Employment Application The Baptist College Of Florida

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THE BAPTIST COLLEGE OF FLORIDA
5400 COLLEGE DRIVE, GRACEVILLE, FL 32440
850-263-3261
800-328-2660
EMPLOYMENT APPLICATION
PERSONAL DATA
Date:_____________________
Would you prefer to work: Full-time_____________ Part-time_____________
Name:______________________________________________________ Social Security#:_____________________
Address:_________________________________________________________________________________________
Telephone Number:_________________________________
For which college departments would you be interested in working? ______________________________________
DISCLOSURE STATEMENT
In connection with my application for employment with The Baptist College of Florida, I fully understand that
The Baptist College of Florida and/or a designated application screening agency, as their agent, may request/conduct a
consumer report/background investigation on me.
The consumer report/background investigation may contain the following types of information: verification of
prior employment(s) and dates of employment, academic achievement, professional licensure, and credit reports. I
further understand the report may contain information about any prior criminal history, civil litigation, social security
number verification, driving records, Uniform Commercial Code (UCC) filings, any liens or judgments, and bankruptcy
as a result of a public record(s) search from any federal, state, or any other agency which might contain such records.
Information regarding conviction will not necessarily bar an applicant from employment, but will be reviewed in
light of all the surrounding circumstances, including age at the time of the offense, seriousness and nature of the
violation, rehabilitation, relationship of the offense to employment and federal statutory requirements.
I authorize and request all persons, schools, businesses, corporations, credit bureaus, courts, law enforcement
agencies, armed forces, employment commissions, and all government agencies to release said information without
restriction or qualification. I am aware that I have the right to request the nature and scope of the results, as reported
from The Baptist College of Florida. I voluntarily waive all recourse and release the requested parties from liability for
complying with this request/release.
All background information obtained shall be utilized to assist in verification of the employment application.
Retrieval and usage of this information complies with all Equal Opportunity Commission, Americans with Disabilities
Act, and the Fair Credit Reporting Act (Laws, Rules, and Regulations).
In compliance with the US Department of Education Office of Civil Rights and with federal law, including
provisions of Title IX of the Educational Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973, The
Baptist College of Florida has issued the following Non-Discrimination Policy. The Baptist College of Florida does not
illegally discriminate on the basis of race, color, gender, national or ethnic origin, age, disability or military service in its
administration of educational policies, programs, or activities, admissions policies, or employment. Under federal law,
the college may discriminate on the basis of religion in order to fulfill its purposes. Inquiries or complaints regarding
discrimination should be directed to Sandra Richards, Director of Enrollment Management and Marketing (850) 263-
3261 ext. 415.
I hereby declare that the answers to the questions on my application and related paperwork which I have been
asked to complete, and any attachments to the same, are true and correct and that any misstatements of fact(s) or
omissions may form the basis for rejection of my application or for my dismissal after employment.
Applicant Signature:_______________________________________________ Date:________________________

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