Student Employment | Center for Leadership Development

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Thank you for your interest in working at the Center for Leadership Development. This online application is for current college or university students seeking part-time employment ONLY, anyone who does not fit these requirements are encouraged to visit the careers page on the Center for Leadership Development website and review open positions. Student applicants must be available 15-20 hours per week including some evenings and Saturdays.
I understand and agree that if I am not a student applicant, I will not be considered for the positions I am applying for on this page:*

Applicant Information
Position(s) Applying For*
Preferred Subject to Tutor:*
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Are you a graduate of the Center for Leadership Development's Self-Discovery/Career Exploration Project?*
Have you participated in any of the Center for Leadership Development's Programs or Services?*
Are you a 21st Century Scholar?*
Are you authorized to work in the U.S.?*
Have you ever worked at the Center for Leadership Development?*
If yes, when was your last day of employment?*
Have you ever been convicted of a felony?*
If yes, explain:*
Date Available to Begin Employment*
Availability:*
Please indicate the days of the week and times you are available to work at the Center for Leadership Development. Applicants applying for the part time Clerical Assistant and Tutoring positions must be available evenings between 4:30PM and 8:30PM when such services are offered. Add rows as needed to indicate your full availability by clicking the + symbol:
Days of the Week (Monday-Saturday) Morning (8:00AM - Noon) Afternoon (Noon-5:00PM) Evening (5:00PM-8:30PM)
Higher Education History
What college or university do you attend?*
Location of your college or university:*
City State
Year in School:*
What is your major or field of study?*
What is your cumulative GPA?*
When did you start at this college or university, and when do you expect to graduate?*
Year Started Anticipated Graduation Year
Previous Employment - Work Experience
Please list your most recent employment first.
Employer/Company:*
Job Title:*
Name of your Supervisor:*
Phone Number of your Supervisor:*
Address of the Employer/Company:*
City State / Province / Region Country
Dates Employed:*
From To
Reason for Leaving:
Starting Rate of Pay and Ending Rate of Pay*
Starting Hourly Rate Ending Hourly Rate
Please briefly describe your responsibilities:*
May we contact this supervisor for a reference?*
Military Service
Only complete if you have served, or are serving, in a branch of the United States Military
Branch:
Dates Enlisted:
From To
Rank at Discharge:
Type of Discharge:
If other than honorable, please explain:
References
Please provide a professional or character reference that is not related to you. Character references may be previous teachers, co-workers, etc. We encourage you to inform your reference that they are being listed prior to us contacting them.
Professional or Character Reference Name:*
First Last
Relationship:*
Phone Number:*
Disclaimer and Signature
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. I also understand and agree that my electronic signature is equivalent to my handwritten signature and is legally binding.
Signature:*
First Last
Date Signed and Submitted:
MM
DD
YYYY
Name
This field is for validation purposes and should be left unchanged.

Step 1 of 2

READ HERE BEFORE BEGINNING

Applicant Information

Higher Education History

Previous Employment - Work Experience

Military Service

References

Disclaimer and Signature

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