<p> APPLICANT INFORMATION TAMU-SA Student K# Date: Full Name: Last First M.I. Addres s: Street Address Apartment/Unit #</p><p>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: </p><p>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)</p><p>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.)</p><p>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 </p><p>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.</p><p>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)</p><p>PREVIOUS EMPLOYMENT Company: Phone: () Address: Supervisor’s Job Title: Name Basic Responsibiliti es: Reason for From: To: Leaving:</p><p>May we contact your previous supervisor YES NO for a reference?</p><p>Company: Phone: () Address: Supervisor’s Job Title: Name Basic Responsibiliti es: Reason for From: To: Leaving:</p><p>May we contact your previous supervisor YES NO for a reference?</p><p>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?</p><p>REFERENCES Please list three professional references. Full Name: Position: Company: Phone: () E-mail</p><p>Full Name: Position: Company: Phone: () E-mail</p><p>Full Name: Position: Company: Phone: () E-mail</p><p>MILITARY SERVICE Branch To From: : :</p><p>DEPARTMENTAL INFORMATION</p><p>How did you learn about this position? Website Inquired within Told by student Referred Facebook</p><p>If referred, by whom? Career Services Departmental Employee Faculty Staff Other:</p><p>APPLICANT’S AGREEMENT</p><p>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. </p><p>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.</p><p>Signatur e: Date:</p>