Waves on Call
Student Application
Your Contact Information
First Name Last Name
E-mail Address Phone
Are you over 18 years old?
Yes No
Are you legally eligible for employment in the United States?
Yes No
Have you previously been employed by Pepperdine?
Yes No
Which position are you applying for?
Education Information
Current School
Grade Classification
Expected Graduation Date
List Extracurricular Activities
Do you plan on participating in an abroad program at any point next academic year?
Fall 2017 Spring 2018 Summer 2018 No
Employment History
Employer 1
Name
Position
Starting Date
Ending Date
Name of Immediate Supervisor
Phone Number of Immediate Supervisor
May we contact?
Yes
No
Employer 2
Name
Position
Starting Date
Ending Date
Name of Immediate Supervisor
Phone Number of Immediate Supervisor
May we contact?
Yes
No
References
First Name Last Name
E-mail Address Phone
First Name Last Name
E-mail Address Phone
First Name Last Name
E-mail Address Phone
Do you qualify for the Pepperdine Work Program or Federal Work Study?
Yes, Federal Work Study
Yes, Pepperdine Work Program
Don't know
None
How did you hear about this position?
When can you start?
Any questions or comments?