Undergraduate Student Worker Application Form

This is an interactive form for application for an undergraduate student worker position with the LSU Libraries. Enter your request information in the areas provided below. Be sure to fill out all of the fields. Please be aware that you must be a full-time LSU student with good academic standing to be considered for employment.

Note: If your browser does not support forms, print the application and mail to: Amanda Knippers, Coordinator, Administrative Services, Louisiana State University, 30 Middleton Library, Baton Rouge, LA 70803, or send email with the pertinent information. Please submit either a web application OR a printed application but not both.

Please enter information for the requested item in the areas below; be sure to fill out all of the relevant fields. (All fields in red are required).

PERSONAL INFORMATION

Last Name: First Name:

(Social Security Number to be requested later) Email Address:

Mailing Address:

Home Phone (include area code): Cell/Other Phone (include area code):

OPTIONAL INFORMATION: Completion of the following questions is optional, but important to the success of our Affirmative Action Program. You may, without prejudice, elect not to supply this information.

Date of Birth:

Sex:Male Female

Veteran Status:

Ethnic Background:

EDUCATION RECORD

College/University :

Dates Attended:

Degree/date/major:

EMPLOYMENT HISTORY: Begin with most recent employer.

Employer 1:

Dates of employment:

Duties:

Employer 2:

Dates of employment:

Duties:

List any special skills which might be of use at the Libraries:

Data Entry

Database

Spreadsheet

Typing (wpm)

PC Hardware

Other (specify):

By my submission, I attest to the accuracy of the information recorded on this application.


Comments \| LSU Libraries \| Louisiana State University \| LOUIS \| OCS Help Desk \| PAWS Baton Rouge, LA 70803 Copyright © 1996 - 2006 LSU Libraries

Class: Freshman Sophomore Junior Senior	Hours You Are Available to Work
Major:	Monday:
Minor:	Tuesday:
GPA:	Wednesday:
Are you on Academic Probation? Yes No	Thursday:
Expected Graduation Date:	Friday:
Semester Available:	Saturday:
Please indicate your knowledge of other Languages:	Sunday:
	Maximum hours you would like to work:
Can you provide proof of U.S. Citizenship? Yes No	Are you available for summer employment? Yes No