Student Employment Application

Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone
Email
Living Arrangements

Living Arrangements On Campus Off Campus
Grade Point Average
Transfer Student

Transfer Student Yes No
Academic Status

Academic Status Freshman Sophomore Junior Senior
Employment History

Begin with your present or most recent employer if applicable.
Employer
Job Title
Date of Employment
Description of Duties
Employer
Job Title
Date of Employment
Description of Duties
Which position(s) are you applying for? (Choose up to two positions)

Which position(s) are you applying for? (Choose up to two positions) Library Student Assistant Admissions Student Assistant Athletics Student Assistant Hospitality / Custodial Worker Mail Center Worker / Receptionist Operations Student Assistant Student/Resident Life Department Assistant Academic Resource Center (ARC) Mentor Registrar Assistant
Check all that are applicable to your skills, credentials and/or experiences:

Check all that are applicable to your skills, credentials and/or experiences: Food Service Work People Skills Data Entry Cash Register Filing Valid US Driver's License Office Skills Publisher Typing Publications Telephone Skills Library Tutoring Excel Word Vehicle Repair Maintenance Work Grounds Work Receptionist Copy/fax Machines Cafe/Coffee House Writing Skills Public Relations
By clicking submit, you hereby certify that the information contained in this form is accurate and true to the best of your knowledge. Any misrepresentations, falsification or material omission of information may result in your dismissal from employment at any time. You agree to conform to Providence Christian College’s student employment policies and procedures if and when employed. You understand that Providence has access to certain personal and educational information in order to make employment decisions. These may include previous work experiences, personal references, class schedules, grades, and college discipline records. This release does not include access to any confidential physical and mental health records, legal documents, and/or police records. You understand you am not guaranteed a job position by filling out this application.
Type the letters you see in the image below.

Student Employment Application

Student Employment Application

Employment History