UNIVERSITY OF RICHMOND
STUDENT EMPLOYMENT APPLICATION

Today’s Date: | | Department to Which You are Applying: | | Position(s) You are Applying for: | |
Personal Information: Name: | | UR ID: | |

Local Address: | | E-mail Address: | | Local Phone Number: | | Best Time(s) to Call: | | Permanent Address: | |

Permanent Phone: | |

Emergency Contact: | | Phone #: | | Intended Major: | | Minor: | |

Approximate GPA: | | Expected Graduation Date: | |

Term(s) Applying For: | Fall | Spring | Summer | Date Available: | |

Number of Hours You Are Available to Work (per week): | | Do you have a valid driver’s license? | Yes No | Are you eligible for Federal Work Study as part of your financial aid award? | Yes | No |

Have you ever been convicted of a felony? | Yes  | No | (If yes, please attach a full explanation of the circumstances.) |

Are you a varsity student-athlete? | Yes | No  | (If yes, please note that all student athletes who secure on-campus employment must notify the Director of Compliance in the Athletic Dept.) |

Please list your computer skills and software package knowledge: | |

Previous Work Experience:

In chronological order, list jobs you have held beginning with the most recent first. Include internships and jobs without pay. Attach another sheet, if necessary. ON-CAMPUS Employment

Job Title: | | Department: | |

Supervisor: | | Dates Employed: | |

Paid Job? | Yes No | Internship? | Yes No | Job Title: | | Department: | |

Supervisor: | | Dates Employed: | |

Paid Job? | Yes No | Internship? | Yes No | OFF-CAMPUS