• Personal Information

  • Colleges and Universities Attended

    Please include all colleges and universities attended, including Mount St. Mary's University. List the most recent first.

  • Work Experience

    List last two employers (most recent first):

  • Authorization and Signature

    I hereby authorize my former employers and individuals listed herein to release to Mount St. Mary's University, and any agent acting on its behalf, my records from any and all former employers, references, and any or all educational institutions, as well as information as to my character and ablility and verification of matters stated herein. I hereby certify that the information supplied in this application and other submitted application materials are complete and correct. I understand that any omission or misstatement herein can be grounds either for refusing to hire me or for terminating my employment if I have already been hired. Moreover, I hereby release Mount St. Mary's University, and any agent acting on its behalf, from any and all liability of whatever nature by reason of requesting such information from any person.

  • Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or differently-abling condition.

  • Should be Empty: