Student Employment Application

General Information
Name
Current Address
Street Address
City
State
Zip Code
Permanent Address
Street Address
City
State
Zip Code
Do you have any relatives employed by the University?

If yes,
Name of Relative
Relationship
What is your major?
Would you like a job related to your major?

What days/hours are you available to work?
During the past 7 years have you been convicted of, pled guilty to, or pled no contest to any felony offense?

If yes, please explain:
Are you legally authorized to work in the United States?

(All new employees are required to complete form 1-9 and show necessary documentation.)

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