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Bernhard Center Student Employment Application

 

(first and last)
 
Local address

 
Permanent address
Zip*
   
Citizenship* US Citizen J-1 Visa F-1 Visa Other
 
Employment history

If you are still working at this job, leave the field blank.
 

If you are still working at this job, leave the field blank.
   
Skills (check all that apply)














   
Work availability  
Number of hours desired*
Days and times available*
Do you have Work Study?*


   
References (Include employment or volunteer reference, not friends and family)
Name*
Phone*
Email
Relationship to you
How long have you known this person?
   
Name
Phone
Email
Relationship to you
How long have you known this person?
   
Name
Phone
Email
Relationship to you
How long have you known this person?

 
By clicking "Submit" I certify that I understand that if employed, any false statement on this applicationmay result in my dismissal. You are hereby authorized to make any investigation of my personal history through state agencies and personal references. I have read the entire application and have carefully considered the objectives of the identified employing department of Western Michigan University. With full understanding of the terms, I agree to willingly abide by the standards, rules and regulations of Western Michigan University.