Student Employment Application Instructions
Please read carefully before completing your application for employment.
1. Please complete the four-page Student Employment Application form.
2. Follow the Application Instructions on the job posting website https://www.myinterfase.com/uhv/student/
to ensure proper submission.
3. Submit a completed application to each department representative listed in the Contact section of the job
announcement for each position you want to be considered. Each department must receive an application.
4. Complete the Student Employment Financial Aid Verification Form and return to the Office of Financial Aid:
University of Houston-Victoria
Office of Financial Aid
3007 N. Ben Wilson
Room 110, University West
Victoria, TX 77901-5731
Email: [email protected]
OR
Fax: (361)580.5555
For further Student Employment-related information, please contact Career Services, 3007 N. Ben Wilson, Room
UW133, Victoria, TX 77901, phone (361)570-4369 or (361)570-4378, Toll Free: (877)970-4848 ext. 369 or 4378 or
email [email protected].
The University of Houston-Victoria is an AA/EEO Employer. UHV does not discriminate on the basis of race, color,
national origin, gender, age, or disability.
Revised 9/2014
University of Houston-Victoria
Student Employment Application
Name______________________________________________________
Last
First
MI
Today’s Date: _____________________
Student ID# _______________________
Address where you can be reached __________________________________________________ Email: ____________________________
City _____________________________ State ______
Zip _____________
Phone Number ________________________
Do you have experience in any of the following?
__ Accounting/Bookkeeping
__ Internet Explorer
__ Microsoft Outlook
__ Netscape Navigator
__ Customer Service
__ Internet Search
__ Microsoft PowerPoint
__Proctoring Tests/Exams
__ Facebook, Twitter, etc.
__ Microsoft Excel
__ Microsoft Publisher
__ Telephone Systems
__ Filing
__Library –related experience
__ Microsoft Word
__ Tutoring/Teaching
__ General Office Equipment
__Microsoft Excel
__ Mozilla Firefox
__ Writing
What other skills or experiences do you have? __________________________________________________________________________________
________________________________________________________________________________________________________________________
How long have you been enrolled at UHV? _______________
Current classification (circle one):
Freshman
Sophomore
Junior
Senior
Post-Baccalaureate
Degree Program: ______________________
Concentration: _____________________________
Are you eligible for work study? Yes ____
No ______
Graduate
If you are not sure, please contact Office of Financial Aid
If you are not a U. S. citizen, can you, after offer of employment, provide legal proof of eligibility to work in the United States? Yes ____ No ____
Number of hours available to work (max. 19 hours) _____ Can you work NIGHTS? ______
WEEKENDS? ______
Date available to start _________________________
Have you ever worked for UHV or the UH System? Yes ____
No____
Dates Worked: ______________________________
Departments: _______________________________________________________________________________________________
Are you related to any UHV employee, UH System Official, or UH System Regent: Yes ____ No _____
If yes, give relative’s name and title: _____________________________________________________________________________
Have you ever been convicted of a criminal offense (other than a traffic violation) including DWI/DUI or received deferred adjudication? (Listed
criminal offenses will not necessarily bar you from employment with UHV). Yes ____ No ____
If yes, describe in detail including dates, criminal offenses, location (city and state) and disposition.
2
Student Employment Application| UHV Career Services
Revised 9/2014
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Please provide your current course schedule if you know it:
Monday
Tuesday
Wednesday
Thursday
Friday
Work Experience: (Current or most recent first):
Job Title: ____________________________
Dates of Employment: Starting Date: _________
Leaving Date: ________
Employer: __________________________________________________
Address: _________________________________________________
Supervisor: ________________________
City ____________________ ST ___ Zip _______
Telephone: _____________________________
Job Duties: ___________________________________________________________________________________________________
____________________________________________________________________________________________________________
Reason for leaving: ____________________________________________________________________________________________
Job Title: ____________________________
Dates of Employment: Starting Date: _________
Leaving Date: _____________
Employer: ___________________________________________________________________________________________________
Address: _________________________________________________
City _____________________ ST ___ Zip ___________
Supervisor: _______________________________________
Telephone: _____________________________
Job Duties: ___________________________________________________________________________________________________
____________________________________________________________________________________________________________
Reason for leaving: ____________________________________________________________________________________________
Job Title: ____________________________
Dates of Employment: Starting Date: _________
Leaving Date: _____________
Employer: __________________________________________________
Address: _________________________________________________
City _____________________ ST ___ Zip ___________
Supervisor: _______________________________________
Telephone: _____________________________
Job Duties: ___________________________________________________________________________________________________
____________________________________________________________________________________________________________
Reason for leaving: ____________________________________________________________________________________________
3
Student Employment Application| UHV Career Services
Revised 9/2014
May we contact your current and/or past employer(s)? Yes ___ No ___
References:
Name: _____________________________________
Address: ___________________________________
Title: __________________________________
Phone Number: _________________________
Name: _____________________________________
Address: ___________________________________
Title: __________________________________
Phone Number: _________________________
Name: _____________________________________
Address: ___________________________________
Title: __________________________________
Phone Number: _________________________
I certify that the information supplied in this application is true and correct to the best of my knowledge. It is understood that this information will be the basis upon
which an employment decision will be made, and I therefore authorize a verification of any of the above information. It is agreed that any willful and material false
information will be sufficient grounds for dismissal if I am employed.
___________________________________
Applicant Signature
______________________
Date
Print or save your completed Student Employment Application form. Follow the “Application Instructions” found on the job announcement on
Career Link! It is your responsibility to make sure that the appropriate person receives your application.
Please continue to the next page to ensure that your application proceeds to the next step in the hiring process. The next page must be sent to
the Office of Financial Aid.
4
Student Employment Application| UHV Career Services
Revised 9/2014
Financial Aid Verification Form
For Student Employment
Please complete this page then submit it to the Office of Financial Aid to ensure that your application proceeds to the next step in the hiring
process.
Student’s Name: (Please Print) _______________________________________________________________________
Student ID #: _________________________________
Email: ________________________
Department(s) to which you are applying for employment (List all departments to which you are applying):
________________________________________________________________________________________________________________________
Job Title(s): ______________________________________________________________________________________________________________
Please send this page to the address below:
:
University of Houston-Victoria
Office of Financial Aid
3007 N. Ben Wilson
Room 110, University West
Victoria, TX 77901-5731
Email: [email protected]
OR
Fax: (361)580.5555
Verification from Office of Financial Aid
(to be completed by UHV officials)
Date of Review: _____________________
FAFSA on file?
___ Yes
Eligible for Federal Work Study?
___ No
____ Yes
____ No
Federal aid adjusted: _______________________________________________________________
Award amount: _____________________________
Comments: __________________________________________________________________________________
Signature of UHV staff _____________________________________________________
Please forward the completed form to Career Services via Inter Office mail or email to [email protected].
5
Student Employment Application| UHV Career Services
Revised 9/2014