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We consider applicants for all positions without regard to race, age, color, sex, disability, national origin, or other legally protected status. Required fields are marked with an *

Personal Information
  1.  Yes No
  2.  Yes No
    1.  Yes No
  3.  Yes No
  4.  Agency Ad Employee Internet Relative Walk in Other
Employment Desired
  1.  Yes No
  2.  Yes No
  3.  Yes No
    1.  Yes No
  4.  Yes No
  5.  Yes No
  6.  Yes No
  7.  Yes No
Education
Employment History

Please supply your employment history covering the last 10 years, starting with your present or most recent job. Include military service and voluntary activities. Exclude organizations which indicate race, color, gender, national origin, disability or other legally protected status

Employment One
Employment Two
Employment Three
Please Read Before Submitting

I certify that the information given in this application is true and complete to the best of my knowledge. I understand that any false or incomplete answers or statements made by me in this application or other documents or interviews will be considered sufficient reason for denial of employment or discharge.

I hereby authorize Georgetown College to conduct an investigation of my employment, education and training, which would include verification of the information set forth on this application for employment. I further release from all liability any and all persons or entities who supply such information and Georgetown College in its use of such information.

I further understand and agree that my employment is for no definite period and may, regardless of the date of payment of wages or salary, be terminated for any reason and at any time without previous notice by me or the College.

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