AUGUSTANA COLLEGE
FINANCIAL AID

 

 


Please fill out the form below to Accept your Student Employment.
This information will be used to place you in a job on campus.
Please do not leave anything blank.

*Last Name:
*First Name:
*ID # (can be found on your award letter):
*E-mail:
*Permanent Address:
*City:
*State:
*ZIP:
*Home Phone:
*Cell Phone:
*Upcoming Grade Level:
*Intended Major:
*Have you previously worked for Augustana:
No Yes: Where?
*Name and relationship of any relatives working at Augustana
*Were you requested by a specific department?:
No Yes: Who requested you?
*Are you able to lift 50 pounds:
Yes No
*Do you have any injuries or physical limitations:
No Yes: Please describe:
*Please check if you are willing to work:
Nights Weekends
*Please check the times you are
available to work:
Fall Interim Spring
*Please list skills, training, certifications,
hobbies or special talents:
*Please list any office and/or computer skills:
*Please list your strengths:

*Please list your most recent work experience
along with employer name, dates of employment and duties performed:

*Please list your second most recent work experience (if applicable) along with employer name, dates of employment and duties performed:

*Please list your third most recent work experience (if applicable) along with employer name, dates of employment and duties performed:

Click for a list of Job Descriptions
 
*First Job Choice:
*Second Job Choice:
*Third Job Choice:
*Fourth Job Choice:
*Fifth Job Choice:
Please feel free to list any specific requests you may have. For example, the office or lab you would like to work in or the subject you would be willing to tutor.:

I understand that by signing this form, I am applying for student employment at Augustana College, and if offered a position, I am accepting the award. I understand that this information may be shared with prospective student employment coordinators in order to assist in my placement. I understand that I will be paid at least minimum wage. I understand that I must complete an I-9 and a W-4 form, and provide all required documentation before I will be allowed to begin working.
Yes