ONLINE APPLICATION FOR STUDENT EMPLOYMENT


Be sure to complete all items.  Failure to do so may delay your placement.

Applying for: Institutional Work/Study


NAME:
        Last, First Middle
CURRENT ADDRESS:
                           Street, City, State Zip
PHONE:          EMAIL ADDRESS:

Date you could start work:
 
STUDENT CLASSIFICATION: Freshman Sophomore Junior Senior
Graduate Post Graduate Special Student

 

MAJOR: 1st       MINOR: 1st 
       2nd              2nd 

CAREER OBJECTIVE:

Have you been a College Work-Study employee at NSU previously? Yes No
 

Supervisor's Name
Department
Semester
Year
Position
1.
2.
3.

Do you want to work for one of the above? Yes No  If Yes, which one? 1 2 3

Do you have any physical defects which would prevent you from performing certain jobs? Yes No
If yes, describe defects & specific work limitations:

Have you attended a Business or Vocational School? Yes No

List any courses you have successfully completed that might qualify you for certain postions:

List any work or volunteer experience(s) you have had:

REFERENCES:  (other than work-study supervisors listed above)

 
Name
Address
Phone
Relationship
1.
2.
3.

IN CASE OF EMERGENCY NOTIFY:
                         Name, Address, Phone
Would you be willing to work during enrollment? YesNo


COMPLETION OF THE SECTION BELOW WILL HELP US PLACE YOU IN A POSITION THAT BEST MATCHES YOU.  PLEASE CHECK ALL MACHINES YOU HAVE OPERATED OR WORK ACTIVITIES YOU HAVE PERFORMED.
 
Typing/Speed: Tutoring
Shorthand/Speed: Greet Visitors
Ten-Key Adding Machine Answer Telephone
Calculator Deliver Messages
Accounting Physical Work
Library Skills Work On Your Own
Filing Alphabetical Computer Skills Keyboard Data Entry
Numerical Computer Programming
Duplication Xerox Computer Operator
Mimeograph Maintenance Grounds Work
Ditto Custodial
Food Service Server Carpentry
Cook Electrical Work
Dish Washer Painting

PLEASE CHECK ON RESPONSE TO EACH STATEMENT:
 
1. I would prefer to work: Indoors Outdoors Either
2. I would prefer to work: Days Nights Weekends Either
3. I would prefer to work: On-Campus Off-Campus Either
4. I like: Working with a group Working by myself Either
CLUB MEMBERSHIPS:

HOBBIES:

All the information listed by me on this application is true and correct to the best of my knowledge.  I understand employment will depend upon work performance of a continuting satisfactory standard.