Employment Application

Contact Information:

Name 

Campus Address 

Permanent/Home Address  

Local Phone (or cell phone)  

Email:  

Year in School 

Graduation Date 

Number of hours currently enrolled 

Availability:

Time Morning Afternoon Evening
Monday
Tuesday
Wednesday
Thursday
Friday

Employment History:

Employer Dates Employed Phone

Professional References:

Name Company Relationship Phone

Other:

Are you currently employed on or off campus?
Are you currently receiving financial aid?
Are you eligible for work study?

Please indicate your interest in the following opportunities (Check all that apply): 

Event Planning

Marketing

Peer Mentor

Recruitment

Web Page Design

 

Related Experience:

Describe Experience Dates Currently Involved?