describe any experience you have that
     is requested on the job description. This is VERY important.
  Read over the job duties. If you have experience performing any of these duties, be sure to
    describe it on your application.
  Give clear and detailed job descriptions. An organization will not know you have specific skills
    or experience unless they read it on your application.



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