AboutAcademicsAdmissionsAlumni and FriendsAthleticsCampus Life
Home >
Diversity & Equity > Applicant Cover Page
page tools :

To the Applicant:
Thank you for your interest in employment with Central Connecticut State University. In order to help us properly complete the recruitment process, please complete this form and submit it to create a cover page. The cover page will appear on the browser when you click "submit." Print it or save it, attach it to your application materials, and send it to the search committee for review and further action regarding your candidacy.

The information you are asked to provide is based on state requirements and will be used to record applicant flow data and to determine effective methods of advertising for the University. This information will be used only in conformance with legal requirements. CCSU aggressively pursues a program of equal employment and education opportunity and affirmative action.

 

First Name
     
Last Name
     
Middle Initial
     
Search Number
     
Position Applied for:
     
Email Address
     
Race/Ethnicity
   
Black/African American
Asian/Pacific Islander
White
Hispanic/Latino
Native American/Alaskan Native
Decline to Respond
Gender
   
M
F
Disabled
   
Yes
No
Veteran
   
Yes
No
Disabled Veteran
   
Yes
No
How did you hear about this position
   
Professional Journal/Newsletter
Ethnic Media or Women's Media
College/University Placement Office
College/University Academic Department
Professional Society/Association
Referral Agency
Newspaper Advertisement
Word of Mouth (Friend/Colleague)
Other
If you would like a copy of this submission, please put your email address in the field below.

© 2009 CENTRAL CONNECTICUT STATE UNIVERSITY  CONTACT US   SITE MAP      WEBMASTER      DIRECTIONS
email page print page small type large type large type
powered by finalsite