SPS Job Application

Full Name:

Date of Birth:

W Number:

Driver's License or Legal ID Number:

Email:

Phone:

Address:

City:

State: AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code:

Academic Classification: FreshmanSophomoreJuniorSeniorGraduate

Major:

Current Semester:

Cumulative GPA:

Number of Academic Hours this semester:

Expected Graduation Date:

Semester:

Job Opening Applied For:

Class Schedule:

Desired Work Schedule:

Number of Desired Work Hours per Week:

Are you a Federal or State Student Worker?
Federal   State  

Have You Ever Been Convicted of a Crime?
Yes   No  

Have You Ever Worked on Southeastern's Campus?
Yes   No  

When and Where?

Have You Ever Held a Job that Required You to Work With a Computer?
Yes   No  

Please Select Any of the Following Applicable Skills
(select "n/a" if none):
Windows   Internet Explorer   Google Chrome   Mozilla Firefox  
Gmail   Google Docs   Google Sheets   Google Calendar   Google Drive  
MS Word   MS Excel   MS Powerpoint   MS Access   MS Publisher  
Mac Hardware   Mac Software   Flash Drives   HP Printers   Scanners  
Moodle   Leonet   Respondus Lockdown Browser   n/a  

Please List Any Other Programming, Operating System, Database, Hardware or Networking Experience.
Enter "n/a" if none:

References (at least one from Southeastern Faculty/Staff):