Residence Life Sign-In Worker Application
Fall 2019
Section I: Applicant Information
Name: Student ID Number:
Class Standing: FR SO JR SR
On-Campus Living Assignment:
Cell Phone Number:
CCSU Email:
Anticipated Graduation Month & Year:
Have you worked as a Sign-In Worker before: Yes No
Are you applying for: Student Worker Position
Work Study Position (Financial Aid package award)
Section II: Work Preference
Please Rank order your preferred work location:
Rank (1 being most
preferred, 9 least
preferred)
Building
James Hall
Barrows Hall
Beecher Hall
Seth North
Mid-Campus Residence Hall
Sam May Hall
Sheridan Hall
Gallaudet Hall
Vance Hall
How many hours would you like to work per week: 5 or less 5-10 hours 10-15 15+
Are you willing to work weekend hours: Yes No
Availability: Please indicate the days you are able to work. All shifts are from 8:00pm to either 12:00am or 1:00am.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Section III: Employment History
Prior Employment: Please list your two most recent jobs
Company:
Position:
Dates of Employment:
Responsibilities:
Company:
Position:
Dates of
Employment:
Responsibilities:
Section IV: References
Name
Phone Number
1.
2.
3.
Section V: Applicant Questions
1. What is the role of the Sign-In Worker and why do you feel this position is important to the department of
Residence Life?
2. What personal strengths and skills do you possess that make you the best candidate for this position?
Section VI: Applicant Agreement
I hereby state that the information given by me in this application is true in all respects. I understand that if I am
employed and the information is found to be false in any respect, I will be subject to dismissal at any time. I understand
that my judicial history will be taken into consideration. Furthermore, if I am employed at Central Connecticut State
University, I understand that my employment will be for no definite term and that either the University or I may
terminate the employment at any time, with or without cause, and with or without notice.
Applicant’s Signature Date
Please complete and submit the application to the Department of Residence Life, in Mid-Campus Residence Hall 118.
Applications can be handed in, in person or submitted via email to reslife@ccsu.edu
.
To be considered for employment during the Fall 2019 semester, the application must be turned in
by 4:30pm on Friday, August 30, 2019.
For Office Use Only:
Received: GPA: CC:
click to sign
signature
click to edit