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  • Employment Application

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  • Employment History

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  • Education and Military Experience

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  • References

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  • Agreement (PLEASE READ CAREFULLY)

  • I hereby affirm that all statements made herein are true and correct. I authorize Kiamichi Technology Centers (herein called Kiamichi Tech), to conduct whatever investigation it deems necessary to confirm the information given on this application and in an interview. I understand and agree that any false or misleading information given or omission of fact shall be sufficient grounds for dismissal.


    I authorize any agent, firm, former employer, person, school, or organization given as a reference to answer any and all questions that may be asked, to give any information that may be requested in connection with this application. I also certify the agent, firm, former employer, person, school, or organization who may furnish such information concerning me shall not be held accountable for giving this information. I hereby release the said agent, firm, former employer, person, school, or organization from any and all liability as a result of furnishing such information.


    I understand that Kiamichi Tech has a responsibility to employ only those persons who are qualified in every respect.


    I understand that it is the policy of Kiamichi Tech to conduct a national criminal history records check on every prospective employee of Kiamichi Tech pursuant to 70 O.S. section 5-142 as amended.


    I understand I may be employed on a temporary basis for up to sixty (60) days pending the receipt of the national criminal history records check search results.

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  • Kiamichi Tech does not discriminate on the basis of race, color, sex, pregnancy, gender, gender expression or identity, national origin, religion, disability, veteran status, sexual orientation, age, or genetic information with respect to its programs or any aspect of its operations. The following person has been designated to handle inquiries concerning the application of Kiamichi Tech non-discrimination policies:

    Jay R. Warren, Title IX Coordinator,

    1004 Highway 2 N

    Wilburton, OK 74578

    (918) 465-2323.

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