New Student Employee Questionnaire

Personal Information

* Title
* First Name
* Middle Name
* Last or Family Name
Preferred Name
* Date of Birth	, 19
* Email Address

Work Experience

* Please list work experience. Also include dates of employment. (Maximum of 215 characters)

Areas of Interest

Please list hobbies, ministry experiences, and other areas of interest. (Maximum of 215 characters)

Information on Job Opportunities

Please give us any other information that may help us place you in a suitable job (i.e., Physical Limitations). (Maximum of 215 characters)

Employment Information

Job Choice #1	Select an available position
Job Choice #2	(not selected)
Job Choice #3	(not selected)
Has any work manager or supervisor talked to you about a position for this school year?
If yes, manager's or department's name
* How many hours a week do you want to work?
* Do you need to work on campus in order to pay your school bill?

Pay Information

I would like my earnings

Pay Scale

	Under 20	Rate Over 20 Rate*
Rate	$6.20	$7.25
*The over-20 hourly rate only applies to the hours during a week that exceed 20 hours. These wages go into effect on 07/24/09.

Agreement

I certify that the information given on this application is complete and accurate.
I understand that I must present appropriate documentation for the completion of the I-9 form (U.S. Department of Homeland Security form) before I will be allowed to start work. (See the list of possible documents)
I understand that these documents may not be photo copies.
I understand that if I present a document from List B that I must also present a document from List C.
I understand that this job commitment will be for the complete academic year. Since this is not a contractual agreement, I understand that I may quit at any time; however, if I quit, I may not be allowed to work on campus for the remainder of the academic year.
I understand that I will not be assigned to a job until after I've confirmed my reservation.

We will attempt to place you by your choices and work experience; however, there is a limit to the jobs that are available. Priority is given to returning students.

*I agree to the above statements