Join Our Team!
Student Employee Application
The Student Center @ CCSU
Updated 3-18-19 BV
Please Complete Both Pages
Information Desk/CENtix Box Office:
Answers questions, calls, sells tickets, manages lost & found & commuter toolbox
Reception Desk: Serves as the University’s phone operator and provides general Student Center Operations ofce support
Accounting Cle
rk: Manages cash accountabilities for the service areas and record keeping of the Student Center
Maint
ainer/Setup Crew: Prepares the room setups for Student Center events and provides maintainance support
Web/Graphi
c Designer: Creates and maintains the Student Center Operations’ publications, promotions, and website
Center Manager: Manages the Student Center’s 84,000 square-foot facility including supervising student employees while on shift
Breakers
Attendant: Oversees the Breakers Game Room operations
Technical Services: Provides audio/visual support for Student Center and Memorial Hall events
NUMBER AREAS OF INTEREST OR SKILL LEVEL
Please number boxes “1-9”. “1” being most interested/skilled.
Fall 2019
Page 1 of 2
Name:
Student I.D.:
Local Address:
Permanent Address:
Major:
Have you ever been employed here before? YES NO
If YES, please give dates: From: / / To: / /
Date: / /
E-Mail:
Home Phone:
Cell Phone:
GPA:
Semesters at CCSU:
Month & Day of Birth (optional):
Check here if you don’t want to share your
month and day of birth with the Student
Center.
Check here if you have work study.
How did you hear about this job? Walk In Ad Friend Job Fair
Other
FOR OFFICE USE ONLY
Date of Interview: / /
Date of Hire: / /
Starting Date: / /
Starting Pay Rate:
Position Hired for:
Applicant attended info session:
YES NO Date: ____________
Met all student employment requirements:
YES NO Staff initials: _______
Applicant updated application:
Date: ____________________
Applicant initials: ___________
Spring 2020 Interest:
YES NO
I certify that the information given above is true and accurate to the best of my knowledge and that I am a
matriculated student with a cumulative GPA of 2.00 or better.
Signature Date
Please list campus and/or community activities before and during your CCSU enrollment.
Why are you interested in a position with The Student Center?
What special skills do you have that pertain to your rst job choice?
AVAILABILITY
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
* For the semester for which you are applying, write in your free times each day.
Must be exible on hours, including nights and weekends.
Questions? Contact Tiffany Moffo Simpson, Assistant Director for Student Center Services, at moffot@ccsu.edu or (860) 832-1972.
Updated 3-18-19 BV
Page 2 of 2
Employer:
Supervisor:
Address:
Job Title:
Reason For Leaving:
Work Performed:
Phone: Dates Employed/Volunteered
From: To:
WORK OR VOLUNTEER REFERENCE
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signature
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