Student Application for Employment

Applicant's Address: *

Phone Number: *

Area Code Phone Number
Email *
example@example.com
Major: *
Year: *

Freshman Sophomore Junior Senior 5th Year Grad
Do you have a Social Security Number? *

Yes No
Have you been approved for work-study by the University? *

Yes No
Do you plan to reside in Pittsburgh during non-semester times? *

Yes No
What is the maximum number of hours per week you can work this semester? *
Availability

When are you available to work? The stores are typically open Mon-Thurs 8:30am-5pm, Fri 9:30am-5pm, and Sat 11am-4pm. Don't forget to factor in travel time and time to eat before your shift.
Days Available to Work: *

Monday Tuesday Wednesday Thursday Friday Saturday
What times are you available to work each day? *
Previous Employment

Please list your previous places of employment (up to 4 jobs) with: Employer's Name, Address and Phone Number, Supervisor's Name, Date's Employed, and Reason for Leaving.
Previous Employment Information:
Personal References

Please list 3 personal references with: Name of Reference, Email and Phone Number, Years Known, and Best Time to Call.
Personal Reference Information: *
By submitting this form, I agree all Information I have given is correct to my knowledge and I understand that any false information herein will be terms for denial of an interview or termination of employment. The application is not a contract for an interview and will be good for only 30 days from the date submitted.
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Availability