On-Campus Employment Application Form
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1
2ON-CAMPUS EMPLOYMENT APPLICATION
D
: __________________
S
A
F
__________________
ATE
EMESTER
PPLYING
OR
PERSONAL INFORMATION
Name__________________________________________________________ NMU IN __________________________
Current Address__________________________________________________
(residence hall/street number)
__________________________________________________ Current Phone _________________________
(city/state/zip)
E-mail address____________________________________
(Anticipated) Major__________________________________
(Anticipated) Minor__________________________________
Status (circle one):
Freshman
Sophomore
Junior
Senior
Grad. Student
EMPLOYMENT INFORMATION
Position(s) you are applying for _______________________________________________ (You must fill out a separate
application for each department you are applying to. Forward to the hiring department after completing. Copies are acceptable.)
Have you been awarded work study? ____ Yes ____ No
If yes, how much? _______________________
If unsure, visit my.nmu.edu to view your financial aid award status.
Times available to work (list all times desired, remember to indicate a.m. or p.m.)
Departments may or may not have your ideal
schedule available. Try to be as flexible as possible.
Sunday
_______________________________
Thursday
______________________________
Monday
_______________________________
Friday
______________________________
Tuesday
_______________________________
Saturday
______________________________
Wednesday
_______________________________
Optimal # of hours desired _________ per week
EMPLOYMENT HISTORY
Employer__________________________________________
Employer__________________________________
Address___________________________________________
Address___________________________________
Duties_____________________________________________ Duties_____________________________________
SKILLS
List specific skills you have (i.e. computer skills, writing, painting, carpentry, cash register operation, artistic skills, cooking, clerical, custodial, etc.)
_______________________________________________________________________________________________
REFERENCES
Please provide the names, addresses, and phone numbers of at least two references.
1)
2)
Northern Michigan University endorses the intent of all federal and state laws created to prohibit unlawful discrimination. Northern Michigan University does not unlawfully discriminate on the basis
of race, color, religion, sex, national origin, age, height, weight, marital status, familial status, handicap/disability, sexual orientation or veteran status in employment or the provision of services, and
provides, upon request, reasonable accommodation including auxiliary aids and services necessary to afford individuals with disabilities an equal opportunity to participate in all programs and
activities. Persons having Civil Rights inquiries may contact the Equal Opportunity Office at (906)227-2420. Persons having inquiries regarding the Americans with disabilities Act (ADA) may contact
the ADA Coordinator at (906)227-1704
SIGNATURE ________________________________________________________ DATE ______________________________
The above information is accurate to the best of my knowledge. I understand that completion of this application does not guarantee employment.
Separate applications are required by Recreational Services, Dining Services/University Center, Housing and
Residence Life, and Academic Computing. This application provided by Career Services, 3302.3 C.B. Hedgcock,
Phone: (906) 227-2800, Web site: , E-mail: careers@nmu.edu
Drop off or mail completed applications to: Department Name, Northern Michigan University,
1401 Presque Isle Ave., Marquette MI, 49855
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION REQUIRED PRIOR TO WORKING ON-CAMPUS.
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Parent category: Business