CAMERON UNIVERSITY
APPLICANT SELECTION FORM
A2/A6
School/Department Name: ___________________________ Position Title: _____________________________ Job Opening #: ___________
Equal Opportunity Policy - Cameron University, in compliance with all applicable Federal and State laws and regulations does not discriminate on the
basis of race, color, national origin, sex, age, religion, disability, or status as a veteran in any of its policies, practices or procedures.
APPLICANT NAME
EXPERIENCE OR
QUALIFICATIONS
DEGREES
EARNED
MEETS MINIMUM
QUALIFICATIONS
YES
NO
SELECTED FOR
INTERVIEW
YES
NO
INTERVIEW
DATE & TIME
REASON FOR
POSITION SELECTION OR
NON-SELECTION
****All Employment offers must be coordinated through the Human Resources Office.
I HEREBY CERTIFY THAT THE SELECTION WAS MADE TO THE BEST OF MY ABILITY AND I DID NOT DISCRIMINATE IN ACCORDANCE WITH THE
UNIVERSITY EQUAL OPPORTUNITY POLICY.
Hired: ______________________ Date: __________________ Signature of Supervisor/Selection Designee: _____________________________
Equal Opportunity/Affirmative Action Employer