Student Employment Application Form

Employment Application Form

Student Office Assistant
Personal Information:
Full Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Are you a U.S. citizen?
Are you authorized to work in the U.S.?
Availability:
Date You Can Start

MonthDayYear
Education:
High School
Name of High School Attended
Dual-Enrollment?
Tell us more about you.
Why would you be a great student worker at Communication Dynamics?
List any relevant skills
Current Employment:
Current Employer
Name of Current Employer or NONE if not Employed
Position
Start Date

MonthDayYear
May We Contact?
Phone Number

Area CodePhone Number
Employment Questions:
What type of computer do you have?
Do you have any inbound customer support, customer service, or call center experience? If so, please describe:
Do you have strong computer and telephone skills
Are you able to answer calls and simultaneously type?
Do you have a cheerful, upbeat attitude that makes others smile when speaking on the phone?
What are your long-term life/career goals?
What steps are you taking to reach these goals?
What motivates you to pursue your goals?
References:
Reference 1
Name of Reference
Relationship
Phone
Email
Reference 2
Name of Reference
Relationship
Phone
Email
Reference 3
Name of Reference
Relationship
Phone
Email
By clicking the submit button below, I certify that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
Which days are you available to work? (choose all that apply)
Good luck with your application!
Should be Empty:

Employment Application Form

Personal Information:

Availability:

Education:

Tell us more about you.

Current Employment:

Employment Questions:

References:

Good luck with your application!