Saint Francis University
P.O. Box 600
Loretto, PA 15940

*Note: Best viewed /completed through Microsoft Internet Explorer or Google Chrome.  Avoid using Mozilla Firefox for this application form as it may cause errors resulting in a failed submission.

Applicants are considered for all positions without regard to race, color, religion, sex, national origin, marital or veteran status, or presence of a non-job-related medical condition or disability.  Equal access to programs, services, and employment is available to all persons.  Those applicants who need reasonable accommodation to the application and/or interview process should notify the Office of Human Resources at (814) 472-3264.  All finalist for employment at SFU must undergo a criminal background check.  Some positions may require additional mandatory clearances.

Positions:	(Select) Biology, Assistant Professor PNGE, Asst/Assoc. Professor Physician Assistant, Academic Coordinator Administrative Assistant, STEAM-Sciences PT Director, Rehabilitation Residence Life Coordinator Internal Search Other
Other:
Last Name:
First Name:
Middle Initial:
Suffix:
Street Address 1:
Street Address 2:
City:
State:
Zip Code:
Country:
Daytime Phone:
Evening Phone:
Email Address:
If employed and under 18, can you furnish work permit?	Yes No N/A
Have you ever been employed here before?	Yes No
Are you employed now?	Yes No
Are you lawfully prevented from becoming employed in the US because of Visa/Immigration Status?(Proof of citizenship or immigration status will be required upon employment)	Yes No
When are you available to work?	Full Time Part Time Seasonal Temporary
Date available to work:	[None]
Have you been convicted of a felony within the last seven years? (Conviction will not necessarily disqualify applicant from employment.)	Yes No
If yes, please explain:
Educational Background(if job related)
Did you graduate from high school or receive your GED?	High School Diploma G.E.D. N/A
List all post-secondary, undergraduate and graduate coursework (College, University, Business, Trade School)

Name and Location:	Course of Study:
Degree/Certification:	Honors:
Name and Location:	Course of Study:
Degree/Certification:	Honors:
Name and Location:	Course of Study:
Degree/Certification:	Honors:

Skills and Qualifications:
Summarize any training, skills, licenses, etc. that may qualify you as being able to perform job related functions in the position for which you are applying.
List professional, trade, business or civic activities or offices held: (Exclude those which indicate race, color, religion, sex, or national origin
Employment Background Please start with the most current.  Include military and volunteer service.  Exclude organizational names which indicate race, color, religion, sex, or national origin.
Employer:	Employer Address:
Start Date:  [None]	End Date:  [None]
Job Title:	Work Duties:
Supervisor:	Phone number:
Salary Starting:       Ending Salary:	May we contact:  Yes No
Reason for Leaving:
Employer:	Employer Address:
Start Date:   [None]	End Date:   [None]
Job Title:	Work Duties:
Supervisor:	Phone Number:
Salary Starting:         Ending Salary:	May we contact:  Yes No
Reason for leaving:
Employer:	Employer Address:
Start Date:   [None]	End Date:   [None]
Job Title:	Work Duties:
Supervisor:	Phone Number:
Salary Starting:     Ending Salary:	May we contact: Yes No
Reason for leaving:
References: Please provide three personal references. (exclude relatives or close friends)
Reference Name:
Reference Address:
Reference Phone Number:
Years Known:
Reference Name:
Reference Address:
Reference Phone Number:
Years Known:
Reference Name:
Reference Address:
Reference Phone Number:
Years Known:

Applicant's Statement & Electronic Signature

Before submitting this application, you will be required to enter an electronic/digital signature which will be binding as your actual signature.  Your electronic signature below indicates your agreement with the following statements:

By typing my full name in the box, I certify that the answers given herein are true and complete to the best of my knowledge.  I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.  I release from any liability all representatives of the University for their acts performed in good faith in connection with evaluating me and my credentials.  I understand this application is not intended to be a contract of employment; however, it does signify by willingness to appear for interviews in regard to my application.

Electronic Signature of Applicant:

Date:   [None]