O
H
R
FFICE OF
UMAN
ESOURCES
Staff/Administrator Application
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This form must be submitted with an original signature for each position for which you apply. You may submit a resume and cover letter in addition to
this form for each position of interest. Print / Indicate the Job Vacancy Number on all application materials. Applications/resumes received after the
Asdf
closing date will not be considered.
:___________
:__________________
DATE
JOB TITLE:__________________________ JOB VACANCY NUMBER
Subtitle
Name
Last
First
Middle Initial
Address
Number
Street
City
State
Zip
Telephone:
Residence No. (________)
Business/Cell No. (________ )_
E-Mail:__________________________
GENERAL INFORMATION
☐NO ☐
Yes
SFSU ID:
Are you currently employed by SFSU:
Start Date:
Are you currently or formerly employed by another CSU campus, the UC or the State of California?
If “Yes”, Institution:
Position:
Dates Employed:
☐
Do you have relatives employed in San Francisco State University? ☐
Yes
No
Name
Department Name
Relationship
☐
Yes ☐No
Are you over 18 years of age?
If No, Applicants under 18 must furnish a work permit prior to employment.
If hired, you will be required to furnish proof that you are legally authorized to work in the United States.
☐No
☐
Yes
Can you furnish such proof?
What is(are) your Day(s) and Time(s) available to work?
KNOWLEDGE, SKILLS AND ABILITIES
MAINTENANCE/SKILLED TRADES
OFFICE/CLERICAL
TECHNICAL
ADMINISTRATIVE
No.
Years of Experience
No.
Years of Experience
No.
Years of Experience
No.
Years of Experience
☐Apprentice ☐Journey
WPM
List specific skills or abilities:
List license & certificate(s):
Computer/Office Machine Skills:
List tools and machines you are qualified
to operate without further training.
☐
Yes ☐No
If applicable to the position, do you have a current valid California Driver’s License?
Circle highest grade completed - (Grade) 1 2 3 4 5 6 7 8 9 10 11 12
(College) 13 14 15 16 17 18
GED/High School:
Name
Location
Certificate/Degree
College, University
Technical School
Name
Location
Major/Minor
Certificate/Degree
College, University
Technical School
Name
Location
Major/Minor
Certificate/Degree
Staff/Administrator Application- Page 1 of 2
June 2014