Work Study Application

Work Study Application
Applicant Information
Name*

First NameLast Name
Student ID*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
What position are you applying for?*
Have you ever been convicted, released, or plead no contest to any felony offense?*
A conviction record will not necessarily disqualify you for employment. Each case is considered on its own merits. If yes, indicate the nature, date, court and disposition.*
Have you ever been employed at Heritage University?*
If yes, when were you employed at Heritage University?*
May we contact your former supervisor?*
Education
Are you currently enrolled at Heritage University?*
If you are currently enrolled, what is your major?*
I am currently a:*
I am enrolled:*
Availability

Please provide the hours you are currently available for each day listed below

Type a question*

	Hours Available
Monday
Tuesday
Wednesday
Thursday
Friday

Extracurricular Activities
List any extracurricular activities or club/officer affiliation:
Previous Employment
Last/Current Employer
Supervisor Name
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Employment
Last Day of Employment
May we contact this employer?
Please list your job duties below:
Reason for leaving:
Additional Information

In which of the following areas do you have previous experience? Check all that apply.
Computer Skills

WordExcelEmailPowerPointPublisher
Office Settings

PhoneConfidentialityFilingInventoryReception Area
Food Service

CookingServingMeasuringCleaningFood Handler's Card
Currency

BookkeepingAccountingCashier10-KeyBanking
Customer Service

Greeting CustomersHandling InquiriesMulti-taskingInventoryAnswering Phones
Language abilities, other than English:
Speak
Read
Write
Please list any other skills you have below:
Disclaimer and Signature
I certify the information contained in this application is true, correct, and complete. I understand that, if employed, false statements reported on this application may be considered sufficient cause for dismissal. If hired through the work study program I understand that I must maintain academic satisfactory progress. Completing this application does not guarantee work study placement or funding.

Clear
Date

MonthDayYear
Date
Have Questions About Your Workstudy Eligibility?

Please contact the Office of Financial Aid at (509) 865-8502 or financial_aid@heritage.edu
Should be Empty:

Work Study Application

Applicant Information

Education

Availability

Extracurricular Activities

Previous Employment

Additional Information

Disclaimer and Signature