Youngstown State University
Application for On-campus Student Employment
Last Name: _____________________________ First________________________ Middle: ________________
Banner ID Number: Y_____________________ Local Address: _______________________________________
________________________________________________________________________________________
City State Zip Code
Telephone Number(s): ______________________ University E-Mail Address: _______________@student.ysu.edu
Are you a full time student? Yes No
Are you in good standing? Yes No
Desired position: __________________________________________________________________________
Number of Credit Hours Completed: ____________ Expected Graduation Date: ____________________________
Academic Major and Minor: __________________________________________________ GPA: ___________
Employer Type of Employment Date Start Date End
Additional Information (include any information/skills relevant to this position):
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
The above information is accurate to the best of my knowledge.
Signature: ____________________________________________________ Date: ___________________
Please provide on the back of this paper
your hours of availability during the semester for which
you are applying.
Work Experience
Have you applied for Federal Financial Aid?
Yes No
Have you verified eligibility for Federal Work Study?
Yes No
IT Service Desk Assistant (Student)
(mm/dd/yy)
(mm/dd/yy)
