Do you have federal work study: YES NO
Name:
E-mail Address:
SU ID#:
Campus/Local Address:
City:
State: Zip: Phone:
Home/Permanent Address:
City:
State: Zip: Phone:
School/College:
Year:
Are you available to begin on August 24 for Orientation and Training?
YES NO
Returning Students: Have you worked for SU before? YES NO
Please list your two most recent employers
Employer:
Supervisor:
Position:
Dates:
Reason for Leaving:
Employer:
Supervisor:
Position:
Dates:
Reason for Leaving:
May we contact your current/former supervisor for a reference? YES NO
Please list two references:
Name:
Relation:
Address:
Phone Number:
Name:
Relation:
Address:
Phone Number:
What is the position(s) for which you are applying?
IES
**(no longer hiring) ETS *(no longer hiring) BM/Late Night Manager **(no longer hiring)
*ETS accepts both FWS and Non-FWS
**Resume required, please copy and paste below:
Why do you wish to work for SCPS and the specific department for which you are applying?
Please list and briefly describe your past work experiences that are relevant to the position for which you are applying, include any specific technical abilities and equipment experience you have if applying for ETS:
Please list all current outside activities, special interests and other time commitments:
What elements of our two student centers do you consider to be strong? What would you like to change?
Are you willing to work nights and weekends? YES NO
Please fill in your available hours:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
Have you ever been terminated from a previous employment?
YES NO
Have you ever been the subject of an investigation concerning allegations of misconduct, other than a criminal investigation that did not result in a conviction?
YES NO
If yes, please explain:
Have you ever been convicted of a misdemeanor or felony? YES NO
If yes, describe the circumstances, dates, and disposition:
(NOTE: A conviction record will not necessarily be a bar to employment. Factors such as time of the offense, rehabilitation, and seriousness and nature of the violation will be taken into account.)