First Name *

MiddleName

Last Name *

Current Street Address *

City *

State * Choose a State AlabamaAlaskaAlberta CanadaAmerican SamoaArizonaArkansasArmed Forces AmericasArmed Forces Europe/Canada/AfricaArmed Forces PacificBritish Columbia CanadaCaliforniaCanadaCanal ZoneColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaForeign Country (FC)Foreign Country (FO)GeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitoba CanadaMarshall IslandsMarylandMassachusettsMexicoMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew Brunswick CanadaNew HampshireNew JerseyNew MexicoNew YorkNewfoundland and LabradorNewfoundland CanadaNorth CarolinaNorth DakotaNorthern Mariana IslandsNorthwest Territories CanadaNovia Scotia CanadaNunavut CanadaOhioOklahomaOntario CanadaOregonOther US Territory/PossessionPalauPennsylvaniaPrince Edward Island CanadaPuerto RicoQuebec Canada (QC)Quebeca Canada (PQ)Rhode IslandSaskatchewan CanadaSouth CarolinaSouth DakotaTennesseeTexasTrust Territories of the PacificUnknownUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingYukon Canada

Zip Code *

Contact Phone Number *

BAC Email Address (if assigned) *

Email Address

Have you ever worked for Belmont Abbey College? *

Yes No

If yes, please provide the dates, job titles and supervisors

Are you, or will you be living on campus while working for Belmont Abbey College?

Yes No

Do you have reliable transportation?

Yes No

Are you able to lift at least 25 pounds with help, and more with assistance, as needed?

*
Yes No

Do you have previous experience officiating or working with Intramurals?

*
Yes No

Described your computer skills. *

What days of the week and times are you available to work, including evenings and weekends? *

Citizenship *

Proof of U.S. citizenship or a valid Student Visa is required to work for Belmont Abbey College. If hired, are you able to present evidence of U.S. citizenship or your legal right to work in the United States within 3 days of your date of hire? For a list of documents required to prove eligibility to work in the U.S., please click on "Payroll and Human Resources Guidelines."
Yes No

Have you ever been convicted of any law violation (except a minor traffic violation)?

* Yes No
A "Yes" answer does not automatically disqualify you from employment, since the nature of the offense, date and the job for which you are applying will also be considered)

If yes, please give details