PO Box 5640
Flagstaff, AZ
86001-5640
NORTHERN ARIZONA UNIVERSITY
DEPARTMENT OF BIOLOGICAL SCIENCES
Application for Student Employment
(928) 523-2381
ARE YOU WORK STUDY ELIGIBLE?
Last Name
First
Yes
Middle
No
Date
Local Address
City
State
Zip Code
Phone
Permanent Address
City
State
Zip Code
Phone
NAU ID Number
If under 18, give date of birth
When can you begin work?
Please Provide name and address of 2 previous employers (include city and state):
1.
Employer
Address
(
)
Phone number (with area code)
Type of Business
Starting Pay
Hours worked weekly
Yes
No
May we contact?
Job Title
Starting Date (Mo/Yr)
Ending Date (Mo/Yr)
Final Pay
Reason for Leaving
Description of work and responsibilities
2.
Employer
Address
(
)
Phone number (with area code)
Type of Business
Starting Pay
Reason for Leaving
Yes
No
May we contact?
Job Title
Final Pay
Hours worked weekly
Starting Date (Mo/Yr)
Ending Date (Mo/Yr)
Description of work and responsibilities
Check one:
Freshman
Sophomore
Anticipated Graduation Date
Junior
Senior
Major
Graduate
Cumulative GPA
Specify computer equipment you can operate and years of experience
Specify computer software you can operate and years of experience
Please answer the following:
1) Discuss your methods for handling stress
2) Describe your experience working with the general public
3) Give an example of how your qualifications apply to those described in the job notice
4) Please list the hours (between 7:30 a.m. and 5:00 p.m.) you are able to work
Monday
Tuesday
Wednesday
Thursday
Friday