UCF Athletics Association, Inc

UCF Athletics Association, Inc. Employment Application Mailing Address: UCF Athletics Association, Inc. HUMAN RESOURCES P.O. Box 163555 Orlando, FL 3...
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UCF Athletics Association, Inc. Employment Application

Mailing Address: UCF Athletics Association, Inc. HUMAN RESOURCES P.O. Box 163555 Orlando, FL 32816-3555 Phone: (407) UCF–3215 Fax: (407) UCF–5293 E-mail: [email protected]

UCF Athletics Association, Inc. Web Site: http://www.ucfathletics.com

The UCF Athletics Association, Inc. is an Equal Opportunity/Equal Access employer. Applicants with a disability who need accommodation during the employment process should notify Human Resources at (407) 823-3215.

GENERAL INSTRUCTIONS ⇒ Type or print application in blue or black ink. Do not leave blanks. Incomplete applications may not be processed. Photocopies are accepted with an original signature only. ⇒ A separate application must be submitted for each vacancy and you must specify the position title on each application. ⇒ Applications must be postmarked or faxed to UCFAA, Inc., Human Resources by 11:59 p.m. on the closing date. ⇒ If a position requires a typing test or physical, you will be advised by Human Resources to schedule an appointment before a job offer is made. ⇒ A criminal and employment background check will be conducted on all applicants selected for hire. ⇒ E-mail, fax, or mail application to UCFAA Human Resources as listed in advertisement/website. Position Title:

Work unit:

How did you hear about this position? If further information is needed regarding the position or if you wish to know the status of your application, contact Human Resources at 407-823-3215.

Name: Last

First

MI

Home Number:

(

)

Work Number:

Cell Phone/Pager:

(

)

E-mail:

(

)

Mailing Address: Street Address

Are you legally eligible to work in the United States?

Yes

City

No

State

Zip Code

Work authorization expiration date (if applicable):

Federal Law requires proof of right to work in the United States within 3 days of employment. Information will be used only to assist in processing eligibility documents.

If previously employed by the State of Florida or any State University, please specify where:

Do you have any relatives employed with UCF? If so, provide name, relationship, & department:

SKILLS / LICENSES / CERTIFICATIONS Use this space to indicate any professional or occupational licensure, registration, or certification (e.g., Florida Class C license, NATA certification, CSCS certification, Pesticide license FL Statute 487, Lawn and Ornamental License FL Statute 482, MCSE, etc.) you currently hold, or any special knowledge, skills, or abilities (e.g., typing, computers, etc.) related to the position.

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Print Name: EMPLOYMENT HISTORY Begin with your present (most recent) position and record all previous periods of employment including all job titles held within the same department or company. If unemployed for more than 6 months, at any time, please also note. Describe assignments in detail, and give the names and addresses of employers. Use additional sheets if necessary. Employer:

Mailing Address:

Phone #:

( Job Title:

Dates Employed: From To

Supervisor’s Name/Title:

Hrs per wk:

May we contact?

Responsibilities:

Yes Employer:

)

Number Supervised:

Reason for leaving:

No

Mailing Address:

Phone #:

( Job Title:

Dates Employed: From To

Supervisor’s Name/Title:

Hrs per wk:

May we contact?

Responsibilities:

Yes Employer:

)

Number Supervised:

No

Mailing Address:

Dates Employed: From To

Phone #:

Supervisor’s Name/Title:

Hrs per wk:

May we contact?

Responsibilities:

Yes Employer:

)

Number Supervised:

No

Mailing Address:

Dates Employed: From To

Phone #:

Supervisor’s Name/Title:

Hrs per wk:

May we contact?

Responsibilities:

Yes Employer:

Reason for leaving:

Phone #:

Supervisor’s Name/Title:

Hrs per wk:

May we contact?

Responsibilities:

Yes

Have you ever been terminated or notified of intent to be terminated?

Applicant Signature:

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Salary:

No

Mailing Address:

Dates Employed: From To

)

Number Supervised:

( Job Title:

Salary:

Reason for leaving:

( Job Title:

Salary:

Reason for leaving:

( Job Title:

Salary:

Yes

No

)

Number Supervised:

Salary:

Reason for leaving:

No

If Yes, list employer & reason(s):

Date:

5/1/07

EDUCATION HISTORY Names/Locations of all educational institutions attended as of the closing date for the position: high school, vocational-technical, colleges and universities (undergraduate and graduate). Use additional pages if necessary. Applicants selected for hire will be required to submit a sealed certified copy of their transcript(s) indicating the highest degree awarded to Human Resources within 30 days of job offer. Dates Credit Major / Grad? Name / Location Schools Degree Attended Hours Minor

High School / GED

YES

Junior / Community College College(s) and/or University Graduate and/or Professional Other Educational Institutions

YES

NO

NO YES NO YES NO YES NO

The UCF Athletics Association, Inc. accepts degrees only from institutions accredited by a regional or professional agency recognized by the United States Department of Education or the Commission on Recognition of Postsecondary Accreditation, or evaluated as equivalent by an approved credential evaluation service.

BACKGROUND INFORMATION BOTH QUESTIONS WITHIN THIS BACKGROUND SECTION MUST BE ANSWERED. NOTE: A “yes” answer to these questions will not automatically bar you from employment. The nature, job relatedness, severity, and date of the offense in relation to the position for which you are applying are considered. The Background Investigation Form must be completed and submitted with your application.

1. Are there any criminal charges now pending against you other than non-criminal traffic violations: Charges: Date:

YES

NO

Where (city/state):

2. As it relates to a criminal offense felony or first-degree misdemeanor, have you ever been convicted, pled nolo contendere (no contest), been placed on probation, enrolled in a pretrial diversion program or had adjudication withheld? If yes, give details below: NO YES Charges:

Date of conviction / adjudication:

Disposition: Court location: APPLICANT ACKNOWLEDGMENT I hereby authorize the UCF Athletics Association, Inc. to verify all information contained in this application and any supplement(s) hereto. I certify that the above statements are true and complete to the best of my knowledge. I further understand that any false statements, misstatements, or misrepresentations made by me on this application, or any supplement(s) hereto, may be grounds for rejection from consideration for further employment or immediate discharge.

Applicant Signature:

Date:

Print Name:

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BACKGROUND INVESTIGATION FORM FOR APPLICANTS / NEW EMPLOYEES / VOLUNTEERS Position Title: Department:

The UCFAA performs criminal background checks and verifies previous employment on all new employees. THE FOLLOWING INFORMATION MUST BE PROVIDED / COMPLETED BY THE APPLICANT, NEW EMPLOYEE, OR VOLUNTEER.

Last Name

First Name

Previous Name

Maiden Name

Date Used

Mid. Init.

Previous Name

Date Used

Mailing Address, City, State, Zip

Since

Dates

Previous City/State/Zip

Social Security Number

Date of Birth

Dates

Previous City/State/Zip

Gender (M or F)

Drivers Lic. #

State

* Note: Your social security number and date of birth is required data by the Florida Department of Law Enforcement. The social security number is used by UCFAA in our HRIS database. It will not be disclosed except if required by Florida Statute 119.07 and/or 119.0721.

I request that this document in its original or copied form serve as my valid authorization to any and all persons, educational institutions, organizations, law enforcement or criminal record agencies and other agencies to release information about me to the UCF Athletics Association, Inc., or its designated agent, and hereby release all such persons, institutions, agencies, employers, and organizations providing such information from liability in any or all claims and damages connected with their providing any requested information. I hereby authorize the UCF Athletics Association, Inc. to perform a criminal background investigation and verify all information contained on this form and / or my employment application. I certify that the above information is true and complete to the best of my knowledge. I further understand that any false statements or misrepresentation made by me on this document may be grounds for rejection from consideration for employment or volunteering.

Applicant / Employee / Volunteer Signature

Date

FOR HUMAN RESOURCES USE ONLY Organization Education Criminal Employment

Received

Result Clear Not Clear Clear Not Clear Clear Not Clear

FDLE

The above name individual is (cleared

Human Resources Representative

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Initiated

not cleared

) for employment.

Date

5/1/07

UCF Athletics Association, Inc. APPLICANT DATA SURVEY

Your assistance with the UCFAA’s Equal Opportunity Program is appreciated. The UCFAA collects VOLUNTARY declarations of race and gender and uses the information to compile statistics on recruitment success.

When pools of candidates are diverse, advertisement is

completed and screening can begin.

If you choose to assist, your demographic information will be used only for equal opportunity reporting. It will be filed separately from the credentials, screening criteria and records of the search.

It will not be used to disadvantage any applicant.

Your cooperation is deeply

appreciated.

Position title: Hiring department:

Race:

Asian / Pacific Islander Black (non-Hispanic) Hispanic

Native American White Other

Gender:

Female

Male

Candidate Name: (please print) Date:

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