EmailMe Form - Student Employment Application

Name *

First Last

Preferred Name *

Wartburg ID Number

Email Address *

Phone Number

### - ### - ####

Cell Phone

### - ### - ####

Legal Home Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Current College Class

Anticipated Graduation Date *

MM / YY

Major(s) *

Minor or Concentration

EMPLOYMENT HISTORY

Are you eligible to work in the U.S.?

Are you currently employed on-campus?

If so, what departments/positions?

Have you worked on-campus in the past?

If so, what departments/positions?

Special Job-Related Training or Skills (i.e. Computer Software, Equipment, Coursework, Experience, Certifications, and/or Training)

Employer 1

Position

City, State

Dates of Employment

Responsibilities and Duties

Employer 2

Position

City, State

Dates of Employment

Responsibilities and Duties

AVAILABILITY

Please complete this section to the best of your knowledge. If your class or extracurricular activity schedules for the year/term in which you’re applying for work have not yet been determined, please indicate “N/A” in the spaces below.

Fall Term Classes (Class Name, Days of Week, Times)

Winter Term Classes (Class Name, Days of Week, Times)

May Term Class (Class Name, Days of Week, Times)

Summer Classes (Class Name, Days of Week, Times)

Extracurricular Activity Schedule (Activities, Days of Week, Times)

Are you willing to work early mornings? (i.e. before 7 a.m.)

Are you willing to work late evenings? (i.e. after 7 p.m.)

Are you willing to work over breaks?

Are you willing to work weekends?

POSITION

Upon submission, your application will be sent to the email address you supplied on the application. After receiving your application via email, please forward it on to the supervisor email address listed in the job posting on the Handshake job board website.

Department/Position you are applying for? *