Title Hourly Rate/Salary Full-time Part-time Reason for Leaving Employer Telephone Number Job Duties Address Dates of Employment Title Hourly Rate/Salary Full-time Part-time History Reason for Leaving Employment (Continued) Employer Telephone Number Job Duties Address Dates of Employment Title Hourly Rate/Salary Full-time Part-time History Reason for Leaving Employment (Continued) May we contact your current employer? Yes No or Awards, Activities Professional Certificates Skills, Please list three references, other than relatives, who can provide information verifying qualifications, character, or work experience. Name and Title Address Phone Number References For the purposes of disclosure, relative includes any person related within the fourth degree of affinity or consanguinity to any job, position, or office of profit with state or with any of its agencies. Are you a relative of any employee in the Alabama Community College system, including (name of college), or any member of the Alabama Community College System Board of Trustees? Yes No Family If yes, list the name(s), relationship, and employer/position of relative(s): Relationship Have you ever been convicted of or pled no contest or guilty to any felony or any crime involving theft, dishonesty, violence, or sexual misconduct? Yes No If yes, explain Felony Conviction(s)
Title Full-time Part-time Hourly Rate/Salary Reason for Leaving Employment History (Continued) Employer Telephone Number Job Duties Address Dates of Employment Title Full-time Part-time Hourly Rate/Salary Reason for Leaving Employment History (Continued) Employer Telephone Number Job Duties Address Dates of Employment Title Full-time Part-time Hourly Rate/Salary Reason for Leaving May we contact your current employer? Yes No Skills, Awards, Certificates or Professional Activities References Please list three references, other than relatives, who can provide information verifying qualifications, character, or work experience. Name and Title Address Phone Number Family Relationship For the purposes of disclosure, relative includes any person related within the fourth degree of affinity or consanguinity to any job, position, or office of profit with state or with any of its agencies. Are you a relative of any employee in the Alabama Community College system, including (name of college), or any member of the Alabama Community College System Board of Trustees? Yes No If yes, list the name(s), relationship, and employer/position of relative(s): Felony Conviction(s) Have you ever been convicted of or pled no contest or guilty to any felony or any crime involving theft, dishonesty, violence, or sexual misconduct? Yes No If yes, explain
NonCreditTrainerApp.docx