Student Worker Application for On-Campus Employment
First Name ____________________________________ Last Name ___________________________________
Home Address
____________________________________________________________________________
City ______________________________ State _________________________ Zip Code___________________
Telephone__________________________ Student Identification Number _C______________________________
Select one:
[ ] Commuting Student
[ ] Resident Student
Are authorized to work in the U.S. on an unrestricted basis? ( ) Yes ( ) No
Was Work-Study part of your Financial Aid package? ( ) Yes ( ) No
What is your program of study? ______________________________ What is your GPA? ____________________
Date you can begin employment: _________________ Have you attended a student worker orientation? ______
Select One:
[
] I am not employed by Concordia College at this time.
[
] I am employed at ______________________________ Office(s) and not interested in keeping my application
accessible for hiring managers.
[
] I am employed at ______________________________ Office(s) working ______ hours a week, and I am
still interested in keeping my application accessible to hiring managers.
Hours of availability:
Fall Semester [
]
Spring Semester [
]
_ ___________________
_ __________________
Monday:
M onday:
_ ___________________
_ __________________
Tuesday:
Tuesday:
_ ________________
_ ________________
Wednesday:
Wednesday:
_ __________________
_ __________________
Thursday:
Thursday:
_ ____________________
_ ____________________
Friday:
Friday:
_ __________________
_ __________________
Saturday:
Saturday:
____________________
_ ___________________
Sunday:
Sunday:
Is there a particular office for which you are interested in working? ___________________________
Are you interested in Federal Work Study positions that are off-campus? [ ] Yes [ ] No
Student Signature ____________________________ Date _________________________________
: Attach a current resume to your completed application and return by email to cdc@concordia-ny.edu or
Directions
st
in person to the Career Development Center, 1
Floor Sieker Hall
. Incomplete applications will be returned.