Student Employment Application

Employment Application

Application Procedure

1. Campus Recreation only accepts student employment as student staff is needed.
2. A resume and class schedule must accompany the application.
3. Completed applications need to be submitted to the Office of Campus Recreation, ARC 117.

Qualifications/Prerequisites

STUDENT EMPLOYMENT APPLICATION
Complete entire application and return to Campus Recreation, ARC 117. Please type or print legibly.

Date Completed ___________________
Name _______________________________________________________	SS# _________________________________
Current Address _____________________________________________________________________________________
Telephone # ( ) ______________________________	E-Mail _______________________________

Campus Recreation position(s) for which you are applying:

____ Building Supervisor	____ Welcome Center Monitor	____ Office Assistant
____ Climbing Wall Supervisor	____ Fitness Center Exercise Specialist
____ Head Lifeguard	____ Lifeguard
____ Intramural Supervisor	____ Intramural Sports Official	____ Intramural Scorer

Are you legally eligible for employment in this country? (Proof of U.S. citizenship/Immigrant status will be required upon employment)	__Yes	__No
Are you currently enrolled at SRU?	__Yes	__No
Are you employed elsewhere at SRU?	__Yes	__No
If yes, list the department ___________________________________________________
Have you been awarded work-study for the current academic year?	__Yes	__No
SRU Class: ____ Freshman ____ Sophomore_____ Junior ____ Senior ____ Graduate Student

Major Course of Study or Undergraduate Degree ________________________________

Special Skills

____ First Aid/CPR Certification	____ Personal Computer (Windows)	____ Fitness Training
____ Publicity	____ Aerobics Instructor	____ WSI/Lifesaving
____ Officiating Certification: Sport(s) ______________________________________________________________________
____ Other Related Skills (Please List)
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________

EMPLOYMENT EXPERIENCE
In the categories below, please list your experiences chronologically starting with the most recent. Indicate whether it was full-time or part-time.

Employer	Dates of Employment	Position/ Description	Name and Title of Supervisor	Approval to Contact Employer (Circle One)
				Yes	No
				Yes	No
				Yes	No
				Yes	No

REFERENCES
Please list 3 persons (not related) for whom you have worked or who know your work habits and can be called for a reference check.

NAME	PHONE NUMBER

I hereby authorize investigation of my past record and all statements contained on this application. I certify that all information hereon is true and understand that misrepresentation or omission of fact is sufficient cause for dismissal.

___________________________________________________________________________________________________
Signature Date

Please return this application, along with a schedule form to the:
Office of Campus Recreation, Aebersold Student Recreation Center

SCHEDULE REQUEST
Semester: 200____
Minimum Number of Hours Requested : _____________
Indicate the times you are interested in working with an ‘X”

Time	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
6-7:00 a.m.
7-8:00 a.m.
8-9:00 a.m.
9-10:00 a.m.
10-11:00 a.m.
12-1:00 p.m.
1-2:00 p.m.
2-3:00 p.m.
3-4:00 p.m.
4-5:00 p.m.
5-6:00 p.m.
6-7:00 p.m.
7-8:00 p.m.
8-9:00 p.m.
9-10:00 p.m.

1. Lifeguards: Current life saving certification required.
2. Exercise Specialists: Upper class Exercise Science major.
3. Group Exercise Instructor: National recognized group fitness certification required.
4. All student employees must complete orientation and training for their respective areas and attend regularly schedule staff meetings.