Application for Student Employment Parking and Transportation Services Akron, Ohio 44325-6204 330-972-7213 Fax: 330-972-5452 [email protected] FOR OFFICE USE ONLY Credits __________________ Semester __________________ Date: ____________________ PERSONAL INFORMATION Name: _______________________________________________________ Home Address: __________________________________ Student ID # ___________________________ ________________________________ Street _______ City Primary Phone: _______________________________________ ________ State Zip Cell Phone: _________________________________________ Zip E-mail Address: _______________________________________________ YES NO Are you a Citizen of the United States? YES NO If no, are you authorized to work in the US? STUDENT INFORMATION Must meet Student Employment’s credit hour requirements □ Undergrad Credits __________ Major: _______________________________GPA: ________ Credits __________ Have you worked on campus before? __________ If yes, who Credits____________ was your Supervisor? _________________________________ (Requires 12 credits) □ Graduate (Requires 9 credits) □ Work Study (Requires 6 credits + Student Employment preapproval) AVAILABILITY Please list times you are available to work (Attached Class Schedule) Monday Tuesday Wednesday Thursday Friday Saturday Sunday If applying for a job you saw posted, please list job location or contact person from job posting: ________________________________ Check Operation(s) of Interest: Lot Monitor Event Parking Office Worker Booth EMPLOYMENT Please list most recent first Employer__________________________________________________________ From_______________ To_______________ Address____________________________________________________________________________________________________ Supervisor__________________________________________________ Phone____________________________________ Position____________________________________________________ Duties: ____________________________________________________________________________________ Employer__________________________________________________________ From_______________ To_______________ Address____________________________________________________________________________________________________ Supervisor__________________________________________________ Phone____________________________________ Position____________________________________________________ Duties: ____________________________________________________________________________________ Employer__________________________________________________________ From_______________ To_______________ Address____________________________________________________________________________________________________ Supervisor__________________________________________________ Phone____________________________________ Position____________________________________________________ Duties: ____________________________________________________________________________________ Please list any skills relevant to the position for which you are applying: _________________________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ May we contact your previous employers? Yes No Have you ever been convicted of a felony? Yes No If yes, please explain: _________________________________________________________________________________ The information on this application is true to the best of my knowledge. I understand that false or misleading information are grounds for termination without notice. _________________________________________________________________ Signature _________________________________________ Date
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