APPLICANT INFORMATION
Last Name:
First:
M.I.:
Street Address:
City:
State:
Zip:
Cell Phone #:
Bluffton Box # (if known):
Other or Alternate Email:
Major(s):
Minor(s):
Number of Credits Earned at Bluffton or Transferred to Bluffton:
EDUCATION
High School Name:
Graduation Month/Year:
High School City:
High School State:
Please list some of your extracurricular activities in high school (sports, theatre, music, art, student media, clubs, community service/short
term volunteer experience, etc.):
Please indicate all semesters you are seeking a Learn & Earn position: _______ Fall _______ Spring _______ Summer
I am a: _______ New First Year Student _______ New Transfer Student _______ Returning Student
Date: _______________________________
Learn & Earn Student Employment Application
PREVIOUS EMPLOYMENT OR LONG TERM VOLUNTEER EXPERIENCE
Business Name:
City:
State:
Job Title:
Supervisor Name:
Supervisor Phone:
Position Start Month/Year:
Position End Month/Year:
Average hours worked per week (either paid
or as a volunteer):
List a few things you did in this position (operated cash register, used food safety standards, helped customers, handled conflict, worked
with a team, etc.):
PREVIOUS EMPLOYMENT OR LONG TERM VOLUNTEER EXPERIENCE (CONT.)
Business Name:
City:
State:
Job Title:
Supervisor Name:
Supervisor Phone:
Position Start Month/Year:
Position End Month/Year:
Average hours worked per week (either paid
or as a volunteer):
List a few things you did in this position (operated cash register, used food safety standards, helped customers, handled conflict, worked
with a team, etc.):
REFERENCES
Please list the names of two people who know you well, but to whom you are not related. By providing this information you are indicating
that a future employer could contact this person.
Full Name:
Email:
Phone Number:
How do you know this person? (supervisor, coach, teacher, etc.):
How long have you known this person?:
Full Name:
Email:
Phone Number:
How do you know this person? (supervisor, coach, teacher, etc.):
How long have you known this person?:
INTERESTS AND SKILLS
For each of the following, please indicate if you have:
1) Interest (“I’ve never done it, but I’d like to try”)
2) Experience (“I’ve done this before and would like to do it again”)
3) Strong Skills (“I’ve done this before, would do it again and am pretty good at it”)
Communication Skills:
_______ Writing well _______ Speaking well _______ Listening well
_______
Writing stories or articles
_______
Blogging or creating
YouTube videos
_______
Providing customer
service
_______
Managing a multi-line
phone
Financial/Office/Data Entry Skills:
_______ Using a cash
register/making change
_______
Entering data into a
spreadsheet (such as Excel) or a
database
_______
Making financial entries
into a ledger
_______
Filing and organizing in an
office setting
Technology Skills:
_______ Troubleshooting
computer problems
_______
Using Microsoft products
(Word, Excel, PowerPoint, etc.)
_______
Using a Mac computer
_______
Operating audio/visual
equipment and/or copiers
Arts/Theatre Skills:
_______ Creating scenery for a
play
_______
Lighting or sound for a
play
_______
Sewing _______ Carpentry
_______
Photography _______ Graphic design
_______
Creating newsletters,
posters, or fliers
_______
Stage management
Custodial Skills:
_______ Lifting items of at least 25
pounds
_______
Cleaning homes or
businesses
_______
Operating internal or
external equipment (floor cleaner,
mower, etc.)
_______
Driving a 15 person van
_______
Gardening or landscape
work
_______
Completing small
maintenance projects
_______
Equipment/Vehicle
maintenance
Food Service Skills:
_______ Serving food _______ Prepping food _______ Dishwashing
Academic/School Skills:
_______ Working in a library
_______
Grading papers for a
teacher
_______
Tutoring
Health/Fitness Skills:
_______ Maintaining fitness
equipment
_______
Cleaning fitness
equipment or locker rooms
_______
Serving as a statistician
for a sports team
_______
Serving as a game day
assistant for a sports team
WORK ELIGIBILITY
If you are applying for your first Learn & Earn position, you must complete a proof of identity and work eligibility document called
an I-9 form. Once it is confirmed that you have been offered a job, go to the Payroll Office on the bottom floor of College Hall and
complete an I-9 form. Please bring the following required identification forms with you: A Passport alone or two of the following
three documents: A drivers license and social security card or birth certificate.
SIGNATURE
I certify that my answers on this application are true and complete to the best of my knowledge.
Signature: _________________________________________ Date: _________________________________________
SUBMISSION
To submit this application, please email this form to Audra Oglesbee, Learn & Earn Coordinator, campusjobs@bluffton.edu.