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Student Employment Application
* Indicates required question
Email
*
Your email
Employer (department applying for):
*
Your answer
Position Applying For:
*
Your answer
Today's Date:
*
MM
/
DD
/
YYYY
Work Study Eligible?
*
Yes
No
Name: First, Last, MI:
*
Your answer
T Number:
*
Your answer
Phone Number:
*
Your answer
Email Address:
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Your answer
Hours of Availability: (Ex: MTWR 5-8pm, SAT 12-4pm)
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Your answer
Date You Can Start:
*
MM
/
DD
/
YYYY
Are You Employed Now?
*
Yes
No
If so, may we contact your present employer?
Yes
No
Clear selection
Year in School:
*
Freshman
Sophomore
Junior
Senior
Major/Minor:
*
Your answer
When will you graduate? Mo./Yr.
*
Your answer
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