UNIVERSITY OF ARKANSAS AT PINE BLUFF
Division of Student Affairs
Office of Career Services
Student Credentials
(Information you provide is strictly confidential and will not be shared without your permission.)
PLEASE PRINT CLEARLY
First Name / MI / Last Name
Student Id / Gender / MaleFemale
Cell or Message # / E-Mail
Hometown Newspaper
Please check one: (Voluntary)
American Indian/Alaska Native International Student VISA #
Black (African American) Veteran
White (Caucasian) Disability
Asian/Pacific Islander Other ______
Hispanic / University Status:
Freshman Graduate Student
Sophomore Alumni _____(yr)
Junior
Senior
Major / Expected Graduation

Student Agreement

CONSENT TO RELEASE RECORDS (Please Initial)

  • I grant the Office of Career Services permission to release my resumeand other placement credentials to prospective employers. ______
  • I certify that the information furnished to the Career Center on my resume is correct. I understand that furnishing false information is a violation of student standards of conduct. If false information is discovered, I could be deniedthe use of the Career Center services. Notification of the false information will then be sent to all companies to whom the false information was submitted. ______
  • I understand that demographic data on gender, ethnicity (race), disability and veteran status collected in the on-line registration is voluntary. I understand that leaving these fields blank will not affect my registration in the University of Arkansas at Pine Bluff Career Services office requesting this information. ______
  • I understand that the Career Center requires my GPA be included in the demographic data section and on the resume(s) submitted through the on-line registration process for on-campus interviewing, resume referral, and job vacancy database. ______
  • I hereby authorize the Office of Career Services and Academic Records to release all materials relating to me contained in the files to all prospective employers for the purpose of furthering their efforts to assist me in securing employment. ______

ACKNOWLEDGMENT OF JOB SEARCH ETHICS (Please Initial)

  • When I accept a job offer in good faith, I will:
  1. Stop all interviewing ______
  2. Notify, on a timely basis, all other employers actively recruiting me that I have accepted an employment offer ______, and
  3. Fulfill my commitments in the job offer I have accepted, and not consider other offers of employment. ______
  • If I need to cancel a scheduled interview, I will do so within 48 hours. If I cancel a Career Center interview after 4:00pm on

the business day prior to the interview, the No Show and Late Cancellation Policy will be enforced. I will cancel interview by contacting the Career Counselor by telephone or in person. Cancellations by e-mail are not acceptable. ______

______
STUDENT SIGNATUREDATE

FOR OFFICE USE ONLY
GPA:______Date Verified: ______Verified by: ______
______
SIGNATURE OF COORDINATOR DATE