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  • Street or Post Office BoxCityStateZip 
  • Business NamePresent Position 
  • Educational and Professional Preparation

  • Name of InstitutionStateDates attendedGraduation DateDegree / Major 
  • Name of InstitutionStateDates attendedGraduation DateDegree / Major 
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  • Name of InstitutionStateDates attendedGraduation DateDegree / Major 
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  • Employment Experience

    List most recent employer first
  • You may add up to 4 positions using the plus sign at the end of the row.
    PositionResponsibilitiesInclusive DatesEmployer Name & Address (email preferred)Reason for leaving 
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  • References

    Include how the reference is acquainted with you (supervisor, co-worker, friend, etc.)
  • You may add up to 3 positions using the plus sign at the end of the row.
    NameAddress (email is preferred)PhoneReference Relationship 
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  • Any additional information which you believe will assist us in arriving at a true estimate of your qualifications may be provided in the space below.
  • Veteran Information

  • Certification and Notices

  • TEXARKANA COLLEGE IS AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER

    It is the policy of Texarkana College not to discriminate on the basis of sex, disabilities, race, color, age, or national origin in its educational and vocational programs, activities, or employment as required by Title IX and Title VI. The Texarkana College campus is accessible to the disabled. Texarkana College is committed to full compliance with both the Drug Free Workplace and the Drug Free Schools and Communities Acts.