Baker Technical Institute Application For Employment
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Email *
First Name *
Last Name *
Phone Number *
Address *
Position Applying For *
High School Attended:  Name/City/State *
Dates Attended:  Degree Earned *
College/University:  Vocational/Technical *
Dates Attended:  Degree Earned *
Work Experience
Name of Employer *
Duties Performed *
Employment Dates *
Supervisor's Name *
Phone Number *
Name of Employer *
Duties Performed *
Employment Dates *
Supervisor's Name *
Telephone Number *
Name of Employer *
Duties Performed *
Employment Dates *
Supervisor's Name *
Telephone Number *
Name of Employer *
Duties Performed *
Employment Dates *
Supervisor's Name *
Telephone Number *
Summarize other work experience (including military or volunteer) related to position applied for: *
References
Name *
Address *
Phone Number *
Name *
Address *
Phone Number *
Name *
Address *
Phone Number *
Health Status:  Can you perform the essential job functions described in the attached job description? *
Availability:  When are you able to begin work for Baker Technical Institute *
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Consent Authorization:  Baker Technical Institute is an Equal Opportunity/Affirmative Action Employer.  We are dedicated to a policy of nondiscrimination in employment on the basis of race, color, religion, sex, national origin, age and mental or physical disability. *
I understand that any omissions on this application may prevent my application from being evaluated.  I verify that all information on this employment application is true and complete.  I understand that nay misrepresentation, falsification or omission on this application or on other documents submitted to Baker Technical Institute will be sufficient cause for this application not to be considered by the organization or for discharge if I have been employed. *
I authorize Baker Technical Institute for which I have completed an employment application to check my references, to obtain information from my prior employers and educational institutions and to take other actions to investigate any information provided in my employment application and to obtain information relevant to evaluating my qualifications and fitness for the position for which I have applied.  I authorize my listed references, past employers and education institutions and anyone else who has information about my work history, education qualification or fitness, to provide such information to Baker Technical Institute.  I release Baker Technical Institute and all persons providing information to Baker Technical Institute from any liability whatsoever for obtaining and providing that information, regardless of the results. *
I understand that law and Baker Technical Institute Board Policy require criminal history records check and fingerprinting.  Employment shall be offered prior to fingerprint collection.  Upon receipt of notification by the Oregon Department of Education that I have been convicted or made a false statement as to conviction of any crimes prohibiting employment or contract status with Baker Technical Institute, the President or his/her designee shall immediately terminate my employment or contract.   *
A copy of your responses will be emailed to the address you provided.
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