Personal information form

I. Personal Data

Date:
Name:
Work Phone:
Home Phone:
Fax Number:
E-Mail:
Current Address:
Permanent Address:
Have you been previously employed by Goshen College?:		Yes No If yes, in what capacity (please include dates):
Position in which you have interest:
How did you hear of this position?:
Have you ever been convicted of a felony?:		Yes No
Church membership:		(Denomination) (Congregation) (Place)
Pastor's name and address:

II. Please list service assigments and involvement in church and community.

III. Professional Qualifications

Please send separately a complete résumé with references. Résumés and cover letters (in MS-Word format) can be sent as e-mail attachments to hr@goshen.edu).

IV. Reflection on GC's mission statement and faith

Goshen College is a church-owned institution, supported by and responsible to the Mennonite church.Faculty members and administrators are expected to be committed to a life of discipleship following Jesus Christ in all aspects of life and to have a sense of identity with and commitment to the church. Our expression of faith is not a simple matter of words spoken at appointed times, but of word and deed fitted into the context of the routine of daily life and work. In a community where the intellect is nurtured, it is also important to develop a reflective faith which can be expressed in campus discussion.

1.	Read the mission statement (opens in a separate window) of the college.
	a) Reflect on the compatibility of the mission statement with your sense of vocation and, if applying for a teaching position, your philosophy of education including the integration of faith and learning.
	b) The mission of the college reflects an Anabaptist understanding of Christian faith. Give a brief statement of your personal faith development, including what it means to be a follower of Jesus Christ, and describe your current membership and involvement in a local church.
	c) Are you willing to support the mission of Goshen College?
2.	Read the "Goshen College Commitment to Community Standards." (opens in a separate window) Are you willing to support this document?

We consider all applicants for all positions without regard to race, color, sex, national origin, age, marital status, handicap for which reasonable accommodation can be made, or any other legally protected status.

Agreement

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the college.

I understand that the college, through its agents, will conduct an investigative background check on me after making a conditional offer of employment. This will include criminal and sexual offender checks for all positions, and a consumer credit report, motor vehicle record review, and verification of educational attainment for selected positions. I grant to the college and its agents permission to conduct any such investigations. I will have the opportunity to review the results and offer additional information should the background check produce information that calls the offer of employment into question.

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