Online Application

Please review the work-study positions that are currently available before completing this application. When filling in the field "Primary Position Applying For," ensure that the position you are noting is indeed open.

After submitting this application, Pick-Staiger will send you an e-mail confirming receipt.

Personal Information

First and Last Name: *

Home Phone:

Cell Phone: *

Email: *

Major/Minor: *

Expected graduation year: *

Campus Address

Street: *

Additional:

City: *

State: *

Zip Code: *

Home Address

Street: *

Additional:

City: *

State: *

Zip Code: *

Employment Information

Primary Position Applying For: *

Enter the primary position for which you are applying.

Other Positions That Interest You:

List other positions you would enjoy in order of interest (most interested first).

Are you eligible for Work-Study?: *

Yes

Pick-Staiger can only hire work-study employees.

Most Recent Employer

Employer:

City:

State:

Position Held:

Start Date:

End Date:

Reason for leaving:

Supervisor:

Duties and Responsibilities:

Prior Employer (1)

Employer:

City:

State:

Position Held:

Start Date:

End Date:

Reason for leaving:

Supervisor:

Duties and Responsibilities:

Prior Employer (2)

Employer:

City:

State:

Position Held:

Start Date:

End Date:

Reason for leaving:

Supervisor:

Duties and Responsibilities:

Prior Employer (3)

Employer:

City:

State:

Position Held:

Start Date:

End Date:

Reason for leaving:

Supervisor:

Duties and Responsibilities:

Job Skills

Relevant Skills:

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Online Application

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