Part-Time Employee Job Application

Section 1 - General Information

Page 2 of 7



Directions:

This section asks for general contact information.  All fields are required unless otherwise specified.


General Information

 
 
Name (Last, First):
Phone Number(s):
E-Mail Address:
Local Address:
Permanent Address:
Major:


Student Status:

Are you currently a student at NC State University?






Answer the next two questions only if you are a student at NCSU

What is your current classification?









Work Preferences:

Do you currently have a drivers license?






Can you work from 7am to 10am at least one weekday each week?



Which jobs are you interested in?









Demographic Information:

Have you ever been convicted of a crime other than a minor traffic violation (includes DWI, misdemeanors, etc.)?



If yes, list conviction and explain.


The following information is NOT required

Discrimination on the basis of race, sex, color, creed, religion, national origin, age, disability or veteran status is prohibited at NC State University. Sex or age or absence of a disability may be a bonafide occupational requirement in a small number of jobs. The information requested below will not affect your as an applicant.The information will be retained to ensure that the University's recruitment efforts are reaching all segments of the population.

NC State University regards discrimination on the basis of sexual orientation to be inconsistent with its goals of providing a welcoming work environment in which all of its students, faculty, and staff may learn and work up to their full potential. The University values the benefits of cultural diversity and pluralism in the academic community and welcomes men and women of good will without regard to sexual orientation.

Gender:


Ethnic Group:






Date of Birth:


[ CLICK TO CONTINUE - FOR DEMO PURPOSES ONLY ]