Student Employment Application Form Page 2

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Northern   M ichigan   U niversity   D ining   S ervices  
[Year]  
Student   E mployment   A pplication  
 
Previous   E mployment:  
Employer______________________________________         E mployer_____________________________________  
Duties__________________________________________       D uties_________________________________________  
Projected   Y ear   a nd   S emester   o f   G raduation   f rom   N MU_____________________________________  
Skills:  
Please   c heck   a ny   o f   t he   f ollowing   i n   w hich   y ou   h ave   e xperience   o r   t raining   a nd   p rovide   e xamples   o f   t his  
training:  
 
__________Accounting  
__________Art  
__________Baking  
__________Bartender  
__________Carpentry  
__________Cash   r egister  
__________Clerical    
__________Cooking  
__________Computer    
__________Custodial  
___________Locksmith  
___________Painting  
___________Waiter/Waitress  
___________Other   ( please   l ist)  
                                 
Northern   M ichigan   U niversity   D ining   S ervices   d oes   n ot   u nlawfully   d iscriminate   o n   t he   b asis   o f   a ncestry,  
race,   c olor,   e thnicity,   r eligion,   o r   c reed,   s ex   o r   g ender,   g ender   i dentity,   g ender   e xpression,   g enetic  
information,   n ational   o rigin,   a ge,   h eight,   w eight,   m arital   s tatus,   f amilial   s tatus,   h andicap/disability,  
sexual   o rientation,   m ilitary   o r   v eteran   s tatus,   o r   a ny   o ther   c haracteristic   p rotected   b y   f ederal   o r   s tate  
law   i n   e mployment   o r   t he   p rovision   o f   s ervices.   N MU   p rovides,   u pon   r equest,   r easonable   a ccommodation  
including   a uxiliary   a ids   a nd   s ervices   n ecessary   t o   a fford   i ndividuals   w ith   d isabilities   a n   e qual   o pportunity   t o  
participate   i n   a ll   p rograms   a nd   a ctivities.   P ersons   h aving   c ivil   r ights   i nquiries   m ay   c ontact   t he   C ivil   R ights  
office   i n   t he   H uman   R esources   b uilding   a t   9 06-­‐227-­‐2420.   P ersons   h aving   i nquires   r egarding   t he   A mericans  
with   D isabilities   A ct   ( ADA)   m ay   c ontact   t he   D ean   o f   S tudents   o ffice     a t   9 06-­‐227-­‐1700  
 
 
Please   r eturn   t his   a pplication   t o   t he   N MU   D ining   S ervices   o ffice   1 103  
University   C enter  
 
906-­‐227-­‐2522  

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