Oregon State University Bookstore, Inc.
a private, nonprofit corporation

Employment Application

If you need any help with the employment application, contact Jane Haecker at 541-737-0051.
For technical problems, email admin@osubeaverstore.com

Position applying for:
Location(s):	OSU Campus, Corvallis Keizer Station Downtown Portland
Date available for employment:
Type of employment desired:

Equal access to programs, services and empoyment is available to all persons. Applicants requiring reasonable accomodation to the application and/or interview process should notify the Human Resource Office. State and Federal Law prohibits discrimination in employment because of race, color, religion, sex, age, national origin, marital status or physical or mental handicap or disability.

Oregon State University Bookstore, Inc. is an Equal Opportunity Employer.

Incomplete applications will not be considered.

Personal Information
First Name:
Middle Name:
Last Name:
Email:

Local Address
Street:
City:
State:
Zip Code:
Phone:

Permanent Address
Street:
City:
State:
Postal Code:
County:
Country:
Phone:

Eligibility
Are you legally eligible for employment in the United States?	Yes	No
Have you ever been employed by the Corporation before?	Yes	No	Dates:
Do you have any relatives working for the Corporation?	Yes	No
If yes, list their names and relationships:	HTML formatting allowed.
The following information will only be used if it is directly related to the position for which you are applying. A criminal conviction may not automatically exclude you from consideration.
Have you ever been convicted of a crime?	Yes	No
If yes, please explain fully:	HTML formatting allowed.

Education and Training
School #1
School Name:
City:
State:
Dates:
Major/Program/Course:
Degree/Diploma/Certificate:

School #2
School Name:
City:
State:
Dates:
Major/Program/Course:
Degree/Diploma/Certificate:

School #3
School Name:
City:
State:
Dates:
Major/Program/Course:
Degree/Diploma/Certificate:

Skills and Qualifications

List software, operating systems, foreign languages, equipment, or other skills and qualifications:

HTML formatting allowed.

Employment History
Begin with present or most recent employment, and be sure to explain any gaps in employment.
Company/Organization #1
Company Name:
Supervisor Name:
Phone:
May we contact?	Yes No
City:
State:
Dates Employed:
Wage:
Job Title:
Reason for leaving:
Responsibilities:	HTML formatting allowed.

Company/Organization #2
Company Name:
Supervisor Name:
Phone:
May we contact?	Yes No
City:
State:
Dates Employed:
Wage:
Job Title:
Reason for leaving:
Responsibilities:	HTML formatting allowed.

Company/Organization #3
Company Name:
Supervisor Name:
Phone:
May we contact?	Yes No
City:
State:
Dates Employed:
Wage:
Job Title:
Reason for leaving:
Responsibilities:	HTML formatting allowed.

Company/Organization #4
Company Name:
Supervisor Name:
Phone:
May we contact?	Yes No
City:
State:
Dates Employed:
Wage:
Job Title:
Reason for leaving:
Responsibilities:	HTML formatting allowed.

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