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Position Information

Job Title*

Department/Office*

Recruitment Number*

Personal Information

First Name*

Last Name*

Address*

City*

State*

Zip Code

Home Phone

() -

Mobile Phone

() -

International Phones

Email*

Are you over the age of 18?*
Yes No

Are you legally eligible to work in the U.S.?*
Yes No

Will you now or in the future require visa sponsorship for employment at Western Oregon University?*
Yes No

Have you ever worked for Western Oregon University before?*
Yes No

If "yes", list department(s) and dates worked:

Please list the name and department of any relatives who work for WOU. (This response is considered for placement purposes. WOU does not place relatives in positions which create supervisor/subordinate relationships):

Employment Application (Faculty/Professional Staff)

Position Information

Personal Information