Applicant Name (Last/First/Middle)
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Applicants SSN:
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Applicant’s Contact Information (email/phone)
Email:Click here to enter text. / Phone:Click here to enter text.
Applicant’s Birth Date/Place/Citizenship
Date of Birth: Click here to enter a date. / Place of Birth: Click here to enter text.
Citizenship: Click here to enter text.
Parent’s Name, Agency/Office/Contact Information
Parents Name:Click here to enter text. / Agency/Office:Click here to enter text.
Email:Click here to enter text. / Phone:Click here to enter text.
Please select the appropriate option regarding your education:
- High School Student Yes/No Click here to enter text.
- High School Graduate Yes/No Click here to enter text.
- 1 year College/University study completed Yes/No Click here to enter text.
- 2 years College/University study completed Yes/No Click here to enter text.
- 3 years College/University study completed Yes/No Click here to enter text.
Name of School Currently/Will be enrolled
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Major Course of Study
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**Please provide proof of enrollment: Copy of Student ID Card of reference letter from school**
Dates Available for Summer Hire Employment (Monday – Friday, 7:30am – 4:00pm)
From: Click here to enter a date. / To: Click here to enter a date.
Previous Work Experience:
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Typing Speed (WPM) / Computer Skills/Experience
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Other Skills/Qualifications :
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Please list Winter Hire Jobs in priority order for which you are applying:
1. Job Number: Click here to enter text. / Job Title:Click here to enter text.
2. Job Number:Click here to enter text. / Job Title:Click here to enter text.
3. Job Number:Click here to enter text. / Job Title:Click here to enter text.
I hereby certify that all statements in this application are true, complete and correct to the best of my knowledge and belief and are made in good faith.
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Applicant Acknowledgment Signature Acknowledgment Date