Application for Employment

Do you participate in Varsity Athletics?  Select One Yes No

If yes, what sport? 

Name 

Student ID # 

Residence Hall Address 

Home Address 

Cell Phone 

Dorm Phone 

Home Phone 

Email 

Major 

Class Year  Select One Freshman Sophomore Junior Senior

Check off the semesters in which you can work

Fall 2011   

Spring 2012 

Summer (1) 2012 

Summer (2) 2011 

Check off the positions that you are interested in or qualified for: (Please check all that apply)

Aerobics Instructor
Area Attendant
Event Staff
Lifeguard (ALC Certification)
Martial Arts Instructor
Office Assistant
Supervisor
Yoga Instructor

Former Employment (Please list dates of employment, name of employer, address of employer, and duties)







List any certifications you hold and the date of expiration (i.e. ALS, First Aid, CPR, etc)



Have you ever been employed by this department before?  Select One Yes No

If yes, in what capacity? 

Are you presently employed by Kean University in any capacity?  Select One Yes No

If yes, what department? 

Are you eligible for federal work-study?  Select One Yes No

If yes, have you obtained a federal college work-study application form from the Financial Aid Office?  Select One Yes No

Work Availability:

Please fill in the day and time slot (morning, afternoon, evening, etc) in which you are available and willing to work. Please be accurate and sincere in your preferences.

Day and Time Available