Student Assistant Job Application

Last name: (Required)

First name: (Required)

E-Mail: (Required)

Have you been awarded work study funds by the University's Financial Aid Office? (Required)

Work study is a financial aid award given by the federal government.

Yes
No

Semester enrolled:

How long do you plan to be at the University of Louisville?

Campus Address

Complete this section if you live on campus.

Campus Phone Number:

PO Box Number:

Dormitory:

Room Number:

Permanent Address

Complete this section if applicable.

Phone Number:

Street:

City:

State:

Zip Code:

Experience

Have you ever been employed or interviewed in the Library?

Yes
No

If yes, which department(s) and when?

Can you type?

Yes
No

If yes, how many words per minute?

Do you have a driver's license?

Yes
No

Please list any additional skills and abilities:

Ex. computer skills, filing, organizational skills, web design, media equipment, foreign languages, public service experience.

Employment Record

Please indicate firm name and address, start and end dates, type of job, and the name and phone number of a reference for each job.

If you are interviewed, you will be asked to sign the printed copy of this form.
After hitting the submit button, please print off the results for your records.
For this type of employment, state law requires a state and national criminal history background check as a condition of employment.