Part-Time Jobs | A.S.

First Name*

M.I.

Last Name*

Email*

Local / Cell Phone*

Permanent Phone

Best time to call

Local Address

Apt#

City

State

Zip

Permanent Address

Apt#

City

State

Zip

If hired, are you legally authorized to work in the U.S.?*

Yes

If hired, can you provide proof of your legal right to work in the U.S.?*

Yes

Are you an SDSU student?*

Yes

Are you a voting member of any Associated Students (A.S.) Board or Committee?*
A.S. BYLAWS STATE: Employees of A.S. cannot be a voting member on any A.S. Board or Committee due to conflict of interest.

Yes

Based on the job description are you able to perform the job duties as outlined with or without accommodation?*

Yes

Number of units you are carrying this semester*(Must carry minimum of six units)

Expected Graduation Date

Major*

Are you currently employed by Associated Students?*

Yes

If currently employed, Dept./Position

Have you ever worked for Associated Students?*

Yes

If yes, Dept./Position

If yes, Dates of Employment (FROM - TO)

If yes, Position Type

Full-Time

Part-Time

If yes, Supervisor Name

If yes, Reason for Leaving

What date would you be available to start work?*

Number of hours you would be available to work per week*

What days of the week and hours are you available to work
(please consider hours required in position job description)

Are you eligible for work study?

Yes

If yes, Amount

Employer Address City, State, ZIP Phone Immediate Supervisor (Person to Contact)

Type of Work Dates of Employment (FROM - TO) Reason for Leaving

Employer Address City, State, ZIP Phone Immediate Supervisor (Person to Contact)

Type of Work Dates of Employment (FROM - TO) Reason for Leaving

Employer Address City, State, ZIP Phone Immediate Supervisor (Person to Contact)

Type of Work Dates of Employment (FROM - TO) Reason for Leaving

Name Company Name Title

Email Phone Relationship to Candidate

Name Company Name Title

Email Phone Relationship to Candidate

Name Company Name Title

Email Phone Relationship to Candidate

A.S. Part-Time Jobs

Part-Time Job Application

Work Experience 1

Work Experience 2

Work Experience 3

Reference 1

Reference 2

Reference 3