Pasadena City College
Shatford Library – Circulation Desk
Student Assistant Employment Application
APPLICANT INFORMATION
FULL NAME
FIRST MIDDLE LAST
ADDRESS
STREET
CITY ZIP CODE
EMAIL ADDRESS PHONE NUMBER
ARE YOU A CURRENT PCC
STUDENT?
YES NO
ARE YOU A CAL-WORKS OR
FEDERAL WORK-STUDY
RECIPIENT?
YES NO
ARE YOU AT LEAST 18 YRS OF
AGE?
YES NO
EXPECTED GRADUATION
DATE
ARE YOU A US CITIZEN? YES NO
IF NO, WHAT TYPE OF VISA
DO YOU HAVE?
FOR WHICH ACADEMIC TERMS ARE YOU APPLYING TO WORK?
HOW MANY UNITS WILL YOU TAKE DURING THIS ACADEMIC TERM?
FALL SPRING SUMMER WINTER
UNITS
HOURS AVAILABLE FOR WORK PER WEEK:
(Minimum 8 hours/Maximum 20)
DAY OF THE WEEK AVAILABILITY
MORNING AFTERNOON EVENING
DAY OF THE WEEK AVAILABILITY
MORNING AFTERNOON EVENING
MONDA
FRIDA
TUESDA
SATURDA
WEDNESDA
THURSDA
LIST ANY SPECIAL SKILLS YOU HAVE THAT MIGHT BE RELEVANT TO LIBRARY WORK (COMPUTER SKILLS, LANGUAGE
ABLILITIES, ETC.)
HAVE YOU EVER PREVIOUSLY WORKED FOR PCC?
YES NO
IF YES, GIVE NAME OF THE DEPARTMENT AND DATES OF EMPLOYMENT: _________________________
PLEASE NOTE THAT THIS APPLICATION WILL BE KEPT ON FILE UNTIL THE END OF THE CURRENT SEMESTER. IF YOU ARE NOT
CALLED FOR AN INTERVIEW, YOU MUST REAPPLY EACH SEMESTER.
APPLICANT CERTIFICATION
I certify that to the best of my knowledge the foregoing statements are correct and complete. The Shatford Library
has my permission to verify information provided on this form.
APPLICANT SIGNATURE:___________________________________________ DATE:_____________________________
Updated on 1.17.12
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signature
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