Metropolitan State University of Denver
REV 12/07/12
Student Employment Application
Applicant Information
Full Name:
Date:
Last
First
M.I.
Street Address
Apartment/Unit #
City
State
ZIP Code
Phone:
E-mail Address:
Date Available:
Days/Time Avail:
Social Security #:
Position Applied for:
Are you a citizen of the United States?
YES
NO
If no, are you authorized to work in the U.S.?
YES
NO
Have you ever been convicted of a felony?
YES
NO
If yes, explain:
Education
High School:
Address:
From:
To:
Did you graduate?
YES
NO
Degree:
Address:
From:
To:
Did you graduate?
YES
NO
Degree:
Other:
Address:
From:
To:
Did you graduate?
YES
NO
Degree:
References
Please list three professional/personal references.
Full Name:
Relationship:
Company:
Phone:
Address:
Full Name:
Relationship:
Company:
Phone:
Address:
Full Name:
Relationship:
Company:
Phone:
Address:
Metropolitan State University of Denver
REV 12/07/12
Previous Employment
Company:
Phone:
Supervisor:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
YES
NO
Company:
Phone:
Supervisor:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
YES
NO
Company:
Phone:
Supervisor:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
YES
NO
Skills
Computer Skills: Yes No
Please list software knowledge:
Typing/Data Entry: Yes No
Filing: Yes No
Copying: Yes No
Customer Service (Answering phones, receptionist duties): Yes No
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
Signature:
Date:
click to sign
signature
click to edit