Professional Staff & Staff Application Form

This application is for those applying for staff and professional staff positions at Goshen College.

For teaching & administrative faculty applications, use the Faculty Application Form.

Step 1 of 5

Personal Information

Name(Required)

First Last

Home Phone(Required)

Cell Phone

Email(Required)

Current Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

My Permanent Address is(Required)

the same as Current Address

different from Current Address

Permanent Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

How did you hear of this position?(Required)

Newspaper

Friend/Relative

Employment Agency

Website

Other Source

Name of newspaper(Required)

Name of friend/relative(Required)

Name of employment agency(Required)

Name or URL of website(Required)

Other source(Required)

Employment Experience

List each job held. Start with your present or last job. Include any volunteer activities. (Exclude groups which indicate race, color, religion, sex or national origin.)

Employer 1

Employer(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title(Required)

Supervisor(Required)

Reason for Leaving(Required)

Starting Date(Required)

Ending Date(Required)

Starting Wage

Ending Wage

Work Performed(Required)

Employer 2

Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title

Supervisor

Reason for Leaving

Starting Date

Ending Date

Starting Wage

Ending Wage

Work Performed

Employer 3

Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title

Supervisor

Reason for Leaving

Starting Date

Ending Date

Starting Wage

Ending Wage

Work Performed

Professional Staff & Staff Application Form

Personal Information

Employment Experience

Employer 1

Employer 2

Employer 3

Education

High School

College/University/Graduate

Professional

Professional Qualifications

Safety Information

Affirmative Action Survey (optional)

Agreement