Student Employment

Contact Information

Name of Applicant	First Name:
	Last Name:
		How did you hear about student employment? (If you heard about employment from another person, please list that person's name)

Purdue Information	Address 1:
	Address 2:
	City:
	State:
	Zip code:
	Purdue E-mail:
	Phone:
	Class:	Freshman Sophmore Junior Senior Grad Student

Permanent Information	Address 1:
	Address 2:
	City:
	State:
	Zip code:
	E-mail:
	Phone:

Availability

When would you like to begin working?*		Immediately Start working as soon as possible.
		Spring Semester Start working the next spring semester.
		Fall Semester Start working the next fall semester.

		Summer Semester Start working the next summer semester.
Full-time or Part-time?*	Select job availabilty... Full-time Part-time
		*Full-time only available for summer semester

First Choice

Job Type		Dining Services Bussing, server, etc. in University Residences.
		Service Worker Weekend and daytime work cleaning in the Univeristy Residents and Purdue Memorial Union. (Limited number of openings)
		Retail Operations (Limited Openings) A variety of retail positions at several campus location including restaurants in University Residences and retail dining services within the Purdue Memorial Union, Stewart Center, and other satellite locations. When selecting "Purdue Memorial Union Retail Dining Services" below, students may be assigned to any PMU Retail Dining Services venue.
		Delivery (Limited number of openings)
		Meat Processing (Limited number of openings)

Location and/or Job title

First select job type above ...

Second Choice

Job Type		Dining Services Bussing, server, etc. in University Residences.
		Service Worker Weekend and daytime work cleaning in the Univeristy Residents and Purdue Memorial Union. (Limited number of openings)
		Retail Operations (Limited Openings) A variety of retail positions at several campus location including restaurants in University Residences and retail dining services within the Purdue Memorial Union, Stewart Center, and other satellite locations. When selecting "Purdue Memorial Union Retail Dining Services" below, students may be assigned to any PMU Retail Dining Services venue.
		Delivery (Limited number of openings)
		Meat Processing (Limited number of openings)

Location and/or Job title

First select job type above ...

Third Choice

Job Type		Dining Services Bussing, server, etc. in University Residences.
		Service Worker Weekend and daytime work cleaning in the Univeristy Residents and Purdue Memorial Union. (Limited number of openings)
		Retail Operations (Limited Openings) A variety of retail positions at several campus location including restaurants in University Residences and retail dining services within the Purdue Memorial Union, Stewart Center, and other satellite locations. When selecting "Purdue Memorial Union Retail Dining Services" below, students may be assigned to any PMU Retail Dining Services venue.
		Delivery (Limited number of openings)
		Meat Processing (Limited number of openings)

Location and/or Job title

First select job type above ...

Criminal Background Check
		Have you ever been convicted of or pled guilty to a crime? Include court-martial convictions and exclude minor traffic violations. Yes No
		If yes, please complete the following. An applicant or employee who has been convicted of a crime is not automatically barred from employment with the University. If the employee pleads guilty or is convicted of a crime after completing this form, the employee will report the conviction or guilty plea to the Department of Human Resource Services and direct supervisor immediately. Conviction: (e.g., felony, misdemeanor) Offense: (e.g., theft) Date: City: State: Court Action/Sentence:
Form I-9 Compliance
	If hired, you will be required to fill out Form I-9 and you must bring proper identification with you on your first day of work. Download Form I-9 Requirements