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The form below is to be completed by those applying for a staff position at Bluefield College.
If you experience any technical issues while completing the application or uploading employment documents, please try working in a different browser. If problems persist, contact Judy Pedneau at
Preferred First Name*
Include street or P.O. box, city, state and zip.
Position of Interest*
Date You Can Start*
Undergraduate Major and Degree
Additional Undergraduate Work
Graduate Major and Degree
Additional Graduate Work
Employment History 1
Employment History 2
Employment History 3
Employment History 4
Employment History 5
Do you have legal right to be employed in the U.S.?*
Bluefield College will require proof of legal right to work in the U.S. after an individual’s acceptance of an offer of
May we contact your present employer?*
Are you related by blood or marriage to any person currently employed at Bluefield College?*
If yes, please provide the name, relation, and department.*
If no, simply confirm.
Have you ever been convicted of a misdemeanor or felony other than a minor traffic violation?*
If yes, please explain.
Answering "yes" will not automatically disqualify you from employment consideration. If you have never been convicted of a misdemeanor or felony, simply confirm.
Please provide three persons (other than relatives).
Reference 1 Address*
Reference 1 Phone*(
Reference 2 Address*
Reference 2 Phone*(
Reference 3 Address*
Reference 3 Phone*(
Statement of Faith*
I certify that answers in this application are true and complete to the best of my knowledge. I authorize Bluefield College to verify any information contained in this application for employment as necessary to arrive at an employment decision. I understand that Bluefield College is an at-will employer. I understand that false or misleading information given in my application or interview(s) may result in disqualification of my application for employment or discharge if I am employed by the College.