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Student Employment Application


Personal Information

First Name
Last Name
Which activities do you participate, or plan to participate in? (Select all that apply.)

Positions Held

Please list all previous jobs you have had beginning with the most recent. Please include volunteer work.

Professional References

Please list the names of one or two employers, department heads, or other individuals who can report on your work and/or educational experience. (Include references for positions held during the past three to five years.)

Other Information

Is this person related to anyone in your department?required
After filling out this form, please submit an email to request an exception to the nepotism rule and submit to the Dean of Academics and Student Employment Coordinator.