Employment Application Form (Classified Staff) Page 3

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Skills and experience
q
q
________ Typing speed (wpm)
Supervisory experience
Ten-key adding machine
q
q
q
Maintaining a filing system
Bookkeeping
Cash register
q
q
Multi-line telephone
Proofreading documents for grammar, spelling and sentence structure
q
Editing documents for form, content and consistency
q
Public contact answering routine questions
q
Public contact dealing with angry, confused or hostile persons
Office suites
q
q
q
q
q
MS Word
MS Excel
MS Access
Adobe Acrobat
WordPress
Information systems
q
q
q
Banner FIS
Banner SIS
Banner HRIS
Indicate other Banner modules that you have worked with: __________________________________________________
Other computer software in which you are proficient:
Reasonable accommodation notice
Federal law requires employers to provide reasonable accommodation to qualified individuals
with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or
to perform your job. Examples of reasonable accommodation include making a change to the
application process or work procedures, providing documents in an alternate format, using a
sign language interpreter, or using specialized equipment.
Western Oregon University is an AA/EOE/Veteran/Disability employer and is
committed to fostering diversity in its student body, faculty, and staff.
I hereby certify that the information provided in this application and/or supplemental materials is freely given,
true, and complete. I understand that any false, fraudulent, or misleading statements, answers, or information
may be sufficient grounds for immediate rejection of my application, denial of employment, disciplinary action
or dismissal from service if hired. I authorize the Western Oregon University Human Resources Office (HR) to
thoroughly investigate my work and educational history and verify data provided on this application or given
during the selection process.
Furthermore, I also authorize HR to conduct a criminal background investigation, check my driving record, or
contact my present or past employers if necessary. I authorize all past employers mentioned herein to release
employment information requested about me. I hereby release HR, as well as any other agency, school, or
company contacted from any liability or damage which may result from obtaining the information requested.
HR may give copies of my signed authorization to those contacted.
_______________________________________________________________
_______________________________________
Signature
Date
Note: Applicants who submit this form electronically will be asked to sign the form at the time of initial interview (if asked to interview).
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