The University of San Diego is an Equal Opportunity Employer
University of San Diego
5998 Alcalá Park, Maher Hall 101
San Diego, CA 92110-2492
Office 619-260-4594 Job line 619-260-4626
www.sandiego.edu
Application Procedures
We welcome your interest in employment with the University of San Diego. Current vacancies are updated every Monday on our web site and our 24-hour Job
Line. A cover letter and résumé may be attached to applications, but will not be accepted in lieu of an application. Applications for posted positions must be
received in Human Resources by 5:00 p.m. on the designated closing date. Separate application materials are required for each position of interest.
Photocopies of application will be accepted. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, marital
status, national origin, gender, physical or mental disability, veteran status or age.
Please Print or Type
Today’s Date
Job Title
Last Name
Job Number
First Name
Address
M.I.
City
E-mail
Home Telephone
Salary Requirements
Will you work
Full Time
Part Time
State
Zip Code
Do you have a valid driver’s license?
Yes
No
State:
Have you been employed by USD? No
Yes (department and position)
Business/Message Telephone
Preferred Hours
Continuing
Temporary
Do you have any relatives employed by USD?
(Give name and department)
Other Names Used
Yes
Referred by
No
Have you ever been convicted or plead guilty to felony? A conviction is not necessarily disqualifying. Each case will be evaluated on its own merits and its
applicability to the position.
Yes (List circumstances, places and dates of conviction)
No
Do you require any special accommodations for:
(a) The interview?
Yes (Explain)
Education
Name of School
High School (GED)
No
Circle highest grade completed: 8 9 10 11 12
Location
(b) To perform the duties of the job as you presently understand them?
Yes (Explain)
No
College: 1 2 3 4
Degree/Diploma
Graduate School: 1 2 3 4
Major
Minor
College/University
Graduate School
Are you attending school now?
List courses/ training programs you have completed that relate to this job:
List equipment you are capable of operating:
Certificates and licenses:
List software for which you have a working knowledge:
What special qualifications, skills, experience (special projects), interests would you bring to this position?
REFERENCES
Name/Title:
Name/Title:
Organization:
Organization:
Telephone Number:
Telephone Number:
Relationship:
Relationship:
EMPLOYMENT RECORD - COMPLETE IN FULL
List present or most recent experience FIRST- Include U.S. Armed Services and volunteer work. If attaching a résumé, you need
not duplicate the “Duties/Details” section(s).
Dates (Mo/Yr)
From
To
Total Yrs/Mo
Salary
No. of hrs/week
Organization name and address
Position Title
Your Immediate Supervisor
Reason for leaving:
Telephone Number
Duties/Details:
Dates (Mo/Yr)
From
To
Total Yrs/Mo
Salary
No. of hrs/week
Organization name and address
Position Title
Your Immediate Supervisor
Reason for leaving:
Telephone Number
Duties/Details:
Dates (Mo/Yr)
From
To
Total Yrs/Mo
Salary
No. of hrs/week
Organization name and address
Position Title
Your Immediate Supervisor
Reason for leaving:
Telephone Number
Duties/Details:
Dates (Mo/Yr)
From
To
Total Yrs/Mo
Salary
No. of hrs/week
Organization name and address
Position Title
Your Immediate Supervisor
Reason for leaving:
Telephone Number
Duties/Details:
Are you presently employed?
May we contact your employer?
May we contact your former employer(s)?
All individuals who are offered a position at the University of San Diego must present documents proving both identity and legal right
to work in the United States.
I hereby certify that all statements on this application are true and complete to the best of my knowledge and belief. If employed, I understand
that any falsification of this record or failure to disclose fully the information requested may be considered cause for termination.
Signature
Date
Job Number____________
APPLICANT SURVEY FORM
The University of San Diego is an Equal Opportunity Employer. The following information is for statistical purposes only and is not
used to make employment decisions.
Please check appropriate boxes.
Female
Male
Disabled
How did you find out about the job?
Walk in/posting
CA Employment
Development Department
Employment agency
USD web site
USD Job line
Union Tribune
HERC web site
Employee referral
(Name)
Other web site
(Name)
Advertisement
(Name)
Other:
(Name)
RACE OR ETHNIC GROUP(s)
(Please check all that apply)
African-American/Black
(not of Hispanic origins): persons having origins
in any of the black racial groups.
Hispanic/Latino: persons having origins in Mexico, Puerto
Rico, Cuba, Central or South America, or other Spanish culture
or origin regardless of race. This does not include persons of
Portuguese culture or origin.
American Indian or Alaskan Native: persons
having origins in any of the original peoples of
North America and who maintain cultural identification
through tribal affiliation or community recognition.
Native Hawaiian or Other Pacific Islander: persons having
origins in any of the original peoples of Hawaii, Guam, Samoa or
other Pacific islands.
Asian: persons having origins in any of the original
peoples of the far East, Southeast Asia or the Indian
sub-continent (e.g. Cambodia, China, India, Japan, Korea,
Malaysia, Pakistan, the Philippines, Thailand and Vietnam).
White: persons having origins in any of the original peoples
of Europe, North Africa or the Middle East.