Instructions:

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.

(this application can be printed or downloaded)


THE JOHNS HOPKINS UNIVERSITY
APPLICATION FOR STUDENT EMPLOYMENT
 
 
Position Applying For:________________________________
 
Date available to start work: _____/_____/_____
Full Name: _________________________________________ 
                                   Last                            First              MI

Social Security Number: _______-______-_______ 

Local Address: _____________________________________ 
                                     Street or JHU Box#                      Zip

Local Phone: (410)   _______-____________ 

Perm. Address: _____________________________________ 
                                     Street or PO Box#                        Zip

Home Phone: (        ) _______-____________ 

                           _____________________________________
                                     City                           State            Zip 


Class Standing: _______ Freshman _______ Sophomore _______ Junior _______ Senior _______ Graduate Student

Enrollment Status: _______ Full-Time ______ Part-Time 

 
PLEASE STATE HOURS OF AVAILABILITY:
 
 
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
A.M.              
P.M.              
 

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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