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Online Application

Antioch College will review all applications and contact applicants of interest within 30-days of receipt of a completed materials. Application materials will be maintained on file for up to six month, unless the applicant requests otherwise.


    * required field

CONTACT INFORMATION

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EMPLOYMENT RECORD

List most recent positions first. You may include volunteer work.

Employer 1 - - -



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 yes  no

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Employer 2 - - -



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 yes  no

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Employer 3 - - -



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 yes  no

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Employer 4 - - -



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 yes  no

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EDUCATION RECORD

   

School 1 - - -

Name of School, College or University
Major Field of Study
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Credential Earned
 
   

School 2 - - -

Name of School, College or University
Major Field of Study
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Credential Earned
 
   

School 3 - - -

Name of School, College or University
Major Field of Study
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Credential Earned
 
   

School 4 - - -

Name of School, College or University
Major Field of Study
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Credential Earned
 
   


OTHER

Are you legally authorized to work in the United States?
   yes
   no
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Will you now or in the future require sponsorship for employment visa status? (e.g. H-1B visa status?)
   yes
   no
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Have you ever been convicted of a felony? (*See note below)
   yes
   no
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If yes, please explain:
 


REQUIRED SIGNATURE

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I hereby state that the information on this application and all other information otherwise provided is true and correct. I understand that any misrepresentations or omissions could result in denial or termination of employment at any time. I also understand that offered employment, I will be employed on an “at-will” basis. This means that either Antioch or I may end the employment relationship at anytime and of any or no reason.
 
   yes
   no


ATTACH DOCUMENTS

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VERIFICATION CODE (ANTI-SPAM)

Please enter this below:
verification code
enter code


   
 
   


*Notes on Felony Convictions: An applicant for employment with a sealed record on file with the commissioner of probation may answer “no record” with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions. In addition, any applicant for employment may answer “no record” with respect to any inquiry relative to prior arrests, court appearances and adjudication in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to a superior court for criminal prosecution.


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