WORK STUDY PROGRAM
Within Reach. Beyond Imagination.
1 888 953 1133 selkirk.ca
250 365 1295 Financial Aid & Awards
Social Insurance Number: Student ID Number:
Last Name: First Name: Initial:
Address: City Postal Code:
Please briey summarize your previous education and/or experience that would demonstrate and support your qualications and skills for this position:
Date of Birth (dd/mm/yy): Selkirk College Email Address: Phone:
Campus: Castlegar Nelson Trail Program of Study: Year: 1 2 3 4
NAME OF POSITION APPLYING FOR SEE JOB POSTINGS FOR TITLE OF POSITION:
TERMS AND CONDITIONS
• All information given here is true and complete to the best of my knowledge. I understand that if any of the information is found to be untrue, this
applicaiton may be cancelled and position terminated.
• I am/will be registered and attending Selkirk College over the duration of my work study and in good standing order with Selkirk College. I will notify my
supervisor should I discontinue my studies, or should my situation change.
• It is my responsiblity to discuss the work hours with my supervisor to build a schedule that will t both our needs.
Signature of Applicant
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