APPLICATION FOR STUDENT EMPLOYMENT
Slippery Rock University

This application must be completed by students seeking employment on campus under either the Commonwealth of Pennsylvania or Federal College Work-Study Programs. 

Students must carry at least six (6) credits during each semester of the academic year.
 After completion, submit this application to the appropriate department. SRU is an equal opportunity employer.  For current SRU students only!

Student Name
                         (Last, First, Middle Initial)

Academic Year Major

Email Address  

Campus Address Phone #

Home Address  Phone #

Position Applying for

Are you currently employed on campus?  YesNo

If yes, where? Number of hours per week

Work Experience (Start with most recent; include any volunteer experience)
(Job Title, Name of Employer, Dates of Employment)


(Job Title, Name of Employer, Dates of Employment)


(Job Title, Name of Employer, Dates of Employment)

Activities & Interests (Include high school if you have less than 2 years of college)

Use this space to summarize relevant skills.  Include computer experience.

Special Skills/Certifications:
First Aid/CPR Certification     Fitness Training      Aerobic Instruction     Publicity    

Personal Computer-Programs-Operating Systems:

Other Skills Related to Desired Position:

Do you have a valid PA Driver’s License? YesNo
If yes, Drivers License # Exp Date

Hours you are available to work:   (DO NOT RECORD HOURS IF YOU ARE NOT AVAILABLE)

Monday          TO                    Tuesday TO

Wednesday  TO                    Thursday      TO

Friday            TO                    Saturday        TO  

Sunday          TO      

Are you available to work over holidays & breaks? During the summer?

If you are not a U.S. citizen, do you have a VISA which permits you to work in the U.S.?

If yes, VISA Registration # Expiration date

-References-
Name of Reference Relationship to Applicant Type of Reference 
(Work, Volunteer, Personal) 		Telephone Number

Disclaimer:  This is a standard campus application.   You may be asked to fill out additional information depending on the area to which you are applying.

DO NOT SEND APPLICATIONS TO CAREER EDUCATION & DEVELOPMENT UNLESS YOU ARE APPLYING FOR A
POSITION IN CAREER EDUCATION & DEVELOPMENT.

Student Signature    Date