The responsibility of locating a job is up to you. A list of available
positions will be posted on August 1, 2007 on our web page at
www.dixie.edu/financial/employment.
If you are seeking a work-study job, complete this application and submit it.
One application is acceptable for all work-study positions you wish to apply
for. Complete each item fully.
Student
Last Name
First Name
Student Id
Permanent Address
City
State
Zip Code
Home Phone
Local Phone
Work Phone
Email Address
Have you ever been employed by Dixie State College before
Yes
No
Position
Department
Dates Employed
List any relatives who are or have worked at Dixie State College
and their relationship to you.
List any special licenses, certificates or training you have
recieved related to the position(s) for which you are applying.
List all office machines (i.e. 10 key, fax machines, etc.) that you
are experienced with.
List all computer programs you are familiar with.
What are your short term goals?
What are your long term goals?
1. Experience
Company Name
Company Address
Company Phone
Supervisor
Job Title
Dates Employed
Months Employed
Full Time
Part Time
Internship/ volunteer
Hours per week
Reasons for leaving.
Duties.
2. Experience
Company Name
Company Address
Company Phone
Supervisor
Job Title
Dates Employed
Months Employed
Full Time
Part Time
Internship/ volunteer
Hours per week
Reasons for leaving.
Duties.
In order for Dixie State College to protect its populace and property,
applicants are required to answer the following question: Have you ever been
convicted of a felony?
YesNo
If yes, you are required to complete an additional form, available at the Human
Resources Office.
