APPLICATION FOR EMPLOYMENT

Please contact the Human Resources Office if you need assistance or reasonable accommodation in the application hiring process

Office of Human Resource
316 Eastern Drive, Moorefield, WV  26836 
304-434-8000  Fax:  304-434-7001



Name*
Address*
Are you 18 or older?
Have you been in the U.S. Armed Forces?
Military Branch
Choose as many as apply
Employment Desired
Have you ever been convicted of a felony?
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.
How did you find out about this position?
Did you graduate from high school?
If you did not graduate from high school, do you have a high school equivalency diploma?
If you have a a college degree, check all that apply:

Work Experience

Please List 2 employers you have worked for, beginning with your most recent.
(If you want to add additional employment history,  submit it on your  resume. Three professional references are required. These can be added to your resume or submitted separately as an attachment.)

Employed from:
Employed to:
May we contact this person?
Employed from:
Employed to:
May we contact this person?
Attach Cover Letter (Required)
No File Chosen
File uploads may not work on some mobile devices.
If you are applying for a teaching/professional position this is highly recommended
Attach Resume/CV (Required)
No File Chosen
File uploads may not work on some mobile devices.
If you are applying for a teaching/professional position this is highly recommended
Attach college transcripts (Required if you have attended college))
No File Chosen
File uploads may not work on some mobile devices.
If you are applying for a teaching/professional position this is highly recommended
Attach professional references (Required. At least three.)
No File Chosen
File uploads may not work on some mobile devices.
If you are applying for a teaching/professional position this is highly recommended
Attachments: If you are unable to attach any of the above files, please place a check in one of the boxes below to show how you plan to submit them.

Information below for any of the alternate delivery options:


Policy Statement – Nondiscrimination on Basis of Sex 

It is the policy of Eastern West Virginia Community & Technical College, not to discriminate on the basis of sex in its education programs, activities, employment policies, or admission of students to any program of study as required by Title IX of the 1972 Education Amendments. EWVCTC provides opportunity to all prospective and current members of the student body, faculty, staff on the basis of individual qualifications and merit without regard to race, color, sex, sexual preference, religion, age, national origin, sexual orientation, marital or parental status, familial status, veteran status, or disability. Inquiries regarding compliance with Title IX may be directed to the EEO Coordinator/Human Resources Representative, Eastern West Virginia Community & Technical College, telephone, (304) 434- 8000 or to the Director of the Office of Civil Rights, Department of Health, Education and Welfare, Washington D.C

To Be Read and Signed By Applicant 

1. I certify that this application was completed by me; that all entries on it 

and information in it are true and complete to the best of my knowledge; and that 

I  am  currently  legally  eligible  for  employment  in  the  United  States  and  am  

prepared  to  present  documentation  to  support  that  fact  prior  to  an  offer  of  employment. 


2. I authorize you to make such investigation and inquiries of my 

personal,  employment,  financial  or  medical  history  and  other  related  matters  as  

may  be  necessary  in  arriving  at  an  employment  decision.  (Inquiries  regarding 

medical history will be made only if and after conditional offer of employment has 

been  extended.)  I  hereby  release  employers,  schools,  college,  health  care  

providers  and  other  persons  from  all  liability  in  responding  to  inquiries  and  

releasing information in connection with application. 


3. In the event of employment, understand that any falsification, 

omission, or misleading information given in this application or interview)s) will b 

grounds for immediate dismissal. I understand that I am required to abide by all 

rules  and  regulations  of  the  College.  I  understand  and  agree  also,  that  my  

employment  and  compensation  can  be  terminated  with  or  without  notice  at  

anytime  at  the  option  of  either  Eastern  West  Virginia  Community  &  Technical  

College or myself.

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