Name:
Penn
State ID number:
E-mail
Address:
Local
Phone:
Local
Address:
Please
indicate your availability by "CHECKING" those
hours NOT AVAILABLE due to class conflict.
How
many hours per week do you wish to work?
(20 hrs. maximum)
Are you available to work: late night (after 10:00pm)
or weekends
Please rank the areas where would like to work in order
of preference. (We try to accommodate your requests;
however, we cannot guarantee specific areas, times, or
days.)
How
many credits are you taking this semester?
Are you an:
Are you currently employed in the
work-study program?
Have you worked for Penn State Housing and Food Services
or any other University departments (including Commonwealth
College campuses)?
Are you eligible for employment in the U.S.?
(You will be required to show proof of this eligibilty
upon employment.)
Please list your major and expected graduation
date:
Please list your past work experience:
Have you ever been convicted of any criminal offense
other than minor traffic violations?
If yes, please explain:
Please
indicate
any other information you would like us to take into consideration.
Referred
by:
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