Employment Application

Frank Phillips College is an equal opportunity community college. All applicants may be subject to a criminal background check prior to employment with Frank Phillips College. By signing the following page I authorize the President's Office to perform this check and agree to provide any additional information if requested. Background check information will be kept confidential in the President's Office. The filing of this application and our acceptance thereof does not indicate there are positions open and in no way obligates Frank Phillips College (FPC). The information contained herein will be regarded as confidential and is, together with all attachments, the property of the college. In accordance with the Immigration Reform and Control Act of 1986, identity and employment authorization will be required for employment. If you require an accommodation with the application, hiring, or employment process, please contact the Executive Assistant of the President's Office.

Step 1 of 5

Education and Training
High School Diploma or GED?*
- Yes
- No
College or University*
Name Major Minor Degree or credit hours earned
College or University
Name Major Minor Degree or credit hours earned
College or University
Name Major Minor Degree or credit hours earned
Other Schools (Business, Technical, Service,etc.)*
Name of Institution Certificate received
Other Schools (Business, Technical, Service,etc.)
Name of Institution Certificate received
Current/Previous Work Experience
May we contact your present employer?*
- Yes
- No
Previous Name(s) Used?*
Current / Most Recent
Name of Firm or Organization*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Name and Title of Immediate Supervisor*
Name Title
Reason for Leaving*
Time of Employment*
Date From: (month/year) Date To: (month/year)
Salary*
Starting Salary Ending Salary
Title*
Job Duties*
Previous Employer
Name of Firm or Organization
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Name and Title of Immediate Supervisor
Name Title
Reason for Leaving
Time of Employment
Date From: (month/year) Date To: (month/year)
Salary
Starting Salary Ending Salary
Title
Job Duties
Previous Employer
Name of Firm or Organization
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Name and Title of Immediate Supervisor
Name Title
Reason for Leaving
Time of Employment
Date From: (month/year) Date To: (month/year)
Salary
Starting Salary Ending Salary
Title
Job Duties
Emergency Contact Information
Emergency Contact Name*
Relationship*
Phone Number*
FPC Employment Application Authorization
I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief and are made in good faith. I understand that any wrong or incomplete information made herein will void this application and any actions based on it. I understand that any offer of employment tendered me is contingent upon my agreement to abide by the rules and regulations of the Board of Regents of Frank Phillips College. I authorize FPC to verify the information given.*
- I Agree
Digital Signature*
Full Name

Disclosure and Authorization Form
As part of the application process for employment at Frank Phillips College, I understand that American DataBank will seek and obtain consumer reports / investigative reports about me as defined in the Fair Credit Reporting Act (FCRA). These investigative reports may include, but is not limited to names and dates of previous/current employment, work experience, work habits, characters, work performance, general reputation, workers compensation claims, criminal history records (from local, state, federal, international and other law enforcement agencies' records), sexual offender's lists, wants and warrants records, motor vehicle records, military records, educational verification, license verification, credit history, credit worthiness, civil case, OIG/GSA, OFAC/patriots act, any sanction lists, FBI finger printing and drug testing. I understand that these records may be used for the eligibility and qualification of my employment. I hereby authorize, without any reservation, the full release of these records and information for American DataBank and/or its agents to conduct the searches and investigations. If I am hired, I also authorize the full release of the information described above, without any reservation, throughout any duration of my employment at Frank Phillips College. I also certify that all information provided below and on my resume is correct to the best of my knowledge. Any false statements provided in this form and my resume will be considered just cause for the termination of employment at any time. I agree that a copy or facsimile of this authorization shall be as valid as the original. In addition, I release and discharge American Databank, and all of its agents, any expenses, losses, damages, and liabilities for the investigative process. Upon Request, American DataBank will supply a copy of my reports and my rights under the Fair Credit Reporting Act. Requests may be directed to: American DataBank, 910 16th Street Suite 550, Denver, CO 80202 or by contacting us at 1-800-200-0853.
Name*
First Middle Last
Previous or Maiden
if applicable
Date of Birth
mm/dd/yyyy
MM slash DD slash YYYY
Social Security Number*
xxx-xx-xxxx
Gender
- Male
- Female
Driver's License Number and State*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Length of Residency
Email Address
Phone Number*
By Checking this box you are giving your digital signature that you agree to our terms and conditions above.*
- I agree
Digital Signature*
Type your full name

Employment Application

Step 1 of 5

All fields marked with an asterisk (*) are required. However, if a question does not apply, type "not applicable" or "N/A" in the field.

Education and Training

Current/Previous Work Experience

Current / Most Recent

Previous Employer

Previous Employer

Emergency Contact Information

FPC Employment Application Authorization

Disclosure and Authorization Form

Equal Employment Opportunity / Affirmative Action Request

Veteran Status:

File Uploads

Frank Phillips College

FPC Allen Campus

FPC Rahll Campus