7/15
Mail Services
Application for Student Employment
Name Date
Street Address
City Zip Code
Home Phone# Cell#
Student ID # Email
Work-Study Student? [ ] Yes [ ] No Amount of Award $
Major Minor Class Status
Are
you currently working? [ ] Yes [ ] No
Have you ever worked for California State University, Northridge? [ ] Yes [ ] No
If “yes”, what department(s)?
Have you ever resigned a position in the middle of the semester? [ ] Yes [ ] No
If “yes”, please explain.
In t
he section below, please list any office skills and office equipment you are familiar with.
Hours Available
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
7/15
WORK EXPERIENCE
Current Employer
Company Name Phone #
Address City Zip Code
Supervisor
Job Duties
Employed From To
Reason For Leaving
Work Experience
Company Name Phone #
Address City Zip Code
Supervisor
Job Duties
Employed From To
Reason For Leaving
Work Experience
Company Name Phone #
Address City Zip Code
Supervisor
Job Duties
Employed From To
Reason For Leaving