Date
HOME ADDRESS CLASSIFICATION ENROLLMENT INFO
Address [ ] High-Schooler Are you currently enrolled at LSU? [ ] Yes [ ] No
City, St, Zip [ ] Incoming Freshman
If not at LSU, where?
Home Phone [ ] Freshman
How many hours are you taking this semester? _______
[ ] Sophomore What is your Major?
CAMPUS ADDRESS [ ] Junior What is your Minor?
Address [ ] Senior Major semester hours completed:
Campus Phone [ ] Graduate Student Total semester hours completed:
What is your Cumulative GPA?
PERSONAL INFO CONTACT INFO STUDENT AID Are you currently on Probation? [ ] Yes [ ] No
Birthdate Cell [ ] CWSP (Federal
Your expected Graduation Date is: _____________
City of Birth Other Work Study Program) PROPOSED WORK SCHEDULE
y
Citizenship
E-mail [ ] CSAP (Chancellor's
If not a U.S. citizen, your Visa type is: Student Aid Program)
Do you have an ISO Work Permit? [ ] N/A
EDUCATION
From Year To Year
WORK EXPERIENCE
Position Rate of Pay
QUESTIONS
• Are you available for Summer Employment? [ ] Yes [ ] No
• Are you related to any LSU employees?
[ ] Yes [ ] No
If Yes, how many hours per week? If Yes, provide names & relationships: Name
• Have you worked in Accounting Services before?
[ ] Yes [ ] No Relationship
If Yes, month/year? • Did someone recommend you to Accounting Svcs? [ ] Yes [ ] No
• List all Office Equipment you can operate: If Yes, provide name & relationship: Name
Relationship
NAME LSUID Rev 12/13
(Last, First, MI)
( ) -
( ) -
Name
LSUID
Please provide a tentative work schedule showing your availability (days/times). It is required that each
student work at least 10 hrs/week; a student cannot work more than 20 hrs/week.
Schools Attended
Fresh Soph Jr Sr
Diploma/Degree Earned
High School
Trade/Business School
College or University
Other Special Training
Reason for Leaving
Duties
STUDENT EMPLOYMENT APPLICATION
AS 552
( ) -
( ) -
Type Circle Last Grade Completed
Fresh Soph Jr Sr
Date (From-To)
Name of Employer