Work-Study Program Student Application for Employment

Work-Study Program Student Application for Employment

Whittier Law School provides equal employment opportunities without regard to race, color, gender, national origin, religion, age, sexual orientation, gender identity, genetic information, physical or mental disability, pregnancy, marital status, status as a protected veteran or any other status protected by federal, state or local law.

Position Applying for: Click here to enter text. Department: Click here to enter text.

Last Name: Click here to enter text. First Name: Click here to enter text. MI:Click here to enter text.

Student ID #:Click here to enter text.Social Security #: Click here to enter text.

Date of Birth:Click here to enter text. Poets Email:Click here to enter text.

Classification: ☐2L ☐3L ☐4L Mailing Address:Click here to enter text.

Home Phone: Click here to enter text. Cell Phone: Click here to enter text.

Citizenship Status: ☐U.S. Citizen ☐Resident/Green Card ☐Non-Resident/Work Permit

Current Enrollment Status: ☐Full-Time ☐Part-Time Number of Units:Click here to enter text.

Planning to attend summer session? ☐Yes ☐No On-Campus:☐ Abroad Program: ☐

Expected Graduation Date:Click here to enter text.

In case of emergency notify:

Name: Click here to enter text. Relationship: Click here to enter text.

Address: Click here to enter text.

Home Phone: Click here to enter text. Work Phone: Click here to enter text. Cell Phone: Click here to enter text.

Have you ever worked for Whittier Law School? ☐Yes ☐No

If Yes, what department and when?Click here to enter text.

Please list any skills/experience you may have: (You may attach a resume if available) Click here to enter text.

Please indicate days and hours you are available to work:

Hours Available / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday
From / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
To / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /

I understand that misrepresentation of fact in this application will be sufficient grounds for termination of my employment or cancellation of my eligibility to participate in the federal work-study program. I hereby authorize Whittier Law School to investigate these statements without liability arising there from. As required by the Immigration Reform and Control Act of 1986, I am required to submit documentation of my identity and employment eligibility to Human Resources for verification.

Click here to enter text. Date: Click here to enter a date.

Applicant’s Signature (Type your name if submitting electronically)