Morrisville Auxiliary Corporation
Serving The Campus Community for 50 Years

General Employment Application

Please print and complete this application, then mail to:
Morrisville Auxiliary Corporation
Hamilton Hall
P.O. Box 901
Morrisville, NY 13408
ATTN: Human Resources
Date of Application / /
Name
Address
City
State
Zip Code
Social Security Number
Telephone (Day)
Telephone (Evening)
E-mail Address:
Are you over 16 years of age? Yes No (For applicants under 18 a work permit is required.)
List all employment locations of interest:
Have you ever worked or applied for a job at Morrisville Auxiliary Corporation? Yes No
If yes, please list dates and location(s):
If you have any physical limitations which require accommodation to do the job for which you are applying, please explain accommodation requirements:
Have you ever been convicted of a criminal offensive (except for minor traffic offenses)?
Yes No If yes, please give details:
What job are you applying for?
What date are you available to start?: / /
Why are you applying for this position at this time?
Availability
Please fill in the hours you are available to work each week. Use a for AM and p for PM.
  SUN MON TUES WED THUR FRI SAT
FROM:
TO:
Education
  Grade Completed: Diploma/Degree: Course/Major:
High School
College
Work History
Start Date:
/ / 		End Date:
/ /
Job:
Employer Name:
Employer Address:
Reason for leaving:
Supervisor:
Phone Number: ( ) - Extension
Start Date:
/ / 		End Date:
/ /
Job:
Employer Name:
Employer Address:
Reason for leaving:
Supervisor:
Phone Number: ( ) - Extension
Start Date:
/ / 		End Date:
/ /
Job:
Employer Name:
Employer Address:
Reason for leaving:
Supervisor:
Phone Number: ( ) - Extension
Start Date:
/ / 		End Date:
/ /
Job:
Employer Name:
Employer Address:
Reason for leaving:
Supervisor:
Phone Number: ( ) - Extension
References
Name: Relationship:
Address: Phone Number:
( ) - Ext.
Business/Personal (B or P): Years Known:

Name: Relationship:
Address: Phone Number:
( ) - Ext.
Business/Personal (B or P): Years Known:

Name: Relationship:
Address: Phone Number:
( ) - Ext.
Business/Personal (B or P): Years Known:

Name: Relationship:
Address: Phone Number:
( ) - Ext.
Business/Personal (B or P): Years Known:
I certify that all information I have provided in order to apply for and secure work with Morrisville Auxiliary Corporation is true, complete, and correct.

I expressly authorize, without reservation, Morrisville Auxiliary Corporation, its representatives, and agents to contact and obtain information form all references, employers, agencies, and education institutions to verify the accuracy of all information provided by me in this application, resume, or job interview.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state, or federal law.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice.

I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to cancel further consideration of this application, or to immediately discharge me from the employer's service, whenever it is discovered.

Do Not sign until you have read the above applicant statement.

I certify that I have read, fully understand and accept all terms of the forgoing Applicant Statement.

Signature of Applicant _______________________________ Date ___ /___ /___
__ Check if attaching your resume