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NEW YORK MEDICAL COLLEGE

APPLICATION FOR POSITION BEING POSTED


(Application for College Employees Only)
It is the policy of New York Medical College to provide equal employment
opportunities to all employees without regard to race, color, religion, sex, age,
national origin, handicap or veterans status.
DATE _____________________________

NAME _________________________________ DEPT. _________________________


DATE OF HIRE ________________________ WORK EXT. __________________
CURRENT POSITION __________________________________________________
LENGTH OF TIME IN CURRENT POSITION ______________________________
POSITION APPLIED FOR _______________________________________________
REASON FOR TRANSFER ______________________________________________
________________________________________________________________________
________________________________________________________________________
QUALIFICATIONS _____________________________________________________
________________________________________________________________________
________________________________________________________________________
SIGNATURE _____________________________
**PLEASE ATTACH YOUR RESUME**
Please submit to Alicia Parrish, Employment Manager within the 5-day posting
period.
HR-22

1/31/05

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