NAME _____________________________________________________________________
Last
First
Middle
WSU ID # ___________________
DATE______________
WORKSTUDY 0 please mark if you authorize Dining Services to use your WS CAMPUS ADDRESS,_______________________________________________ PHONE (_ _)________________ PERMANENT ADDRESS_____________________________________________ PHONE (_ _)________________ Email ______________________Date of Birth (mo/dy/yr), ______________
City
State
Zip Code
WHO SHOULD WE NOTIFY IN CASE OF EMERGENCY?________________________ PHONE (_ _),______________
MAJOR ___________
MINOR ___________
What semester are you applying for?
Which unit?
0 CPU
o Towers Market
0 Fall
CLASS (Fr. So. Jr. Sr.)____ WSU GRADUATION DATE_______________
0 Spring
0 Catering
0 Hillside Market
0 Summer
0 Hillside Cafe
0 Northside Market
0 Northside Cafe
0 Espresso Bars
o Southside Cafe 0 Carlita's
o Flix Cafe and Market
Credit Hours This Semester
If not currently enrolled with at least 6 credits at WSU during fall or spring semester or 3 0 Yes
0 No credits during the summer, are you the spouse of a student?
Are you currently employed at Washington State University?
o Yes (Department:,_ _ _ _ _ _ _ _ _ _ ____ Are you a current Dining Services employee? If necessary, please use a separate piece ofpaper to answer the following questions and list work experiences.
Why would you like to work for Dining Services?
How did you find out about position openings?
WORK EXPERIENCE: Please list the most recent first. Employer_ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Address _ _ _ _ _ _ _ _ _ _ _ _ _~--------_=~--State
Zip
City
Phone (_____) __________ Dates (mo/yr) _________ to _________ Position_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___
Duties/Skills _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Reason for leaving ______________________________________________
Employer________________________________
Supervisor's Name _________________________
-=____
Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
State
Zip
City
Phone (_____) __________ Dates (mo/yr) ________ to ________ Position_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___
Duties/Skills _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___
Reason for leaving ___________________________________________
Supervisor's Name _______________________
129012 9/09
Name: _________________________________________
Date: _ _ _ _ __
Phone
Number of semesters worked for Dining Services_______________ SCHEDULING INFORMATION: Place an 'X' where you have classes!commitments!activities!responsibilities: Taking into consideration your present class schedule and that we require you to work 100 percent of your scheduled work
hours during finals, how many hours per week can you work? __________
Are you willing to work weekends? 0 Yes 0 No
Returning Employees Only: Please rate your top 3 job preferences (1, 2, 3):
FOOD SERVER_ _
RESUPPLY
CUSTODIAL_ _
STOREROOM_ _
COOK'S HELP_ _
GRlLL_ _
DISHWASHING_ _
CASHIER_ _
WSU employs only U.S. citizens and lawfully-authorized non-U.S. citizens. All new employees must show employment eligibility verifica­
tion as required by the U.S. Immigration and Naturalization Services. Accommodations for applicants who qualify under the Americans
with Disabilities Act are available upon request.
Certificate of Applicant: I hereby certify that all statements made on this application are true and I understand and agree that any false
statements on this form shall be considered sufficient cause for a rejection of my application or dismissal if I am employed.
Signature __________________________________________________________ Date __________________
Please return this completed application to the Dining Services fadlity where you are requesting work. You must submit a completed application to
each facility where you are seeking a position.
Employee: Complete this section after scheduling.
Check if federal form 1-9 has been completed u
If not, citizen
Indicate gender
Check if you are a citizen of the United States U
Immigration status: _______________________
U
Male
U Female
Interview completed by: __________________________________________ Date ______________________
Scheduling completed by: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Date __________________________
A copy of a valid health card must be on file within 14 days of hire date in each unit where you are employed. It is Dining Services'
policy to layoff any employee who is unable to meet this requirement. Your card must be on file by ______________________
Date