Employment Application

Position Information

Let's get started by learning more about the position you are interested in.

What type of position are you applying for? *

Full-Time Faculty
Full-Time Staff
Part-Time Faculty (Adjunct)
Part-Time Staff
General Application

Select the full-time faculty position you are applying for: *

Select the full-time staff position you are applying for: *

Select the part-time staff position you are applying for: *

Position in which you are applying: *

Selected: General Application

When can you start? *

How did you learn about this position?

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Employee Referral
Employment Agency
Social Media
Other

Other: *

Desired Salary: *

Please enter your desired annual salary.

Personal Information

Now we need to gather some personal information.

Name: *

First

Middle

Last

Preferred First Name:

Email: *

Confirm Email

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone: *

Primary Phone Type: *

Mobile
Home
Work

Secondary Phone:

Secondary Phone Type:

Mobile
Home
Work

Education

Help us evaluate your education by supplying detailed descriptions.

Undergraduate School

School Address

Address Line 1

Address Line 2

City

State

Zip Code

Undergraduate Major & Degree

Additional Undergraduate Work

Graduate

Graduate School

Graduate School Address

Address Line 1

Address Line 2

City

State

Zip Code

Graduate Major & Degree

Additional Graduate Work

for: is Employment

Employment History

Tell us about the experience you offer

Employment History 1

Employment History 2

Employment History 3

Employment History 4

Employment History 5

General Information

We need some general information to continue.

Do you have the legal right to be employed in the US? *

May we contact your present employer? *

Are you related or married to anyone currently employed by Bluefield University? *

References

Please provide three persons (other than relatives).

Reference 1: *

First

Last

Reference 1 Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Reference 1 Phone: *

Reference 2: *

First

Last

Reference 2 Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Reference 2 Phone: *

Reference 3: *

First

Last

Reference 3 Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Reference 3 Phone: *