Fillable STUDENT EMPLOYMENT APPLICATION (State University of New York College at Geneseo)

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STUDENT EMPLOYMENT APPLICATION (State University of New York College at Geneseo)

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The STUDENT EMPLOYMENT APPLICATION (State University of New York College at Geneseo) form is 2 pages long and contains:

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Country of origin: US
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APPLICANT INFORMATION
Last Name
First
M.I.
Date
Street Address
Apartment/Unit #
City
State
ZIP
Phone
Date Available:
Are you authorized to work in the U.S.? YES NO Proper ID will be required within 3 days of employment
Have you ever worked for this company? YES NO If so, when/where?
Do you have any friends, or relatives that work here? YES NO If so, please indicate who?
Are you currently employed? YES NO
Do you have any prior work experience YES NO
Have you ever been convicted of a crime? YES NO
If so, please describe fully the criminal conviction(s) and the nature of the offense. A conviction record will not necessarily be a bar to employment.
EDUCATION
School
Name & Address of School
Course of Study
Years Completed
Diploma/Degree
High School
Undergraduate/College
Other
Expected Graduation Year
EXPERIENCE
Please list any restaurant or food service experience that you have (include previous work history with Big Tree Inn and CAS)
EMPLOYMENT / VOLUNTEER EXPERIENCE
Company
Phone ( )
Address
Supervisor
Job Title
From To
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Call only for employment verification
Campus Auxiliary Services
1 College Circle, Blake A 104
Geneseo, NY 14454
585.245.5021 Fax: 585.245.5237
cashr@geneseo.edu
APPLICATION
STUDENT EMPLOYMENT
Company
Phone ( )
Address
Supervisor
Job Title
From To
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Call only for employment verification
Company
Phone ( )
Address
Supervisor
Job Title
From To
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Call only for employment verification
HOURS AVAILABLE
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
DISCLAIMER AND SIGNATURE
I understand that if I am hired, my employment may be terminated with or without cause or notice, at any time, at either my option or that of the
Company. I understand that no management representative has any authority to enter into any agreement for continuing employment for any specific
period of time or which is contrary to the foregoing and that any such agreement must be in writing signed by the Company Executive Director. I give
the Company permission to contact all or any of my previous employers and references and authorize them to disclose any information the Company
may request in the course of its investigation of this application for employment, and I hereby release the Company and such references and prior
employers from any and all liability with respect to such disclosures. I understand that any offer of employment is conditioned upon receipt of
satisfactory references and/or background check
I have provided truthful and complete responses to all inquiries in the application and authorize the Company to investigate all statements contained in
the application. I understand that the discovery of any falsification or omission constitutes a ground for immediate dismissal or refusal to hire. If
employed, I will abide by the Company’s rules and regulations, which I understand are subject to change by the Company.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my immediate
release.
Signature
Date
We appreciate your interest in Campus Auxiliary Services. Campus Auxiliary Services is committed to a policy of Equal Employment Opportunity with respect to all
employees, interns and applicants for employment. Consistent with this commitment, our policy is to comply with all applicable federal, state and local laws concerning
employment discrimination. Accordingly, the Company prohibits discrimination against qualified employees, interns and applicants in all aspects of employment including,
but not limited to: recruitment, interviewing, hiring (or failure or refusal to hire), evaluation, compensation, promotion, job assignment, transfer, demotion, training, leaves of
absence, layoff, benefits, use of facilities, working conditions, termination and employer-sponsored activities and programs, including wellness, social and recreational
programs. Employment decisions will be made without regard to an applicant’s, employee’s or intern’s actual or perceived: race; color; sex; age; disability; religion; creed;
citizenship; national origin; ancestry; military status or veteran status; hair; marital status; familial status; gender identity and expression; sexual orientation; status as a
victim of domestic violence, stalking or sex offenses; predisposing genetic characteristics; genetic information; relationship or association and any other status protected by
law.
Number of shifts per week (minimum 2) ____ or hours ____ requested per week
Preferred Restaurant _______________________________________________
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STUDENT EMPLOYMENT APPLICATION (State University of New York College at Geneseo)

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Completed 27 August 2020

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