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Academic Employment
Academic Employment
Lucas Stark
2019-03-12T22:22:41-04:00
Application for Academic Employment
Please fill out the following form to apply for one of our -Academic Positions. You will be provided instruction on how to send resume and other supporting documents after this form is submitted
Step 1 of 6
16%
Position
Please supply the information below as supplied in the position listing. (
View Position Listings
)
Name of position for which you are applying
Position Number
Date you can start
Date Format: MM slash DD slash YYYY
Are you employed currently?
Yes
No
If so, may we contact your present employer?
Yes
No
Have you previously applied to this University?
Yes
No
In what area?
When?
Date Format: MM slash DD slash YYYY
Personal Information
Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Middle
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Primary Contact Number
*
Alternate Number
Email
*
Are you 18 years or older?
*
Yes
No
Are you authorized to work lawfully in the United States?
*
Yes
No
Will you now, or in the future, require sponsorship for employment Visa status (e.g., H-1B, visa status)?
*
Yes
No
If yes, please provide explanation
Have you ever worked at Belmont Abbey College?
*
Yes
No
If yes, indicate dates of employment and positions
*
Have you ever been convicted of any law violation (except a minor traffic violation)?
*
Yes
No
A “yes” answer does not automatically disqualify you from employment, since the nature of the offense, date and the job for which you are applying will also be considered.
If yes, please provide explanation
*
Voluntary Demographic Data
Belmont Abbey College is an equal employment employer. It is the policy and practice of Belmont Abbey College to recruit and select applicants on the basis of their qualifications and ability without regard to race, color, religion, national origin, age, sex, disability, or veteran status. This effort is in compliance with all federal and state laws, including, but not limited to, Title VI and VII of the Civil Rights Act of 1964, Title IX of the Educational Amendments of 1972, Section 504 of the Rehabilitation Act of 1975, and the Americans with Disabilities. Applicants are invited to answer the demographic questions below. Information provided by the applicant is confidential and will be used ONLY for statistical compilation. Providing responses is completely voluntary and no applicant will be negatively affected by not providing responses. This information will not be part of the institution’s employment decision regarding the applicant, and will not be seen by anyone involved in the hiring decision. Thank you in advance for your time and cooperation.
Gender
Male
Female
Decline to Answer
Are you Hispanic or Latino?
Yes
No
Decline to Answer
Race Category
American Indian
Alaskan Native
Black or African American
Asian
Native Hawaiian or Pacific Islander
White
Decline to Answer
Voluntary Self Identification of Disability
Why are you being asked to complete this form?
Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.
If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.
How do I know if I have a disability?
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.
Blindness
Autism
Bipolar disorder
Post-traumatic stress disorder (PTSD)
Deafness
Cerebral palsy
Major depression
Obsessive compulsive disorder
Cancer
HIV/AIDS
Multiple sclerosis (MS)
Impairments requiring the use of a wheelchair
Diabetes
Epilepsy
Schizophrenia
Muscular dystrophy
Missing limbs or partially missing limbs
Intellectual disability (previously called mental retardation)
Please check one of the boxes below
YES, I HAVE A DISABILITY (or previously had a disability)
NO, I DON’T HAVE A DISABILITY
I DON’T WISH TO ANSWER
Your Name
Today's Date
MM
DD
YYYY
Reasonable Accommodation Notice
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. i Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp. PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.
Voluntary Self Identification of Protected Veteran Status
Definitions
This employer is a Government contractor subject to the Vietnam Era Veteran’s Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment; (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined as follows: A “disabled veteran” is one of the following:
A veteran of the U.S. military, ground, naval, or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation (under laws administered by the Secretary of Veterans Affairs; or
A person who was discharged or released from active duty because of a service-connected disability
A “recently separated veteran” means any veteran during the three year period beginning on the date of such veteran’s discharge or release from active duty in the U.S. military, ground, naval, or air service. An “active duty wartime or campaign badge veteran” means a veteran who served on active duty in the U.S. military, ground, naval, or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. An “Armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval, or air service, participated in a U.S. military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985. Protected veterans may have additional rights under USERRA – the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor’s Veterans Employment and Training Service (VETS), toll free, at 1-866-4-USA-DOL.
Self-Identification
As a Government contractor subject to VEVRAA, we are required to submit a report to the United States Department of Labor each year identifying the number of our employees belonging to each specified “protected veteran” category, If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below.
Self Identification
I belong to a classification of protected veterans
I am a protected veteran, but I choose not to self-identify the classifications to which I belong.
I am NOT a protected veteran.
Protected Veteran Classification
DISABLED VETERAN
RECENTLY SEPARATED VETERAN
ACTIVE WARTIME OR CAMPAIGN BADGE VETERAN
ARMED FORCES SERVICE MEDAL VETERAN
Choose all that apply.
Military Discharge Date
MM
DD
YYYY
Type Full Name
Today's Date
MM
DD
YYYY
If you are disabled veteran if would assist us if you tell us whether there are accommodations we could make that would enable you to perform the essential functions of the job, including special equipment, changes in the physical layout of the job, changes in the way the job is customarily performed, provision of personal assistance services or other accommodations. This information will assist us in making reasonable accommodations for your disability. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information provided will be used only in ways that are not inconsistent with the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended. The information you submit will be kept confidential, except that (i) supervisors and managers may be informed regarding restrictions on the work or duties of disabled veterans, and regarding necessary accommodations; (ii) first aid and safety personnel may be informed, when and to the extent appropriate, if you have a condition that might require emergency treatment; and (iii) Government officials engaged in enforcing laws administered by the Office of Federal Contract Compliance Programs, or enforcing the Americans with Disabilities Act, may be informed.
Application Submission
How did you hear of this employment opportunity?
Belmont Abbey College website
Catholicjobs.com
Higheredjobs.com Website
Professional Affiliation Website
Advertisement in Academic or Professional Publication
Referred by a current or former employee
Conference or career fair
Current or former employee who referred you.
Documents needed to complete your application
Please note: To upload multiple documents of the same type, i.e. two transcripts, you must combine the documents into a single PDF or Word document before clicking on the “browse” button, or use the “Other Documents” option. (If applicable)
Cover Letter/Letter of Interest
Resume/Curriculum Vitae
Statement of Interest and Understanding of the
Mission of Belmont Abbey College
References
Transcripts
Other
Document Upload
*
Drop files here or
Certification
I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time. If employed, I understand that I have been hired at the will of the employer and my employment may be terminated at any time, with or without cause and with or without notice. By selecting the check box below, I assert that all information given in this application is true. I understand that false information (misrepresentation or omission of information) may be the basis for disqualification or termination of employment. I authorize investigation of all statements contained herein.
*
I certify that I have read and agree with these statements
Type Full Name
*
Today’s Date
*
MM
DD
YYYY