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CONTACT INFORMATION

Name (First and Last):      Student ID number:      

Year at Thiel:       

Campus extension:      Cell phone:

Email address:      Major(s):

PERMANENT (HOME) MAILING ADDRESS

Street address:      City:      

State:
     Zip code:     Country:

EMPLOYMENT INFORMATION

When would you like to begin campus employment:

Do you have a valid driver's license:

Employment preferences (campus department):
first choice-number 1, second choice-number 2, third choice-number 3

1.

2.

3.

Previous work and/or volunteer experience(s):

Do you have any physical limitations which would impact your employment placement?

If yes, please explain any special needs:

Please explain any restrictions placed on your schedule by extra-curricular commitments such as athletics, performing arts, etc., as well as any off-campus employment:

By checking this box, I acknowledge that I am signing the Thiel College Student Employment Application form.

Date:

Please note: The completion of this application does not guarantee on-campus employment. If hired on-campus, departmental expectations must be met or termination of the position may occur.

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