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Indiana University of Pennsylvania

OFFICE OF INTERNATIONAL AFFAIRS
STUDENT EMPLOYMENT APPLICATION

 

 

NAME_________________________ SS/ID#______________  E-Mail__________________ 

CAMPUS ADDRESS_____________________                    HOME ADDRESS_________________________

                             _____________________                                            _________________________

                             _____________________                                            _________________________

TELEPHONE NUMBER___________________                      TELEPHONE NUMBER_____________________

CLASS STATUS:      ______SR.  ______JR.  ______SOPH.  ______FRESH ______GRAD

MAJOR______________________________    EXPECTED GRADUATION__________________

TYPE OF AID:   ______FEDERAL WORK STUDY   ______STATE EMPLOYMENT

WORK EXPERIENCE (Please list places employed, office skills, office machines that you are familiar with and the extent)

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

REFERENCES

NAME_____________________________      PHONE #______________________________

RELATIONSHIP________________________________________________________________

 

NAME_____________________________      PHONE #______________________________

RELATIONSHIP________________________________________________________________

 

DAYS AND HOURS OF AVAILABILITY

DATE YOU CAN BEGIN WORK_____________________________________________________

ARE YOU AVAILABLE DURING BREAKS?____________________________________________

 

____________________________________________                     _____________________

SIGNATURE                                                                                 DATE

 

  • Office Hours
  • Monday through Friday
  • 8:00 a.m.–12:00 p.m.
  • 1:00 p.m.–4:30 p.m.