COTC Student Employment Application

First Name

Last Name

Student ID#*

College Email Address*

Enrolled at*

Address

Street Address

CityState

Zip Code

GPA

Credit Hours Enrolled:

Rows	Summer	Autumn	Spring
Credit Hours

Home Phone Number

Area CodePhone Number

Cell Phone Number

Area CodePhone Number

Job #(s) for which you are applying *

NOTE: The job#(s) are located on the top left corner of the job descriptions. They are 5 digits and end with a 2.

Technology/Major

Are you a United States Citizen or otherwise authorized to work in the position(s) for which you are applying? (You will be required to verify your employment eligibility upon hire.)

YesNo

If applying for a position that has specific course requirements, please list courses with the instructors’ name:

List any special skills pertaining to jobs for which you have applied (i.e. phone skills, interpersonal, calculator, computer, typing-including wpm, equipment, etc…)

List Specific Times You Are Available to Work

Rows	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Hours

Please attach a copy of your class schedule. *

Browse Files

Maximum number of hours you would like to work per week

Minimum number of hours you would like to work per week

Are you available between terms?

YesNo

Work History