(A separate application must be provided for each position in which you are interested.)
Position Applying for:
Posting Number:
Salary Desired:
Date Available:
Type of Work Desired: Full Time
Part Time
Either
APPLICATION FOR EMPLOYMENT
Date:
Please print clearly in ink and complete all information requested
Name:
Last
First
M. I.
Street Address:
City:
State:
Zip:
Previous Address: (Complete only if at current address less than 2 years)
City:
State:
Zip:
Home Phone #: ( )
Email Address:
Preferred Contact #: ( )
POSITION DESIRED
PERSONAL INFORMATION
1. If hired, can you present proof of your legal right to live and work in the United States?
1. Yes No
2. Are you at least 18 years of age or older? If “no,” a work permit may be required.
2. Yes No
3. For reference purposes, have you worked or attended school under a former name?
3. Yes No
If yes, please list former name(s):
4. Have you ever worked for The Claremont Colleges? If yes, which college?
4. Yes No
5. Are any relatives or members of your household currently employed at this institution?
5. Yes No
If yes, give full name and position.
6. Are you able to perform the essential functions of the position applied for, either with or
without reasonable accommodation?
6. Yes No
7. Have you ever been convicted of a crime or violation other than a minor traffic infraction?
(Please do not include arrest or detentions that did not result in convictions or convictions for
marijuana-related offenses that are more than two years old).
7. Yes No
If yes, please explain: