Indiana University of Pennsylvania

OFFICE OF INTERNATIONAL AFFAIRS
STUDENT EMPLOYMENT APPLICATION



NAME_________________________ SS/ID#______________ E-Mail__________________

CAMPUS ADDRESS_____________________HOME ADDRESS_________________________

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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)

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REFERENCES

NAME_____________________________ PHONE #______________________________

RELATIONSHIP________________________________________________________________


NAME_____________________________ PHONE #______________________________

RELATIONSHIP________________________________________________________________


DAYS AND HOURS OF AVAILABILITY

DATE YOU CAN BEGIN WORK_____________________________________________________

ARE YOU AVAILABLE DURING BREAKS?____________________________________________


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