University of Maryland Baltimore County



University of Maryland Baltimore County

Upward Bound Program

Date:_____________

Employment Application

The following is required for an application to be complete:

← Two (2) letters of recommendation

A resume (teachers) or an official transcript (tutors)

|Directions: Only completed applications will be processed. For an application to be completed, all questions must be answered and the documents specified above |

|must be received. If a question does not apply to you, fill in the letters "N/A." |

|Name | | | |Sex | |

|Address | |

|City | |State | |Zipcode | |

|Home# | |Cell# | |Campus# | |

|Desired Position | | | |

|Available Starting Date | |Referred By | |

|e-mail Address | |

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|Employment History (past-present): Do you consent to having your past employers contacted for references? __________ |

|Place |Position |Dates |Salary |Reason For Leaving |

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|Educational Background: |

|Institution |Dates |Degree Earned |Major |Minor |

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|Hobbies:____________________________________________________________________________________________________________________________________________________________|

|_____________________________________________________________________________________________________________________________ |

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|University of Maryland Baltimore County |Tel. (410) 455-2700 |

|1000 Hilltop Circle |Voice//TTY (410) 455-3233 |

|Baltimore, MD 21250 | |

Employment Application

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|Extra-curricular activities you can supervise: |

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|Have you ever been convicted of a crime other than a misdemeanor? Yes { } No { } |

|If yes, explain in detail: |

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|Will you be able to perform all the duties required of you? Yes { } No { } If no, explain |

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|Are you available to work evening hours? Yes { } No { } |

|Please give a brief statement of your philosophy on education: |

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Student Applicants Only!

List the courses that you feel competent in tutoring

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Are you on College Work-Study? Yes { } No { }

If Yes, Financial Aid Director ______________________________Telephone #____________________________

I affirm that to the best of my knowledge all information given in this application is accurate and true. I understand that any false information may jeopardize any employment opportunities I may be offered.

Your Signature __________________________________________________Date________________________

Please Do not write below this line--office use only

The University of Maryland Baltimore County's policy of fair employment practices, prohibits employment discrimination for reasons of race, gender, age, religion, or physical disability.

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