On-Campus Employment
Application
This scholarship is exclusively for Hyles-Anderson College. It will not apply to any other college or university.
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I understand
Student Name
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First Name
Middle Name
Last Name
Are you a returning or new/transfer student?
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Returning student
New/transfer student
Birth Date
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Please select a month
January
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Month
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Day
Please select a year
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Year
Gender
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Please Select
Male
Female
N/A
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
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Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
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Equatorial Guinea
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Falkland Islands
Faroe Islands
Fiji
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Malawi
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Maldives
Mali
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Mayotte
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Montenegro
Montserrat
Morocco
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Netherlands
Netherlands Antilles
New Caledonia
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Nigeria
Niue
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Northern Mariana
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Paraguay
Peru
Philippines
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Poland
Portugal
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Qatar
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Rwanda
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Saint Helena
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Samoa
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Saudi Arabia
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South Africa
South Ossetia
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Suriname
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eSwatini
Sweden
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Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
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Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Student E-mail
*
Mobile Number
*
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Area Code
Phone Number
Semester/year you wish to begin on-campus employment:
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Fall
Spring
*
Example: 2021
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Do you have a sibling currently enrolled at HAC?
Yes
No
If so, what is his/her name?
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Employment History
Most Recent Employment
Company Name
Your Position/Responsibilities:
Other Employment
Company Name
Your Position/Responsibilities:
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Acquired Work Skills
Please check mark any of the skills listed below that you possess.
Trade
Vehicle Mechanics
Construction
Drywall
Electrical
Framing
Plumbing
Cabinetry
HVAC
Welding
Other
General
Child Care
Cashier
Food Service
Janitorial
Landscaping
Pest Control/Exterminator
Computer/Media
Adobe Creative Suite (PhotoShop, Illustrator, InDesign, etc.)
Web Development/Coding
Microsoft Word/Excel
Photography
Audio/Visual
Video Editing
Computer Repair
Marketing
Healthcare
Nursing
CNA
Music (If not piano, please list the instrument(s) in which you are most proficient)
Piano
Other
Desired position:
Food Services
Grounds/Maintenance
Secretarial
Whatever is available
Other
Maximum number of work hours requested:
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5
10
20
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Financial Status
Are you applying for any other scholarship(s)?
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Pastor's Child
Married Student
Christian Worker's Child
ACT-For-Excellence
Valedictorian/Salutatorian
Church-Matching
Multi-New Student
F1 Foreign Student Program
None
Current Savings
*
Example: $4,500
Outside Income/Sponsorships
Relatives, church, private grant, etc.
I have or will put this amount toward my school bill as a down payment by Opening Day:
*
Example: $1,250
Other monthly expenses
Example: Cell phone $50, Car insurance $40, etc.
Submit Application
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