Student Employment Application Form Page 2
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Complete Student Employment Application Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
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1
2Have you ever worked on campus?
Yes
No
Do you have a Federal Work Study Award?* Yes
No
Amount of Award_________
*Submit a screen capture of WINGS Federal Work Study award notification with your application
.
Employment and Volunteer History
(Please start with most recent employment)
Dates Employed
to
Employer
Job Title
Supervisor
Phone No.
Include area code
Duties:
Reason for leaving
Dates Employed
to
Employer
Job Title
Supervisor
Phone No.
Include area code
Duties:
Reason for leaving
Dates Employed
to
Employer
Job Title
Supervisor
Phone No.
Include area code
Duties:
Reason for leaving
*When submitting this application electronically, I understand that my typed name serves as my signature.
I certify that all statements in this application are true and accurate; I understand that making false statements
is reason for being denied employment or for having my employment terminated.
Signature
Date
SE Application form rev 8-2016
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Parent category: Business