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KCC Work-study Application

Please fill out all fields and answer all questions.
Position
Personal Information
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Education and Training
Do you have a High School Diploma or GED?
College
Degree Received?
Have you attended other colleges as well?
Trade School
Certificate/License Received?
Previous Experience
Do you have previous work experience?
Employment Related References
Reference One
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Reference Two
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Reference Three
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Additional Information
Are you at least 18 years old?
Do you have a valid drivers' license?
Do you have a legal right to work in the United States?
Note: Federal law requires proof of identity and employment authorization for all new employees
Have you been convicted of a felony within the past five years?
Note: A conviction will not automatically disqualify you from being considered for employment.
Optional
You may decline to fill out this section without adversely affecting your employment opportunities. Upon receipt, this page will be removed from your application and will not be available to the hiring authority(ies).
Please check if you are Hispanic or Non-Hispanic
And, now select any ethnic group(s) which may apply





Veteran Status (please check all that apply)





Voluntary Self-Identification of Disability
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. Answering this question 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.


Attachment
Upload:
Applicants Certification and Agreement
By submitting this application electronically, I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I agree that if the information given in my application, resume, or any other materials is found to be false in any way, it shall be considered sufficient cause for denial or termination of employment.

I authorize past employers, references and other applicable persons to give KCC representatives any information regarding my employment, education, character and any other general information deemed necessary to assess my qualifications for employment and hereby release these individuals from any and all damages arising from furnishing requested information. I understand any potential employment is contingent upon clearing a criminal records background check.

Klamath Community College Non-discrimination Policy and Equal Opportunity

Klamath Community College is as Affirmative Action / Equal Opportunity / Veteran / ADA Institution.

It shall be the policy of the Klamath Community College District to affirm the rights of all individuals to equal education, activities, facilities, and employment without regard to age, sex, disability, national origin, race, color, marital status, religion, or sexual orientation in accordance with federal and state laws. Klamath Community College complies with Titles VI and VII of the Civil Rights Act of 1964, Title IX of the Educational Amendments of 1972, and Section 504 of the Rehabilitation Act of 1973, and Title II of the Americans with Disabilities Act of 1990, and any amendments thereto.

Inquiries or grievances concerning the application of these laws and regulations to the College may be directed to the Klamath Community College’s Director of Human Resources at 7390 South 6th St., Klamath Falls, OR 97603 at 541.882.3521; or to the Office of Civil Rights, U.S. Department of Education, 915 Second Ave. Room 3310, Seattle, WA 98174-1099.

Klamath Community College is as Affirmative Action / Equal Opportunity / Veteran / ADA Institution embracing diversity. We encourage and welcome women, minority, veteran and disabled candidates.


7390 South 6th Street
Klamath Falls OR 97603 541.882.3521
© 2015 Klamath Community College
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