HRM – Application for Student Employment

Last Name: *

First Name: *

Middle Name/Initial

LSU ID Number: *

Street:

City:

State:

Zip:

Home Phone:

Cell Phone:

Email Address: *

Date of Birth:

Birth City:

Birth State:

Birth Country:

U.S. Citizenship:

Yes

No

Visa Type:

If not a US citizen

Are you enrolled as a full-time student at LSU:

Yes

No

GPA:

Are you currently on academic probation:

Yes

No

Other current employment:

Technical Expertise:

Relative employed at LSU:

Yes

No

Experience:

Include part time jobs or volunteer work

Education:

Starting with high school and including dates of graduation

Monday:

Please specify the hours you are available to work for each day. Example: 8 a.m. - 2 p.m.

Tuesday:

Wednesday:

Thursday:

Friday:

Remarks: