Cincinnati State - Employment Application Requirements image

Below are the requirements for this employment application. Return to start page

Personal Information  (* denotes required fields)
First Name *
Middle Name
Last Name *
Street Address *
City *
State *
Zip *
Telephone *
E-mail Address
Position(s) applied for *
If employed and under 18, can you furnish a work permit? (Yes/No) *
Have you previously applied for employment with Cincinnati State? (Yes/No) *
Referred by a Cincinnati State employee? * (Yes/No; if Yes, who?)
Are you related to any Cincinnati State employee? (Yes/No; if Yes, what is their relationship to you?) *
Are you employed now? (Yes/No) *
Are you legally eligible for employment in the United States? (Yes/No) *
When would you be available for work? *
At what times are you available to work? (Full-time, Part-time, Shift work, Temporary, Day, Evening) *
Can you travel if the job requires it? (Yes/No) *
Have you ever been convicted of a felony? (Yes/No; if yes, why?) *

Education  (* denotes required fields)

High School
School Name
Years Completed
Diploma/Degree
Describe Course of Study
Describe Specialized Training, Apprenticeship, Skills, and Extra-Curricular Activities
College/University
School Name
Years Completed
Diploma/Degree
Year received (mm/yy)
Describe Course of Study
Describe Specialized Training, Apprenticeship, Skills, and Extra-Curricular Activities
Graduate/Professional
School Name
Years Completed
Diploma/Degree
Year received (mm/yy)
Describe Course of Study
Describe Specialized Training, Apprenticeship, Skills, and Extra-Curricular Activities
Additional Degree
School Name
Years Completed
Diploma/Degree
Year received (mm/yy)
Describe Course of Study
Describe Specialized Training, Apprenticeship, Skills, and Extra-Curricular Activities
Certifications
Special Skills Summary

Experience  (* denotes required fields)

Current/Most Recent Employer
Employer Name
Date Employed From (mm/yy)
Date Employed To (mm/yy)
Starting Hourly Rate/Salary * required if Employee Name 1 is entered
Ending Hourly Rate/Salary * required if Employee Name 1 is entered
Address and Phone Number
Job Title
Supervisor
Reason for leaving
Work Performed
Next Recent Employer (2nd)
Employer Name
Date Employed From (mm/yy)
Date Employed To (mm/yy)
Starting Hourly Rate/Salary * required if Employee Name 2 is entered
Ending Hourly Rate/Salary * required if Employee Name 2 is entered
Address and Phone Number
Job Title
Supervisor
Reason for leaving
Work Performed
Next Recent Employer (3rd)
Employer Name
Date Employed From (mm/yy)
Date Employed To (mm/yy)
Starting Hourly Rate/Salary * required if Employee Name 3 is entered
Ending Hourly Rate/Salary * required if Employee Name 3 is entered
Address and Phone Number
Job Title
Supervisor
Reason for leaving
Work Performed
Additional Employment Information
May we contact your previous employers listed above?
May we contact your current employer? (Yes/No; if No, why?)
List professional, trade, business, or civic activities and offices held. (You may exclude those which indicate race, color, religion, sex or national origin)

References  (* denotes required fields)

First Reference
Name, Address, Phone of 3 references *

Applicant's Certification and Agreement  (* denotes required fields)

I agree with the Applicant's Certification and Agreement *