Sjsu Application For Work Study Or Student Assistant Position
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1
2APPLICATION FOR WORK STUDY OR STUDENT
ASSISTANT POSITION
HUMAN RESOURCES | 408-924-2250
Instructions: Please print using blue or black ink pen. Submit to hiring department designee. Hiring department – this is
for your internal use only. Do not turn in to HR.
GENERAL INFORMATION
Position Applying for:
Department:
Last Name:
First Name:
Initials:
Home/Message Phone:
Mailing Address:
Year in school
FR
SO
JR
SR
GRAD
City:
State:
Zip:
Major:
Expected Graduation Date:
1. Are you 18 years of age or older? If “NO”, a work permit is required at the time of employment.
YES
NO
Name:
2. Do you have relatives who work for SJSU?
YES
NO
Department
:
If “YES”, provide information to the right.
Relationship
:
Dates of Employment
:
3. Have you ever been employed at SJSU?
YES
NO
If “YES”, check status and provide information to the right.
Student Assistant-Department:
4. Have you been convicted of a misdemeanor or felony as an adult (18 or older)?
YES
NO
If “YES”, please list circumstances and date. Exclude minor traffic and other convictions, which have been judicially dismissed,
expunged, sealed, or eradicated. Conviction of a crime is not an automatic bar to employment. All circumstances will be considered.
5. Are you currently eligible for the Federal Work-Study Program (if applicable)?
YES
NO
SKILLS AND ABILITIES
Typing Speed (WPM):
Application/Software Used
Word Processing
Some Exp
Competent
Expert
Spreadsheet
Some Exp
Competent
Expert
Database
Some Exp
Competent
Expert
Internet/Web
Some Exp
Competent
Expert
Programming Languages
Some Exp
Competent
Expert
Computer Operating Systems
Some Exp
Competent
Expert
Other
Some Exp
Competent
Expert
LICENSES AND CERTIFICATES: Complete this section only if license/certificate is required for the position.
Other Licenses and Certificate:
Do you have a valid California Driver’s License?
YES
NO
License No:
Expiration Date:
AVAILABLE WORK HOURS
Monday
Tuesday
Wednesday
Thursday
Friday
Date Avaiblable to start work
:
Hours available per week:
HR Revised 1/30/2015
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Parent category: Education