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Free Application for Federal Student Aid (FAFSA)

Forms and Letters

College for Women (including Early College and VWIL)

Adult and Graduate Programs

Teacher Education

540-887-7022 540-887-7229 (fax) finaid@mbc.edu

Student Employment Opportunities Application

Applicant Information

First Name: *
Last Name: *
Middle Initial:
Date of Birth: *
MBC ID: *
Street Address:
Apartment/Unit #:
City:
State:
Zip Code:
Mobile Phone: *
Email Address: *
Class Year for 2011-2012:
Program of Study: *
Are you a citizen of the United States?: * Yes No
If no, are you authorized to work in the U.S.? Yes No
Visa Type:
Do you have a valid driver's license?: * Yes No
Is so, will you have a car on campus? Yes No
Planned Major/Minor:
Planned Career Field:

Resume

Upload: Microsoft Word and Adobe PDF documents only. 2MB limit for file size.

Work Study Interests

Please review the MBC Work Study web site at www.mbc.edu/workstudy for a list of available positions. Indication the campus jobs that interest you in order of preference:

1.

2.

3.

4.

5.

Skills

Office Skills:
Phone Skills Filing Data Entry Customer Service Microsoft Word Excel PowerPoint

List and foreign languages you speak and rate your proficiency (1=low, 10=high):

Please provide any additional information that would help evaluate your application, including training, achievements, special skills, familiarity with software programs, or extra-curricular activities:

Previous Employment/Relevant Volunteer Experience

Company: Job Title:
Responsibilities:    
From: To:
Reason for Leaving:    
Company: Job Title:
Responsibilities:    
From: To:
Reason for Leaving:    
Company: Job Title:
Responsibilities:    
From: To:
Reason for Leaving:    
Company: Job Title:
Responsibilities:    
From: To:
Reason for Leaving:    
Company: Job Title:
Responsibilities:    
From: To:
Reason for Leaving:    

Military Service

Branch:    
From: To:
Rank at Discharge: Type of Discharge:
If other than honorable, explain:    

Disclaimer and Signature

By typing my name below, I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature: *