Student Employment Application

This is your Mount Marty University application for work-study and campus employment.

The information you provide will assist us in determining your place of employment for the 2022-2023 academic year.

First Name *

Middle Initial

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Student Email Address *

Upcoming Grade Level *

Intended Major(s) *

If applicable, list previous work-study position(s) *

Would you like the same position? *

Yes

No

Are there any conflicts that would not allow you to work during the hours of 3:00 p.m. and 8:00 p.m.? *

Yes

No

List any skills, licenses, training, work experiences, etc. to help in evaluating you for a work study assignment: *

Based on your major, athletic team, or interests, please select departments where you'd like to be considered for placement:

*

I understand that by signing this form, I am applying for student employment with Mount Marty College, and if offered a position, I am accepting the award. I understand that this information may be shared with prospective student employment coordinators in order to assist in my placement. I understand that I will be paid at least minimum wage. I understand that I must complete an I-9 and W-4 form, and provide all required documentation before I will be allowed to begin working.

Date * +