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Campus Work Application


Please read the Campus Work and Federal Work Study Programs information page before filling out this application.

Instructions: Only students desiring to participate in the Campus Work or Federal Work Study programs should complete this application.

Fields marked with an asterisk (*) are required.
Personal Information
*
Last Name:
*
First Name:
 
Middle Initial:
*
Email Address:
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Address:
*
City:
*
State/Country, Zip:

*
Phone Number:
*
Applying for academic year:
*
Are you a US Citizen?
Yes No
*
Term of Enrollment:

Job Request
Realizing your financial need, job experience, physical limitations, and our college policy, check the following general work areas you are capable and willing to pursue:

America Reads or America Counts Tutoring
Custodial/Housekeeping
Food Service
General Maintenance
Lawn Maintenance
Librarian Assistance
Office Work (Computer experience necessary)
Security (Upper classmen only)
Other:

Experience and References
List the job experiences you have had in the past three years. Be specific regarding your responsibilities. List a supervisor for each who can be contacted for a recommendation. Begin with your most recent or current experience.

Company
Location
Phone Reference
Start Date
Month/Year
End Date
Month/Year
Specific Responsibility Reason for Leaving
1.

2.

3.


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Do you have any physical condition that may hinder your ability to handle a specific job or task?
Yes No
 
If so, please describe:

Certification
*
I realize that the application for Campus Work employment does not constitute a guarantee of a work opportunity. I understand that if I am offered employment, I will be notified by mid-July of the job assignment. If I am hired prior to the start of the fall term, I understand that I will be required to arrive on campus early for campus work orientation or training.
 
I agree