Work Study Employment Application

Do you  need  MONEY?  We need students to work in Mail Services!



Full Name:
   Date:

Home Address:   City:   State:

Zip:   Phone #:   

Do you live on campus?  Yes   No

*PSU Email only:
  *(We will correspond with you through this email only.)

Cummulative GPA:   Curr. Semester:
_____________________________________________________________

Do you have work study?   Yes No (If you are in doubt, you can
check with Financial Aid to see if you have work study awarded to you.)

If yes:  Federal   State
                 
If yes, when?  
Fall    Spring    Summer

Do you plan on graduating from Penn State Erie?    Yes   No

Will you be holding another job besides this one?    Yes   No

Would you be available for work during semester breaks?
Fall:  Yes No ,     Spring:  Yes   No ,     Summer:  Yes   No
_____________________________________________________________

YOUR
AVAILABLE HOURS:

  MON TUE WED THU FRI
             
10:00 -11:00  
11:00 -12:00  
12:00 - 1:00  
1:00 - 2:00  
2:00 - 3:00  
3:00 - 4:00  
4:00 - 5:00  

_____________________________________________________________

WORK HISTORY:
May we contact your previous employer?   Yes No

Employer:   Dates Worked:
                Position Held:    Supervisor:
Employer:   Dates Worked:
                Position Held:    Supervisor:
Employer:   Dates Worked:
                Position Held:    Supervisor:
_____________________________________________________________

(Read Carefully)

I will comply with the fact that all information in Mail Services is confidential.  The information I have given here is complete, true and correct to the best of my knowledge and belief.  I further can affirm
that I have not knowingly withheld any facts or circumstances in
completing this application.  I understand that any misrepresentation
of information by me can cancel this application, or be cause for my termination in the event I am employed by the University. 


Any questions contact
bdoperations@psu.edu                       


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Updated August 18, 2009
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