STUDENT APPLICATION FORM
New York University is committed to a policy of equal treatment
and opportunity in every aspect of its relations with its faculty,
students, and staff member, without regard to age, citizenship
status, color, disability, marital or parental status, national
origin, race, religion, gender, or sexual orientation.
Instructions:
 Attach a copy of the On-Campus Student Employee Application Form signed by:
The NYU Wasserman Center for Career Development
133 E. 13th Street, 2nd Floor, New York, NY 10003; (212) 998-4730
Hours: Monday, Friday: 9:00am-5:00pm; Tuesday, Wednesday, Thursday: 9:00am-7:00pm
You can download the form: http://www.nyu.edu/careerdevelopment/students/oncampus.php
 Complete the application below as fully as you can. Please print clearly!
 Attach your resume (if you have one).
 Submit your completed application to:
NYU Bookstores
726 Broadway
New York, NY 10003
 Please note: since we receive many applications, we respond only to those applicants whose job
experience and time availability meet our requirements. If you do not hear from us, try applying again
the following semester. Thank you!
Personal Information:
Date: _________________
Name: ______________________________________________________________________________
First
Middle
Last
Date of Birth ________________________________________________________________________
Local Address________________________________________________________________________
Street
City
State
Zip
Home Address: ______________________________________________________________________
Street
City
State
Zip
Phone Number: ___________________/___________________/_______________________________
Local
Home
Cell
E-Mail Address: _________________________/ ________________________/____________________
NYU
Other
NYU Net ID
NYU School: _________________ Year ________ Major _____________Grad Date_____________
Employment History:
Have you been previously employed by NYU? ___________
Are you currently employed at another NYU department? _______ Name _____________________
Have you worked in a bookstore?________college store ___________ retail __________
If you answered “yes” to the above question:
Name of Company ______________________ Address______________________________________
Job Title___________________ Salary__________ Length of Employment_____________________
List your last two places of employment:
Name ______________________________Address _________________________________
Type of Business _____________________Title____________________Salary__________
Length of Employment __________________Reason for Leaving_____________________
Name ______________________________Address _________________________________
Type of Business __________________Job Title____________________Salary__________
Length of Employment __________________Reason for Leaving_____________________
Which store would you prefer: Bookstore _________ Computer ___________
Bookstore Hours: M-F 10:00-8:00, Sat & Sun 11:00-6:00
Computer Store Hours: M-F 10:00-8:00, Sat & Sun 11:00-6:00
Work Availability:
Days and hours in class:
Days and hours available to work:
Mon: _____________________________
Tues: _______________________ ______
Wed:_________________________
Thurs:________________________
Fri: _________________________
Sat: _________________________
Sun: _________________________
Mon: _____________________________
Tues: _______________________ ______
Wed:_________________________
Thurs:________________________
Fri: _________________________
Sat: _________________________
Sun: _________________________
Please tell us why you would like to work in the NYU Bookstores, and how you think you might
benefit from this work experience:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
PLEASE READ CAREFULLY BEFORE SIGNING:
I am registered with NYU Wasserman Center for Career Development for the current academic year.
I understand that if my student status changes during the course of my employment, I will notify the
NYU Bookstores Human Resources Manager immediately.
I also understand that a change in my student status or a change in my availability to work might
affect the terms of my employment.
Signature ____________________
Date_____________
KEEP A COPY OF THIS APPLICATION FOR YOUR RECORDS