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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