Student Worker Application | Office of Academic Affairs

Applicant Information

Enter information about yourself

First Name

Last Name

Student ID #

Major

Minor

Cumulative GPA

Phone Number*

BSU Email Address*

Permanent Email Address (If different than above)

Local Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Permanent Address (if different than above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please check your anticipated graduation year:*

Class of 2022

Class of 2023

Class of 2024

Class of 2025

Other

Are you eligible for work study?*

Yes

No

Preference given to students who are work study eligible.

How many hours would you like to work per week?*

During academic year, maximum hours cannot exceed 20 per week. During breaks, maximum hours cannot exceed 40 per week.

References

Please provide three professional references, friends or relatives are not allowed.

First Name

Last Name

Title

Relationship

Phone Number

First Name

Last Name

Title

Relationship

Phone Number

First Name

Last Name

Title

Relationship

Phone Number

Work Experience on Campus

Provide previous on campus employment information.

Are you currently working on campus?*

Yes

No

Have you ever worked on campus?*

Yes

No

If so, where?

What was your reason for leaving?

Work Experience

Please list previous work experience beginning with your most recent job held.

1. Company Information*

Company Name

Your Job Title

Supervisor's Name

Phone Number

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates Employed*

From:

To:

List the duties you performed:*

What was your reason for leaving?*

May we contact this employer?*

Yes

No

2. Company Information

Company Name

Your Job Title

Supervisor's Name

Phone Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates Employed

From:

To:

List the duties you performed:

What was your reason for leaving?

May we contact this employer?

Yes

No

Please describe your computer skills. Give examples.*

Please describe your customer service skills. Give examples.*

Please list any other extra-curricular activities you are involved in, i.e. sports or clubs, and what those time commitments entail.*

Attach your class schedule:*

Max. file size: 16 MB.

Work schedules are based on your class schedule. Please attach your class schedule from E-Services above. As a student worker in this area, you are expected to be available to work fall, winter and spring break.