application FOR EMPLOYMENT
College of Business
Dean's Suite

It is our policy to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, gender, age, national origin, ancestry, physical or mental disability, or veteran status.

All fields are required.

Demographic Information:
Student ID:
Name:	First Middle Last
Address:
City:
State:
Zip:
Telephone:
COB Employment Info:
Position applied for:
How did you hear of this opening?:
When can you start? (mm/dd/yyyy)
Desired Wage:
Are you a Federal Work Study (FWS) student?	Yes No
If yes, what is the balance of the award?
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis?	Yes No
Are you seeking full-time employment?	Yes No
If no, what hours are you available?
Have you ever been, or are you currently, employed by the University of Louisville?	Yes No
Have you ever been convicted of a felony?	Yes No
If yes, please fully describe the circumstances:
Education: Include School Name, Location, Year(s) attended, Major, Degree
High School
College
Other:
Employment History: (Start with most recent employer):
Company Name
Address
Telephone Number
Date Started:
Date Ended:
Starting Wage & Postion:	(Wage) (Position)
Ending Wage & Position:	(Wage) (Position)
Supervisor
May we contact?	Yes No
Responsibilities:
Reason for leaving:
Employer 2 :
Company Name
Address
Telephone Number
Date Started:
Date Ended:
Starting Wage & Postion:	(Wage) (Position)
Ending Wage & Position:	(Wage) (Position)
Supervisor
May we contact?	Yes No
Responsibilities:
Reason for leaving:
Other Skills/Qualifications?
In addition to your work history, are there any other skills, qualifications or experience that we should consider?
Attach a resume?(optional)
*Employment subject to a clear Criminal Background Check*