Support Staff Application

Advertised Position Applying For:*
Date*

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
May we call you at your work phone?

YesNo
Email*
example@example.com
How did you learn of this position?
Were you previously employed by WBU?*

YesNo
If yes, list dates:
If hired, can you furnish proof you are eligible for work in the United States?*

YesNo
Have you ever been convicted of or entered a guilty or no contest plea to a felony?*

YesNo
Have you been convicted of a crime which subjects you to the Sex Offenders Registration Act in Arkansas or are you subject to another state's or to federal sex offender registration provisions? If you answer "Yes" please attach a letter of explanation including what the conviction was for and when and where the conviction occurred.*

YesNo
EDUCATION
High School Attended:
Year of Graduation/GRE:
College or University Attended:
Year of Graduation:
Degree attained or number of credit hours:
Major:
Minor:
Certificates attained or special training:
EMPLOYMENT HISTORY
Employer Name, Telephone, Address*
From mm/yy - To mm/yy*
Salary*
Duties*
Reason for Leaving*
Employer Name, Telephone, Address
From mm/yy - To mm/yy
Salary
Duties
Reason for Leaving
Employer Name, Telephone, Address
From mm/yy - To mm/yy
Salary
Duties
Reason for Leaving
Employer Name, Telephone, Address
From mm/yy - To mm/yy
Salary
Duties
Reason for Leaving
CHURCH MEMBERSHIP AND ACTIVITIES
Are you presently an active member of a church?*

YesNo
Church Name
Location of Church
Name of Pastor or Senior Minister
Church Phone
Church Involvement or Service
Civic or Community Activities
Briefly summarize your personal Christian faith and commitment*
REFERENCES

List names, addresses and telephone of at least three people (not related) who can comment on your career and character.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship*
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship*
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship*
WILLIAMS BAPTIST UNIVERSITY IS AN ALCOHOL, DRUG AND TOBACCO FREE CAMPUS
AGREEMENT STATEMENT

The University, in considering my application for employment, may verify the information set forth in this application and obtain additional information relating to my background. I authorize investigation of all statements contained in this application. I certify that the information on this application is correct and I understand that any misrepresentation or omission of any information will result in my disqualification from consideration for employment, or, if employed, my dismissal. I understand that this application is not contract, offer, or promise of employment and that if hired I will work within the guidelines of the administrative policies and contractual obligations. Furthermore, I have read, understand and agree to the Mission Statement, Vision Statement, Purpose Statements, and Institutional Academic Goals as listed in this application. If employed, I pledge to continue to support the Mission Statement, Vision Statement, Purpose Statements, and Institutional Academic Goals.
Signature*
Date*

MonthDayYear
Date
Williams Baptist University does not illegally discriminate on the basis of race, sex, religion, color, national or ethnic origin, age, disability, or military service in its administration of educational policies, programs, or activities, its admissions policies, scholarship and loan programs, athletic or other university administered programs; or employment
MISSION STATEMENT

Williams Baptist University exists to cultivate Christ-centered leaders who make a difference in their lifework.
INSTITUTIONAL ACADEMIC GOALS

To produce students who demonstrate an understanding of the Judeo-Christian heritage and Christian world view. To produce students who demonstrate the ability to communicate effectively across the curriculum. To produce students who demonstrate the ability to reflect critically upon the world, the environment, society, and self. To produce students who demonstrate the ability to apply the principles of scientific method to become more effective problem solvers. To produce students who demonstrate an appreciation for a healthy lifestyle that will promote lifelong health and fitness. To produce students who demonstrate a competence in at least one particular body of knowledge.
PURPOSE STATEMENT

To provide opportunities to profess, practice, and strengthen one's faith and to encounter Biblical values. To provide a caring campus community with opportunities for service to others, leadership preparation, and wholesome recreation. To provide and assess programs of liberal arts, professional studies, and lifelong learning for a diversified traditional and non-traditional student body. To provide an organization responsive to the needs of student, personnel, programs, and facilities, with a commitment to planning and leadership. To provide an aesthetically pleasing campus glorifying to God's creation. To provide and execute a plan which secures adequate resources to sustain and advance the institution. To provide a positive image of the quality programs, faculty, students, staff and graduates of the college. To provide and maintain serviceable facilities which sustain the mission of the college. To provide technologically sophisticated infrastructure which supports academic, student, and administrative services. To provide cultural experiences, through-provoking events, and educational enrichment for the campus community and the community at large. To provide a healthy athletic atmosphere which engages the team members, the campus community, and the community at large. To provide desirable housing for students and faculty.
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EDUCATION

EMPLOYMENT HISTORY

CHURCH MEMBERSHIP AND ACTIVITIES

REFERENCES

AGREEMENT STATEMENT

MISSION STATEMENT

INSTITUTIONAL ACADEMIC GOALS

PURPOSE STATEMENT