The University of North Carolina at Greensboro is a leading student-centered university linking the Piedmont Triad to the world through learning, discovery, and service. Employment Information We appreciate your interest in employment opportunities at The University of North Carolina at Greensboro. information should answer most of your questions regarding the employment process. The following Affirmative Action/Equal Opportunity Employer: In adherence to the UNCG Policy on Discriminatory Conduct, the University has been and will continue to be committed to the equality of employment opportunities and does not discriminate against applicants or employees based on race, color, national origin, religion, gender, age, disability, creed, veterans status, political affiliation, or sexual orientation. Job Vacancy Listings: The Department of Human Resource Services administers the recruitment and selection of applicants for staff vacancies that are Subject to the State Personnel Act (SPA). Vacant positions are published weekly in our Job Vacancy List and on our Web site (http://staffjobs.uncg.edu) and are recorded on our Jobs Hotline (336-334-5023 and TTY 336-334-5009). Application Process: Applications are received in the Department of Human Resource Services between 8:00 a.m. and 4:00 p.m., Monday through Friday. Any applications sent by mail or e-mail must be received by 4:00 p.m. on the deadline date for the specific position indicated. Human Resource Services cannot forward incomplete applications or applications received after the deadline date for inclusion in the applicant pool. To apply, you must submit a UNC Greensboro Application (Form HR-207 & 207A) for each position for which you wish to be considered. Photocopies with the current date and an original signature will be accepted. Resumes and cover letters may be submitted as a supplement to the required application. Applications may be e-mailed as attachments to : staffjobs@uncg.edu . E-mailed applications shall be signed during interview. Persons with disabilities who need additional accomodations to those provided may contact Human Resource Services by phone, e-mail or regular mail. Applications must be forwarded to: Department of Human Resource Services The University of North Carolina at Greensboro P.O. Box 26170 Greensboro, NC 27402-6170 Location: 1100 West Market Street (336) 334-5009 E-mail: staffjobs@uncg.edu The minimum employment age is eighteen years. Law enforcement officers must be at least twenty-one years of age. There is no maximum age for employment. Positions Considered “Sensitive”: Certain positions may be considered “sensitive.” A criminal background check will be conducted for an applicant who is selected as the final candidate for a sensitive position. A criminal record does not necessarily eliminate an applicant from employment. Each conviction will be reviewed with respect to the offense, circumstances, seriousness, and the position for which the applicant has applied. When You Will Hear From Us: Hiring decisions are typically made within four to six weeks after the deadline date for applications. If you have been selected for an interview, you will be contacted personally to schedule an appointment with the department. Applicants interviewed will be notified if they are not selected for a position. WHEN COMPLETING THIS APPLICATION, PLEASE MAKE SURE YOU: 1. Use a black ink pen or typewriter. 2. Complete all sections of the Application for Employment, giving full information on your education and work history. Applications without a complete work history will not be considered. “See Resume” is not acceptable. 3. List separately each job held and your duties for each position when you worked for one employer and held more than one position. 4. Check all responses for accuracy, then sign and date your application. Unsigned applications will not be processed. Incomplete Applications Will Not Be Considered VOLUNTARY APPLICANT SELF-IDENTIFICATION SURVEY The University of North Carolina at Greensboro is an Equal Opportunity/Affirmative Action Employer. The Federal Government requires us to monitor and to be able to produce data pertaining to the gender, ethnic background, citizenship, veteran status and disabilities of our job applicants. In keeping with the University’s status as an AA/EOE employer, this information will in no way affect you as an applicant. The purpose of this information is to monitor how well our recruitment efforts are reaching segments of the populations. Completion of this Personal Data Sheet is voluntary. Should you accept an employment offer, you are then required to provide the following information: gender, date of birth, ethnic background, citizenship information, and social security number. NAME (as appears on Social Security Card): Last First Last 4 digits of SSN BIRTH DATE: GENDER Male Female Middle Month Date Year ETHNIC BACKGROUND 1 - White (non-Hispanic): Origins in Europe, North Africa, or the Middle East. 2 - Black (non-Hispanic): Origins in any of the black racial groups. 3 - American Indian or Alaskan Native: Origins in the original peoples of North America. 4 - Asian or Pacific Islanders: Origins in the Far East, Southeast Asia, the Indian sub-continent, or the Pacific Islands. 5 - Hispanic: Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin regardless of race. 6 - Other CITIZENSHIP C - U.S. Citizen R - Resident Foreign National An alien who has been admitted for permanent resident (must have Alien Registration Receipt N - Non-Resident Foreign National (An alien admitted temporarily for specific purposes and periods of time.) THIS APPLICATION IS IN RESPONSE TO (please specify one): UNCG Job Vacancy Listings Human Resource Services Job Hotline UNCG Human Resource Services Web Site Newspaper Journal Other Electronic/Internet Sites Personal Referral Employment Security Commission (Job Service) – indicate which local office: Other APPLICATION FOR EMPLOYMENT Form HR-207 (Rev. 1/00) PLEASE PRINT OR TYPE WITH BLACK INK An equal opportunity/affirmative action employer EMPLOYMENT Enter below the specific position number and job title for which you are applying. List only one position per application. Position No.: Job Title: PLEASE CHECK IF INTERESTED IN TEMPORARY EMPLOYMENT: Last 4 digits of your Social Security Number: ________ Name (as appears on Social Security Card): FIRST NAME MIDDLE NAME LAST NAME Address (street & no. or RFD): County: City: State: Telephone: Home (or where you can be reached) Zip: Business: Area Code Number Area Code Number GENERAL INFORMATION a. Check the following which you have: Driver’s License No. State Exp. Date ; Commercial Driver’s License No. State b. Have you ever been convicted of any unlawful offense* (other than a minor traffic violation?) crime for which you were convicted: Yes Exp. Date No If yes, list the date of the conviction and *A criminal record does not necessarily eliminate you from employment with the University. Each conviction will be reviewed with respect to the offense, circumstances, seriousness, and the position for which you apply. c. Are you related by blood or marriage to any person now working for the State of N.C. or The University of North Carolina at Greensboro? If yes, list name, relationship to you and the agency where employed: d. Are you presently employed by the State of North Carolina? Yes Yes No Yes No No MILITARY SERVICE Are you a veteran OR the spouse of a disabled veteran? Yes No; If a veteran, do you wish to declare a service-related disability? Are you a dependent OR the surviving spouse of a veteran who died in service? Yes No Dates of Military Service: Entered ; Separated EDUCATION AND TRAINING (Verification of degree/diploma/certificate received and/or credit hours earned will be conducted for each employee.) Credit hours earned must be listed for application to be complete Circle highest grade completed 1 2 3 4 5 6 7 8 9 10 11 12 GED High School Name Education Beyond High School College Or University Name: College Or University Name: College Or University Name: College Or University Name: Location ATTENDED FROM TO MO. YR. MO. YR. CREDITS EARNED QUARTER CREDITS EARNED SEMESTER TYPE OF DEGREE, DIPLOMA OR CERTIFICATE RECEIVED DATE GRADUATED MONTH/YEAR MAJOR SUBJECT Location: Location: Location: Location: List special training programs and seminars you have completed in the last five years: COMPUTER SKILLS – Check as applicable; also list computer courses you have taken and any special computer skills you possess: IBM (Windows or DOS) Microsoft Word Excel WordPerfect PowerPoint Harvard Graphics Lotus 1-2-3 Macintosh Access dBase PageMaker Programming LAN Management VAX/VMS Other: Other: Additional Comment: MEMBERSHIP IN PROFESSIONAL, HONORARY, OR TECHNICAL SOCIETIES (List): LICENSE/CERTIFICATES: List of fields of work for which you are registered: Registration: State: No.: Registration: State: No.: DO NOT COMPLETE THIS BLOCK Degrees and professional credentials ? have b een verified ? will be verified within 90 days (G.S. 126-30) Person responsible ______________ EMPLOYMENT HISTORY Name: INSTRUCTIONS: List your present or most recent position FIRST. If you have held more than one position with any employer, list separately each position held. Include any unpaid experience. List all periods of unemployment. Applications with “see attached” will be incomplete. Resume information supplements, but is not a substitute for completing in detail your application. A. Starting Salary Title of present or last position Employed From Mo. Full Time Yrs. Yr. Mos. Employed To Mo. Part Time Yrs. Employer Supervisor’s Name Address: Supervisor’s Title: Yr. Supervisor’s Telephone Mos. Ending or CurrentNumber Salary If part-time, # hrs. work per week Last/Present Salary Supervised By You Reason for Leaving May we contact employer Yes No Duties and Responsibilities: B. Starting Salary Title of last position Employed From Mo. Full Time Yrs. Yr. Mos. Employed To Mo. Part Time Yrs. Ending or Current Salary If part-time, # hrs. work per week Employer Last/Present Salary Supervisor’s Name Yr. Address Mos. Number Supervised By You Supervisor’s Title Reason for Leaving Supervisor’s Telephone May we contact employer: Yes No Duties and Responsibilities: C. Starting Salary Title of last position Employed From Mo. Full Time Yrs. Yr. Mos. Employed To Mo. Part Time Yrs. If part-time, # hrs. work per week Duties and Responsibilities: Employer Last/Present Salary Supervisor’s Name Yr. Address Supervisor’s Title Supervisor’s Telephone Mos. Number Supervised By You Reason for Leaving May we contact employer Yes No EMPLOYMENT HISTORY, continued: Name: D. Starting Salary Title of last position Employed From Mo. Full Time Yrs. Yr. Mos. Employed To Mo. Part Time Yrs. Employer Supervisor’s Name Address Supervisor’s Title Yr. Supervisor’s Telephone Mos. Ending or Current Salary Number If part-time, # hrs. work per week Last/Present Salary Supervised By You Reason for Leaving May we contact employer Yes No Duties and Responsibilities: E. Starting Salary Title of last position Employed From Mo. Full Time Yrs. Yr. Mos. Employed To Mo. Part Time Yrs. Ending or Current Salary If part-time, # hrs. work per week Employer Last/Present Salary Supervisor’s Name Yr. Address Mos. Number Supervised By You Supervisor’s Title Reason for Leaving Supervisor’s Telephone May we contact employer Yes No Duties and Responsibilities: F. Starting Salary Title of last position Employed From Mo. Full Time Yrs. Yr. Mos. Employed To Mo. Part Time Yrs. If part-time, # hrs. work per week Duties and Responsibilities: Last/Present Salary Employer Supervisor’s Name Address Supervisor’s Title Yr. Supervisor’s Telephone Mos. Number Supervised By You Reason for Leaving May we contact employer Yes No EMPLOYMENT HISTORY, continued: Name: G. Starting Salary Title of last position Employed From Mo. Full Time Yrs. Yr. Mos. Employed To Mo. Part Time Yrs. Employer Supervisor’s Name Address Supervisor’s Title Yr. Supervisor’s Telephone: Mos. Ending or Current Salary Number If part-time, # hrs. work per week: Last/Present Salary Supervised By You: Reason for Leaving: May we contact employer: Yes No Duties and Responsibilities: H. Starting Salary Title of last position Employed From Mo. Full Time Yrs. Yr. Mos. Employed To Mo. Part Time Yrs. Ending or Current Salary If part-time, # hrs. work per week Employer Last/Present Salary Supervisor’s Name Yr. Address Mos. Number Supervised By You Supervisor’s Title Reason for Leaving Supervisor’s Telephone May we contact employer Yes No Duties and Responsibilities: I certify that I have given true, accurate and complete information on this form to the best of my knowledge. In the event confirmation is needed in connection with my work, I authorize educational institutions, associations, registration and licensing boards, and others to furnish whatever detail is available concerning my qualifications. I authorize investigation of all statements made in this application and understand that false information or documentation, or a failure to disclose relevant information may be grounds for rejection of my application, disciplinary action or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon employment shall be mandatory if fraudulent disclosures are given to meet position qualifications. (Authority G.S. 126-30. G.S. 14-122.1) _____________________________________________________ SIGNATURE OF APPLICANT (unsigned applications will not be processed) E- MAIL ADDRESS (OPTIONAL) ? RETURN COMPLETED FORM TO: Department of Human Resource Services The University of North Carolina at Greensboro P.O. Box 26170 Greensboro, NC 27402-6170 Location: 1100 West Market Street (336) 334-5009 E- mail : staffjobs@uncg.edu DATE Equal Employment Opportunity Statement In adherence to the UNCG Policy on Discriminatory Conduct, the University has been and will continue to be committed to the equality of employment opportunities and does not discriminate against applicants or employees based on race, color, national origin, religion, gender, age, disability, creed, veterans status, political affiliation, or sexual orientation.