DEAR APPLICANT,
PLEASE PRINT THIS APPLICATION AND FILL IT OUT, THEN BRING IT TO THE
DINING LOCATION YOU WANT TO APPLY TO.
THANK YOU FOR YOUR INTEREST IN CAMPUS DINING SERVICES AT

Campus Dining Services
Phone: 617-353-2990
Fax:
617-353-3862
Please Type or
Print Clearly
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Date
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Name (Last) (First) (Middle) |
Social
Security # |
University
I.D. # |
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School
Address (Street) (City)
(State)
(Zip Code) |
School
Phone # |
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Permanent
Address (Street) (City)
(State)
(Zip Code) |
Permanent
Phone # |
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In
Case of Emergency Contact: Name:
Phone Number: |
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Are you 18 years or older? q Yes q No If not, state your date of birth: |
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What year are you currently in? q Freshman q Sophomore q Junior q
Senior |
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Type of Position Desired
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Location
Desired: |
Position
Desired: |
Number
of Scheduled Hours Desired: |
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Have
you ever held another job at q Yes q
No If yes, when and where? |
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Where
do you want to pick up your paycheck? q Dining Services Job q Other University Job (Department Name or Mail Code) |
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Will
you be employed through the Work-Study Program? q Yes q No If yes, how much is
your work study award for the academic year? |
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How
were you referred to Campus Dining Services? q Brochure q Walk-in q Web Site q Student Employment Office
q Friend (name) |
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To
comply with the Immigration Reform Act of 1986, if you are hired you will be
required to provide documents to establish your identity and your
authorization to be employed in the United States. Such documents will be requred within the
first three-(3) business
days following your hire. |
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All international students, MUST be authorized through the International Students & Scholars
Office (I.S.S.O.) at |
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I hereby certify that all statements made in this
application are true and correct to the best of my knowledge and belief. I understand and agree that any
misrepresentation or omission of facts in my application may be justification
for refusal to hire, or termination of employment.
Signature:______________________________________________ Date:____________________________________