Student Employment Application
Please print and fill out this form

Personal Information
Name:   ______________________________
Student ID #:   ______________________
Local Address:   _________________________________________________________________
Permanent Address:  ______________________________________________________________
E-mail:  ________________________________________________________________________   
Local Phone #:  _______________________
Permanent Phone #:   ____________________ 
Expected Date of Graduation:      Fall       Spring       Summer          20________
U.S. Citizen:      Yes       No
Visa Type:__________________________
Work History    
Begin with your most recent job including internships and volunteer work.
Continue on the back of this sheet if necessary.
Employer1______________________________ Phone#__________________________
Title___________________________________ Length of Employment______________
Duties_______________________________________________________________________
Superviser______________________________ May we contact?      Yes      No
Employer2 ______________________________ Phone#__________________________
Title___________________________________ Length of Employment_______________
Duties________________________________________________________________________
Superviser______________________________ May we contact?      Yes       No
DETS Employment
I am applying for:   Summer     Fall      Spring Number of hours per week: __________
Date Available:  ______________________________  
Do you currently hold another position on campus? Yes         No
Do you want to receive your paycheck at DETS? Yes         No
Have you ever worked at DETS (ITV) before? Yes         No
Indicate which position you are interested in:
      Technical Director        Office Assistant        Distribution Assistant        Other
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Schedule   Please fill out the hours you are available to work.   Shifts are open at multiple times
during the day, so feel free to schedule before and after your classes.
Times Mon Tues Wed Thurs Fri
8am          
9am          
10am          
11am          
12          
1pm          
2pm          
3pm          
4pm          
5pm          
6pm          
7pm          
8pm          
9pm          
10pm          

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