Work-study Employment Application
Full Legal Name: ______________________________________________________________________
Email: _________________________________________ Phone Number: ________________________
Tech ID/Star ID: _______________ Major/Minor: ________________________________________
Expected Graduation Date: __________ Position Applying For: _________________________________
Qualifications: ________________________________________________________________________
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_____________________________________________________________________________________
Employer: ______________________________________ Phone: _______________________________
Address: _______________________________________ Supervisor: ___________________________
Job Title: ______________________________________ From: __________ To: ____________
Responsibilities: _______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Reason for leaving: ____________________________________________________________________
Employer: ______________________________________ Phone: _______________________________
Address: _______________________________________ Supervisor: ___________________________
Job Title: ___________________________________ From: ________ To: __________
Responsibilities: _______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Reason for leaving: ____________________________________________________________________
Monday: ____________________________
Tuesday: ____________________________
Wednesday: _________________________
Thursday: ___________________________
Friday: _____________________________
Saturday: ___________________________
Sunday: ____________________________
By signing this I certify that my answers are true and complete to the best of my knowledge.
Signature: _______________________________________________________
Date: _____________
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