WILLIAM PATERSON UNIVERSITY UNIVERSITY COMMONS/HOSPITALITY SERVICES EMPLOYMENT APPLICATION (Please Print and fill the form completely) 1. Date of Application: _______________ 1a. Position Desired:  check as many or one Office Assistant Media (A/V) Tech Arcade Attendant Security Info. Desk Assistant UniversityBookstore House Crew Dining Services 1b. Semester Start: Fall Spring Summer (Check One) 2. Banner ID #: 855 -_______-________ 3. Name: __________________, _______________, _________ (Last) (First) (MI) 3a. E-Mail Address: ______________________ 4. Home Address: _____________________, ______________ (Street) (Apt. #) ___________________, ______, _________ (City) (State) (Zip) 4a. Home Phone: ________________________ 4b. Cell Phone: __________________________ 5. Campus Address: ___________________________ 5a. Campus Phone: ______________________ 6. Major: _____________________________________ 7. Year in School: Fr So Jr Sr GPA: _____ (HS or College) (Check One) 8. Have you ever worked on Campus: ______ ______ (Yes) (No) 9. If "Yes", dates employed: __________ to ___________ Have you served in the armed forces? Y N If Yes, list dates and branch__________________ 10. Employment History - show present or last position and work backward Employer/Name and Address Dates Employed Position Reason for Leaving to to to 11. Education: Type of Institution Name and Location Highest Grade Completed High School College/University Special Training 12. Please describe skills that make you the ideal candidate for the position you are applying for; ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Check items on the list as they apply. Customer Service Skills Problem Solving Skills Web Design Skills Room Set ups/Housekeeping skills Clerical/Phone Skills Familiarity w/Audio-Video Equipment 13. Do you have any physical conditions that may prevent you from performing job duties such as light lifting and foot patrol? 14. Work Shift Preference: (check as many or one) Mornings Afternoons Evenings Nights & Weekends 15. References - Indicate below 2 references Name Address Phone # Occupation 16. I hereby certify that to the best on my knowledge and belief there are no misrepresentation or falsifications in the information I have provided on this application. Signature ______________________________________ Date ___________ By checking this box, you consent that all the information you have provided is accurate. • • • Information on this form is kept confidential. If hired, work shift preference would be considered but may not be accommodated Should an interview need to be scheduled, you will be contacted at the phone # provided. MK 7/14