Student Employment Application

To apply for a job in the Children's Center, fill out the online application below or print the application and turn it in the Children's Center (Printable PDF Student Application). If we have positions available, you will be contacted for an interview.

Personal Information

Name:

Permanent/Home Contact Information

Home Address:

Home City: State:

Zip Code: Home Phone:

Local Contact Information

Local Address:

Local City: State:

Zip Code: Local Phone:

E-mail Address:

School Information

Major:

Minor:

Year in school:
Freshman Sophomore Junior Senior

Pay: Are you eligible for Federal Workstudy?
Yes No

If you have Federal Workstudy, how much each semester?
Fall: Spring: Summer:

Please list any physical limitations:

Work Experience in the last three years?

Most Recent Employer

Employer Name:

Employer Address:

City:

State: Zip Code:

Type of Work:

Beginning Date: Ending Date:

Other Previous Employer

Employer Name:

Employer Address:

City:

State: Zip Code:

Type of Work:

Beginning Date: Ending Date:

Other Previous Employer

Employer Name:

Employer Address:

City:

State: Zip Code:

Type of Work:

Beginning Date: Ending Date:

Questions:

Why would you like to work in the Children's Center?

Special talents you could give to the Childen's Center?

References

Reference #1

Name:

Address:

City:

State: Zip Code:

Phone Number:

Occupation:

Reference #2

Name:

Address:

City:

State: Zip Code:

Phone Number:

Occupation:

Reference #3

Name:

Address:

City:

State: Zip Code:

Phone Number:

Occupation:

Today's Date: