Student Assistant Employment Application Central Housing Office Pacer Crossings 130

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Student Assistant Employment Application
Central Housing Office Pacer Crossings 130
803-641-3785 Fax – [email protected]
0B
Applicant Information
Full Name:
Date:
Last
First
M.I.
Campus
Address:
Building / Apartment #
Phone:
E-mail Address:
USC ID #:
GPA: ___________ (must be a 2.5 or above, if Freshman, use high school GPA)
YES
NO
Are you a citizen of the United States?
YES
NO
NO
Have you ever worked for this department?
Have you worked for any other departments
on campus?
YES
If no, are you authorized to work in the U.S.?
YES
NO
If so, when?
Position:
If so, what
department?
Position:
Previous Employment
1B
Company:
Phone:
Job Title:
Supervisor:
Responsibilities:
From:
To:
Reason for Leaving:
Company:
Phone:
Job Title:
Supervisor:
Responsibilities:
From:
To:
Reason for Leaving:
Company:
Phone:
Job Title:
Supervisor:
Responsibilities:
From:
To:
Reason for Leaving:
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
2B
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
Signature:
Date:
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