Date of Application:
Personal Information:
* First name:
* Street address:
* Last name:
* City:
Middle:
* State/Territory:
--
US-AK
US-AL
US-AR
US-AZ
US-CA
US-CO
US-CT
US-DC
US-DE
US-FL
US-GA
US-HI
US-IA
US-ID
US-IL
US-IN
US-KS
US-KY
US-LA
US-ME
US-MA
US-MD
US-MI
US-MN
US-MO
US-MS
US-MT
US-NC
US-ND
US-NE
US-NH
US-NJ
US-NM
US-NV
US-NY
US-OH
US-OK
US-OR
US-PA
US-RI
US-SD
US-SC
US-TN
US-TX
US-UT
US-VT
US-VA
US-WA
US-WV
US-WI
US-WY
US-OTHER
* Home Phone #:
* ZIP/Postal code:
Mobile #:
Country:
--Please select--
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cayman Islands
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Lao Democratic Republic
Latvia
Lebanon
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Malta
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saint Lucia
Saint Vincent Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Sierra Leone
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vatican
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Work Phone #:
Format: ###-###-####
Your email address will be used as your login name allowing you to return to our website to view your status and update your profile. If you do not have an email address, you can obtain a free account at Yahoo or Hotmail . Please make sure that the syntax of your email address is in the following form: username@ispname.com
* Email:
Please create your password
* Password:
Re-type new password:
Additional Questions:
* Date Available:
* Position Applied For:
* Desired Salary:
* Full / Part Time Preference:
--Please select--
Full Time
Part Time
If part time, please list the days and hours/week.
Days and Hours per Week:
Please indicate a campus you maybe interested in.
Campus:
--Please select--
Arlington, TX
Aurora, CO
Corporate - Mission, KS
CYMA - Spokane, WA
Dallas, TX
Ft. Lauderdale, FL
Garden Grove, CA
Jacksonville, FL
Kansas City, MO
Memphis, TN
Miramar, FL
North Hollywood, CA
Orlando, FL
Portland, OR
San Antonio, TX
San Bernardino, CA
San Diego, CA
Tampa, FL
1) Have you ever been employed by this organization?
* Ever Applied / Worked:
--Please select--
Yes
No
If Yes, When and Where:
Under what name?:
2) Do you have relatives employed by this organization? If yes, give name, relationship, and location.
* Relatives Employed:
--Please select--
Yes
No
Name of Relative:
Relationship:
Relative Work Location:
3) Apart from absence for religious observances, are you willing to:
* Work Overtime?:
--Please select--
Yes
No
* Work on Saturdays?:
--Please select--
Yes
No
* Night/Weekend Meetings?:
--Please select--
Yes
No
4) Are you under 18 years of age?
* Under 18?:
--Please select--
Yes
No
If yes, state your age:
5) Are you able to perform all essential functions of the job for which you are applying with or without reasonable accommodation?
* .:
--Please select--
Yes
No
6) Since reaching age 18, have you ever been convicted of any criminal offense other than a minor traffic violation? If yes, please tell us when, where, and disposition of your case.
* Conviction Disclosure:
--Please select--
Yes
No
* Conviction Details:
Convictions will not necessarily bar you from employment, but are reviewed as related to the relevancy of the job applied for as well as the time of conviction.
(California Applicants Only - DO NOT disclose marijuana convictions covered by California Labor Code Section 432.8 that are more than two years old, information concerning referral to, and participation in, any pretrial or post trial diversion program, any conviction for which the record has been judicially ordered sealed, expunged, or statutorily eradicated, any misdemeanor conviction for which probation has been successfully completed or otherwise discharged and judicially dismissed pursuant to Penal Code Section 1203.4)
7) Driver's license: If the position for which you are applying requires you to drive on Company business, do you have a valid driver's license in this state?
* Valid Driver's License?.:
--Please select--
Yes
No
Drivers License #:
OUR POLICY IS TO PROVIDE EQUAL OPPORTUNITY TO ALL QUALIFIED APPLICANTS AND EMPLOYEES WITHOUT REGARD TO RACE, COLOR, RELIGION, NATIONAL ORIGIN, ANCESTRY, SEX, AGE, HANDICAP, MARITAL OR VETERAN STATUS OR ANY OTHER LEGALLY PROTECTED STATUS OR CONDITION.
Education History:
High School:
* School & Location:
* Did you graduate?:
--Please select--
Yes
No
* Years Completed:
* Diploma/Degree Earned:
College:
School & Location.:
Did you graduate?.:
--Please select--
Yes
No
Years Completed.:
Diploma/Degree Earned.:
Other:
School & Location..:
Diploma/Degree Earned..:
Years Completed..:
You will be required to submit an official transcript for all academic credentials claimed on your application and/or resume. This information will be verified.
Professional License/Certifications:
Type:
Expiration Date:
State:
--Please select--
US-AK
US-AL
US-AR
US-AZ
US-CA
US-CO
US-CT
US-DC
US-DE
US-FL
US-GA
US-HI
US-IA
US-ID
US-IL
US-IN
US-KS
US-KY
US-LA
US-ME
US-MA
US-MD
US-MI
US-MN
US-MO
US-MS
US-MT
US-NC
US-ND
US-NE
US-NH
US-NJ
US-NM
US-NV
US-NY
US-OH
US-OK
US-OR
US-PA
US-RI
US-SD
US-SC
US-TN
US-TX
US-UT
US-VT
US-VA
US-WA
US-WV
US-WI
US-WY
US-OTHER
Registration #:
Type.:
Expiration Date.:
State.:
--Please select--
US-AK
US-AL
US-AR
US-AZ
US-CA
US-CO
US-CT
US-DC
US-DE
US-FL
US-GA
US-HI
US-IA
US-ID
US-IL
US-IN
US-KS
US-KY
US-LA
US-ME
US-MA
US-MD
US-MI
US-MN
US-MO
US-MS
US-MT
US-NC
US-ND
US-NE
US-NH
US-NJ
US-NM
US-NV
US-NY
US-OH
US-OK
US-OR
US-PA
US-RI
US-SD
US-SC
US-TN
US-TX
US-UT
US-VT
US-VA
US-WA
US-WV
US-WI
US-WY
US-OTHER
Registration #.:
Type..:
Expiration Date..:
State..:
--Please select--
US-AK
US-AL
US-AR
US-AZ
US-CA
US-CO
US-CT
US-DC
US-DE
US-FL
US-GA
US-HI
US-IA
US-ID
US-IL
US-IN
US-KS
US-KY
US-LA
US-ME
US-MA
US-MD
US-MI
US-MN
US-MO
US-MS
US-MT
US-NC
US-ND
US-NE
US-NH
US-NJ
US-NM
US-NV
US-NY
US-OH
US-OK
US-OR
US-PA
US-RI
US-SD
US-SC
US-TN
US-TX
US-UT
US-VT
US-VA
US-WA
US-WV
US-WI
US-WY
US-OTHER
Registration #..:
Type...:
Expiration Date...:
State...:
--Please select--
US-AK
US-AL
US-AR
US-AZ
US-CA
US-CO
US-CT
US-DC
US-DE
US-FL
US-GA
US-HI
US-IA
US-ID
US-IL
US-IN
US-KS
US-KY
US-LA
US-ME
US-MA
US-MD
US-MI
US-MN
US-MO
US-MS
US-MT
US-NC
US-ND
US-NE
US-NH
US-NJ
US-NM
US-NV
US-NY
US-OH
US-OK
US-OR
US-PA
US-RI
US-SD
US-SC
US-TN
US-TX
US-UT
US-VT
US-VA
US-WA
US-WV
US-WI
US-WY
US-OTHER
Registration #...:
Work Experience Instructions:
Please list all employment for the last 10 years starting with your most recent employer. Complete all the information requested for each employer below. Please account for all period of unemployment as well.
Please click on the "Add Work History" button below to add each of your work histories.
Employment History
Special Skills:
Typewriter/WPM:
Word Processor Model:
PC Experience:
Windows Based
Macintosh
Linux
Unix
AS400
CRT:
--Please select--
Yes
No
10 Key Adding Machine:
--Please select--
Sight
Touch
Foreign Language(s):
Dictaphone:
--Please select--
Yes
No
Shorthand/WPM:
Software:
Other Office Skills:
Please include any other information you think would be helpful to us in considering you for employment, such as additional work experience, publications, activities, accomplishments, etc. (You may exclude all information indicative of age, sex, race, religion, color, national origin, handicap, marital or veteran status.)
Other Information:
Are you willing to provide necessary documentation to establish your identity and your authorization to work in the United States under the Immigration Reform and Control Act of 1986?
* Authorization Documentation:
--Please select--
Yes
No
How did you hear about this employment opportunity?
* Source:
--None--
Associate Referral
Association Website
Careerbuilder
Careers Website
CASFAA
Craig’s List
Get Nurse Educator Jobs
Google
Healthcare Education Association
HealtheCareers
Higher Ed
HotJobs
iHire
Indeed
Inside Higher Ed
Job Fox Intro
Job.com
Jobdango
Jobing.com
Linked In
MedHunters
Monster
NASFAA
Newpaper
Nurses Lounge
Other
Postcard
Recruiter
Rehire
Simply Hired
Sologig
Top USA Jobs
Trade Journal
Walk In
Yahoo/Hot Jobs
Specify Other Source:
If you were referred to this position by one of our current associates please list their name in the "Referred By" box below.
Referred By:
For reference checking purpose, please list other names under which you worked or attended school.
Other Names Used:
Applicant's Statement:
I hereby affirm the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also agree that falsified information or significant omissions in my application or in the interview may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations named in this application (and accompanying resume, if any) to provide any relevant information that may be required to arrive at an employment decision. In consideration of my employment, I agree to conform to the policies and rules of this Company and further agree and understand that my employment can be terminated, with or without cause, at any time at the discretion of the employer or myself. I understand no management official of Concorde Career Colleges, Inc., has any authority to enter into any agreement contrary to the foregoing or to make any oral assurance or promise of continued employment to me.
* I Agree:
* Affirmation Date:
* Initials:
Resume & Cover Letter
Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF PDF, TXT, HTML. Or you can paste a plain text version in the text area below. You can also use the text area for a cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.
Add Resume & Attachments
Supported formats: DOC, DOCX, RTF, PDF, TXT, HTML
Cover Letter: Text Resume: