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Student Employment Application 2013-2014

This is your Mount Marty College application for work-study / campus employment.  The information you provide will assist us in determining your place of employment for the 2013-2014 academic year.  Please complete this form in full and click "Submit" to send it off.

Personal Information:

First Name:
 Last Name:
 MMC Student ID:
Address:
 City:
 State:
 Zip:
MMC Email:
 Home Phone #:
 Intended Major:
Other Interests / Hobbies / Work Preference:
 Upcoming Grade Level
Any conflicts that would not allow you to work during the hours of 3:00pm - 8:00pm?
No Yes:  Please describe:
 Will you have transportation on campus?:
No Yes

Work Experience

Employer:
 Duties / Type of Work:
Employer:
 Duties / Type of Work:
Returning Students Only:
2012-2013 MMC Work Study Position:
2012-2013 Supervisor:
Same position for 2013-2014?:

No Yes

Skills

Please check all skills that apply to you:
Child Care Computer Skills Customer Service Data Entry
Filing Food Service Grounds Upkeep Housekeeping
Maintenance Microsoft Access Microsoft Excel Microsoft Powerpoint
Microsoft Word Phone Skills Tool Operation Tutoring
Web Design
List any strengths you possess that will help us place you in a position: 

List any additional skills, licenses, training etc.:

I understand that by signing this form, I am applying for student employment with Mount Marty College, and if offered a position, I am accepting the award.  I understand that this information may be shared with prospective student employment coordinators in order to assist in my placement.  I understand that I will be paid at least minimum wage.  I understand that I must complete an I-9 and W-4 form, and provide all required documentation before I will be allowed to begin working. Yes