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Instructions:
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This form must be completed and submitted for all Homewood-based students
who are seeking employment with an individual department within the Johns
Hopkins community.
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(this application can be printed or downloaded)
THE JOHNS HOPKINS UNIVERSITY
APPLICATION FOR STUDENT EMPLOYMENT
Position Applying For:________________________________
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Date available to start work:
_____/_____/_____ |
Full Name: _________________________________________
Last
First
MI
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Social Security Number: _______-______-_______ |
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Local Address: _____________________________________
Street or JHU Box#
Zip
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Local Phone: (410) _______-____________ |
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Perm. Address: _____________________________________
Street or PO Box#
Zip
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Home Phone: (
) _______-____________ |
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_____________________________________
City
State
Zip |
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Class Standing: _______ Freshman _______ Sophomore _______
Junior _______ Senior _______ Graduate Student
Enrollment Status: _______ Full-Time ______ Part-Time |
PLEASE STATE HOURS OF AVAILABILITY:
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Sunday
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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| A.M. |
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| P.M. |
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How many hours per week do you wish to work? (20 hrs/wk
max. during the academic semester): _________
Are you available for Fall? ______ Intersession?
______ Spring? ______ Summer? ______
Have you been employed by The Johns Hopkins University
or Johns Hopkins Hospital? ____ Yes ____ No
If yes when? ______________________ where? __________________________
Are you a Federal College Work-Study recipient? Yes
________ No ________
Are you a U. S. citizen? Yes ________ No ________
If no, are you authorized to work in the United States?
Yes ________ No ________
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