University of South Carolina Aiken
Student Assistant Employment Application
Applicant Information
Full
Name:
Date:
Last
First
M.I.
Campus
Address:
Building / Apartment #
Phone:
E-mail Address:
YES
Social Security No.:
Do you qualify for FWS?
YES
Award Amount:
NO
Are you a citizen of the United States?
YES
NO
If no, are you authorized to work in the U.S.?
YES
NO
Have you ever worked for this department?
Have you worked for any other departments
on campus?
NO
YES
NO
If so, when?
Position:
If so, what
department?
Position:
Pacer Commons
Area Office
Pacer Downs
Area Office
Please indicate which office you would like to work for:
Previous Employment
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.
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: