Please fill out the application to the best of your ability.
* Date / /
* required fields
* Student ID No.
* Your Name
Campus Address
Permanent Address
* Personal Phone No.
Year in School
Major
Avg. No. of Credits/Sem.
Expected Graduation Date
Please provide information regarding your two most recent work experiences.
Employer
Address
Phone No.
Dates of employment thru
Type of work
Yes No May we contact the above for references?
Please list the position(s) you are applying for
Yes No Would you be interested in temporary employment? (Approximately 10 days a semester)
Yes No Are you eligible for Regular Funds?
Are you eligible for Work Study? -- None -- Federal State
Total Work-Study allocation/Sem Fall $ Spr. $
Why should we hire you?
What is your career goal?
List your future commitments and dates that may require you to temporarily leave your position: (i.e. internship, EuroSpring, Student Teaching, etc.)
References (Two personal references required)
* Reference No. 1
* Reference No. 2
Reference No. 3
Reference No. 4
Reference No. 5
Reference No. 6
I attest that all of the information above is true.
Select the number of classes you are taking: 1 2 3 4 5 6 7 8 9 10
No Classes
Semester Fall Spring Summer I Summer II
Class Time 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM thru 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM
Check the days this class takes place. Monday Tuesday Wednesday Thursday Friday
* Verification code Enter the verification code as it is shown in the image above.