Applicant Information s7

APPLICANT INFORMATION TAMU-SA Student K# Date: Full Name: Last First M.I. Addres s: Street Address Apartment/Unit #

City State ZIP Code Contact E-mail Phone #: () Address: Major or MA Anticipated : Program: Graduation: TAMU-SA Status: Junior Senior Masters ACP Position Departmen Applying for: t:

Are you authorized to work YES NO Do you qualify for federal college YES NO in the U.S.? work study status? (Please refer to Financial Aid)

Are you presently working for another on- YES NO If Yes, campus department? where? (Note: Student Assistants & Work-Studies are not to exceed 19 weekly hours combined or singular under university employment.)

Are you available to work some evening YES NO and weekend hours? Which location(s) are you Main Campus Brooks City-Base available to work? Bldg Campus Gillette

Business Hours: Monday 7:30 a.m. – 8 p.m. Tuesday- Thursday 7:30 a.m. – 10 p.m. Friday- Saturday 8:00 a.m. – 5 p.m. Sunday 1 p.m. – 5 p.m.

AVAILABILITY MATRIX Hours available to work Wednes Thursda Saturda Time Monday Tuesday day y Friday y Sunday From: To: (please use separate sheet if more space is needed)

PREVIOUS EMPLOYMENT Company: Phone: () Address: Supervisor’s Job Title: Name Basic Responsibiliti es: Reason for From: To: Leaving:

May we contact your previous supervisor YES NO for a reference?

Company: Phone: () Address: Supervisor’s Job Title: Name Basic Responsibiliti es: Reason for From: To: Leaving:

May we contact your previous supervisor YES NO for a reference?

Company: Phone: () Address: Supervisor’s Job Title: Name Basic Responsibiliti es: Reason for From: To: Leaving: May we contact your previous supervisor YES NO for a reference?

REFERENCES Please list three professional references. Full Name: Position: Company: Phone: () E-mail

Full Name: Position: Company: Phone: () E-mail

MILITARY SERVICE Branch To From: : :

DEPARTMENTAL INFORMATION

How did you learn about this position? Website Inquired within Told by student Referred Facebook

If referred, by whom? Career Services Departmental Employee Faculty Staff Other:

APPLICANT’S AGREEMENT

Texas A&M University-San Antonio is an equal opportunity/affirmative action employer committed to provide equal employment opportunity to all persons regardless of race, color, sex, religion, national origin, age, disability, or veteran status. I understand that my employment, as determined by the university, is contingent upon the successful completion of a) an application, b) review or interview, c) background check/degree verification, d) minimum 2.0 GPA eligibility requirements, e) and student employment-orientation/training program. If employed, I agree to comply with policies, rules, and regulations of the university as appropriate. I understand that I must maintain enrollment at minimum 6 credit hours to be eligible for student employment.

I certify that all statements made on this form are true and accurate to the best my knowledge. Fraudulent information may lead to my release from university, student employment. I grant permission to check any references or places of employment.

Signatur e: Date: