Fillable Registration-Application Form STUDENT EMPLOYMENT REQUEST FORM

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Registration-Application Form STUDENT EMPLOYMENT REQUEST FORM

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Country of origin: US
File type: PDF

U.S.A. forms for Antelope Valley College

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“The mission of the Job Placement Center at Antelope Valley College is to provide ongoing, comprehensive assistance
to students/alumni of the college and to members of the community in obtaining employment.”
TERMS & CONDITIONS OF SERVICES
Welcome to the Job Placement Center! Our goal is to assist applicants to become fully prepared to search for employment
opportunities that are in line with their educational and career objectives. A comprehensive source of employment information
and opportunities is available on a daily basis. The staff is involved with a network of companies interested in skilled and
motivated applicants for gainful employment and internships.
By filling out this application you are able to be assisted by our staff and the following
services can be provided for you:
Resume critique, Resume preparation, Mock Interview, Job Search Strategies, and other Workshops.
The Job Placement Center is instrumental in securi
ng on-campus positions for student workers. We work with faculty and
administration of all departments in order to place students in positions that will provide work experience in their field of study.
The requirements to be a Student Worker are as follo
ws:
All students must submit the following documentation for on-campus student assistant positions:
Verification of 2.0 GPA and 6 Units enrolled for semester seeking employment.
Complete registration of College Central Network (includes approved resume).
Completion of the Student Worker Orientation.
Financial Eligibility Statement (Federal Work Study) or Work Authorization (CalWORKS). If
applicable.
When hired on-campus and prior to starting work, students must present acceptable employment authorization documents,
as listed on the I-9 form, along with a completed I-9 packet.
Job opportunities are posted on our online job database: College Central Network. Also, opportunities are located on the job
boards in the hall directly outside of the office. The job applicant is not restricted to the number of daily visits.
AUTHORIZATION FOR RELEASE OF INFORMATION
I hereby authorize the Job Placement Center staff to release information to prospective employers, sponsor, counselor or
case manage (as applicable) regarding my entrance and completion dates, attendance record and grade point average. I
also authorize the Job Placement Center staff to utilize my employment information for statistical reporting purposes within
the Antelope Valley College District and the California Community College System.
I authorize the Job Placement staff to:
a) Send, email, and/or fax my résumé to prosp
ective employers.
b) Publish my résumé on the World Wide Web, College Central Network, or any other Internet job search.
c) Respond to employer’s requests for information regarding attendance and grades.
d) Respond to the Job Placement Center’s request for employment status.
I understand that I will have final approval of the content of the résumé that will be publi
shed or presented.
I, the job applicant, understand that the Job Placement Center does not guarantee interviews or employment with any
employer, either on- or off-campus.
Job Applicant Date JPC Staff Member Date
Antelope Valley College prohibits discrimination and harassment based on sex, gender, race, color, religion, national origin or
ancestry, age, disability, marital status, sexual orientation, cancer-related medical condition of genetic predisposition. Upon request,
we will consider reasonable accommodation to permit individuals with protected disabilities to (a) complete the employment or
admission process, (b) perform essential job functions, (c) enjoy benefits and privileges of similarly-situated individuals without
disabilities, and (d) participate in instruction, programs, services, activities, or events.
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COMPLETE THIS APPLICATION NEATLY & THOROUGHLY
GENERAL INFORMATION
Name: Date of Birth: / /
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Mail:
Address:
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Phone: Primary: Secondary:
Student: Yes No ID Number:
900-
Units Completed:
Declared Major: Units Enrolled:
Briefly describe your career goals:
Have you ever worked at AVC? Yes No
If yes, which department(s) and when?
Are you authorized to work in the U.S.? Yes No Do you wish to obtain unpaid work experience? Yes No
Have you ever been convicted of a felony? Yes No
Please attach an explanation if answering yes. (Conviction will not necessarily disqualify an applicant for employment.)
à AVC may conduct a thorough background investigation on any applicant who has been convicted of any crime prior to any
employment on-campus.
à AVC may conduct background investigations on other applicants it deemed appropriate prior to on-campus employment.
SPECIAL PROGRAMS
IF YOU ARE ENROLLED CHECK ALL THAT APPLY:
(Please present proof of eligibility for these programs.)
Disabled Student Services CalWORKs Work Study Federal Work Study AV Enterprise Zone
Veteran GAIN TANF WIA
REFERENCES
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SPECIAL SKILLS & QUALIFICATIONS
TRANSPORTATION TYPE: _____________ WPM 10 KEY OPERATOR:__________SPM
DRIVER’S LICENSE CLASS ____________ FILING: _____________ % ACCURACY OTHER: _______________________
BILINGUAL: ____________________ SOFTWARE: ___________________________ _________________________________
Please list any other special skills and qualifications:
Student Workers MUST:
9 Maintain enrollment in at least 6 units during fall and spring semesters.
9 Maintain a minimum GPA of 2.0; satisfactory academic progress must be maintained in order to be eligible for on-
campus student employment.
9 Work a maximum of 20 hours per week. If the student is employed in more than one position, the combined hours
worked may not exceed 20
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Date of Application
JPC OFFICE USE ONLY
Semester:_____________
FWS:$_______________
CalWORKs: ___________
Non-Work Study Student
Typing Score: _____wpm
Filing Score: _________%
Verified GPA: _________
Units:________________
EDUCATION
Type of School Name and Location of School
Major/ Area of
Study
Years
Attended
Graduated?
(Check one)
High School
Yes No
College
Yes No
Graduate School Yes No
Other
Yes No
EMPLOYEMENT
This section must be completed even though a resumé is attached. Begin with your most recent employer. You may incorporate
unpaid experience or any volunteer experience. Account for all time during the last 10 years, including periods of unemployment. Use
additional sheets if more space is needed.
Com
p
an
y
Name and Address: From To Duties:
Mo. Yr. Mo. Yr.
Salary:
Title:
Reason for Leaving:
Telephone:
Supervisor:
May we contact employer: Yes No
Com
p
an
y
Name and Address: From To Duties:
Mo. Yr. Mo. Yr.
Salary:
Title:
Reason for Leaving:
Telephone:
Supervisor:
May we contact employer: Yes No
Com
p
an
y
Name and Address: From To Duties:
Mo. Yr. Mo. Yr.
Salary:
Title:
Reason for Leaving:
Telephone:
Supervisor:
May we contact employer: Yes No
Com
p
an
y
Name and Address: From To Duties:
Mo. Yr. Mo. Yr.
Salary:
Title:
Reason for Leaving:
Telephone:
Supervisor:
May we contact employer: Yes No
PLEASE READ THIS STATEMENT CAREFULLY BEFORE SIGNING:
I hereby certify that all statements made on this application are true and complete to the best of my knowledge, and understand that any
false statements will subject me to disqualification or dismissal. I consent to your seeking information from the above employers as
indicated as to my personality, character, ability, etc., and I hereby release from any liability all persons and organizations furnishing
such information.
01/2011 Signature of Applicant Date
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Registration-Application Form STUDENT EMPLOYMENT REQUEST FORM

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Completed 14 February 2020

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