ࡱ> '` bjbjLULU ;r.?.?$===8(>Lt>U?????@@@@UBUBUBUBUBUBU$WhZvfUD@@DDfU??4{U G G GD??@U GD@U G GI4J?? ;O=EvJJt U0UJ,{ZE{Z4J{Z4J@A GBVCG@@@fUfUF^@@@UDDDD6 < < Student Employment Application ʮ² Please type or print legibly and answer EVERY question. Name:  Preferred Name:  Campus Box #:  Phone #: (FR, SO, JR, SR) Class Year:  Permanent Address: City: State: Email:  Alt. Email:  Major(s):  Have you been awarded work study? Yes/No If yes, how much? $ Are you available to work occasionally during: Evenings? Weekends? Semester breaks? Computer Skills: PC/Mac Estimated Typing Speed: wpmTelephone: Yes /No Fax: Yes/No Do you have any experience working in an office setting? Yes/No  If yes, what were your responsibilities? What unique qualities do you feel you would bring to this position? What are other skills and/or experience that might apply to this position? Why are you interested in this position? What activities are you involved with on campus? Employment experience (list most recent position first): EmployerPositionSupervisors NamePhone Number            Have you ever been employed by ʮ²? Yes / No If yes, please list the department, supervisor(s), and dates below:  References (school or work-related) Name:Title:Phone:Name:Title:Phone:Name:Title:Phone:Name:Title:Phone: How did you hear about this position? JobCat / CareerTalk / Facebook / Poster/ Website/ Friend / Job Fair / Other Please attach a recent copy of your resume. Only completed applications with attached resumes will be considered. Verification: PLEASE READ THE FOLLOWING AND SIGN BELOW. I understand the information contained herein will be held confidential and is the property of ʮ². I certify that the information contained herein is complete, accurate, and truthful to the best of my knowledge and belief. I hereby authorize ʮ² to perform a reference check, review ʮ² conduct records, and confirm my grade point average during the processing of my application. I understand that any misrepresentation on my part may be cause for refusal to employ or future dismissal. My signature below affirms that I have read, understand, and agree to the above terms. SignatureDate An Equal Opportunity Employer- ʮ², as an educational institution and as an employer, values equality of opportunity and racial/ethnic and cultural diversity. Accordingly, the University prohibits and will not engage in discrimination on the basis of race, religion, national origin, color, sex, age, sexual orientation, disability, workers compensation or veteran status or any other reason prohibited by law. All applicants will be given equal opportunity and all selection decisions will be based on job-related factors. Please complete the attached weekly schedule indicating the hours you are AVAILABLE to work. Work Study Schedule Worksheet Please indicate ONLY the hours you are willing to work. We require a ___hour minimum for any working period, with the exception of the 12-1pm lunch hour. The department will be open from __am __pm, Monday _____. However, we may have student staff meetings and programs/events after hours. Please indicate your interest for additional hours. The hours you mark are only to assist us in putting together a complete schedule for all our work-study students and is NOT a final schedule of your work hours. If you are selected, your schedule will be discussed with you before it is finalized. INDICATE DESIRED HOURS WITH AN X IN THE BOX. Thank you for your application MondayTuesdayWednesdayThursdayFridaySaturdaySunday8-9 AM9-1010-1111-1212-1 PM1-22-33-44-55-66-77-88-9Do you have an interest in additional after 5pm hours? 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