The Watson Institute : Careers

The Watson Institute is an equal opportunity employer. Federal and State Laws prohibit discrimination in employment practices because of race, color, religion, age, sex, national origin, veteran status, disability, or any other factors prohibited by law. No question on this application is asked for the purpose of limiting or excluding any applicant?s consideration for employment.

Personal Information

* First Name:	* Last Name:
Date:
*Present Address:
*Telephone Number:	*SSN:
*Are you legally employable within the United States at the present time? Yes No
Position Applied For:
Were you previously employed by us? Yes No
Have you previously applied at The Watson Institute? Yes No
If yes, Date:
*Have you ever been convicted of any offense related to the abuse, neglect or mistreatment of students? (Criminal conviction may be relevant if job related, but does not bar you from employment.) Yes No
If yes, explain:
*Do you consider yourself to be able to perform all the duties required by the job or jobs for which you are making application without endangering other employees or students? Yes No
*If your application is considered favorably, on what date will you be available for work?

Education

High School

*Name:
*City:
*State:
Number of Years:
*Diploma:
GED:

Undergrad
College/
University

Name:
City:
State:
Major:

No. Years Completed Degree Earned

Graduate
College/
University

Name:
City:
State:
Major:

Degree Earned

Professional Licenses and/or Certification:
Type:
State Issued:		Date:
Number

Work Experience

Please provide a complete record of all employment. List last employer first.

From:

To:

Employer’s Name:
Address:
Phone Number:
Supervisor:
Position:
Last Salary:
Reason for Leaving:

From:

To:

Employer’s Name:
Address:
Phone Number:
Supervisor:
Position:
Last Salary:
Reason for Leaving:

From:


To:

Employer’s Name:
Address:
Phone Number:
Supervisor:
Position:
Last Salary:
Reason for Leaving:

*Please summarize special job-related skills, qualifications, honors received, voluteer or community service or other qualifications you have which you feel are related to the position for which you are applying:

Professional References

Please provide the names of three persons, not related to you, whom you have known at least one year in a professional setting.

1.	Name:
	Address:
	Phone Number:
	Occupation:
	Years Acquainted:

2.	Name:
	Address:
	Phone Number:
	Occupation:
	Years Acquainted:

3.	Name:
	Address:
	Phone Number:
	Occupation:
	Years Acquainted:

Resume

Please click the button below to attach an electronic copy of your resume:

I hereby certify that the foregoing statements are true and correct to the best of my knowledge and belief, and hereby grant the organization permission to investigate all information contained in this application for employment. I hereby release the organization and its representatives from liability for seeking such information and also release all other persons, corporations, or organizations for furnishing such information. I understand that any false statement on this application may be considered as sufficient cause for rejection of this application or for dismissal if such false statement is discovered subsequent to my employment. I understand that I am free to resign at anytime and that the organization reserves the right to terminate my employment at any time, with or without cause and without prior notice. This is not a contract of employment.

I have read and understand the above paragraph. By checking the "agree" button below, I also authorize the professional background check.

* = Required Field