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SANTA CLARITA COMMUNITY COLLEGE DISTRICT

College of the Canyons

Student Employment Eligibility Pool Application

* = Required fields

Student Information

First Name*: Last Name*:
Student ID*:    
Address*: City*:
State*: Zip Code*:
Phone*: Email*:
   
Are you currently enrolled in at least 6 units at COC and
possess at least a 2.0 cumulative GPA (per Board Policy 541)?
   Yes    No
Current Semester:    
Semester applying for:    
No. of units currently enrolled:    
Cumulative GPA:     (Ex. 3.57)
Anticipated Transfer/Graduation Date*:     (Ex. 06/10/2014)
Academic major:
Do you plan to enroll in at least 6 units at COC next semester?*    Yes     No
Are you currently employed or have you ever been employed
at College of the Canyons?
   Yes     No
What department(s) do you prefer to work for?    
Are you currently a recipient of Federal Work Study?    Yes     No
Are you currently a recipient of Calworks funding?    Yes     No
If hired, can you provide proof of authorization to work in the United States?    Yes     No
Have you been convicted of a felony or misdemeanor criminal offense?
(Includes convictions by court martial and driving under the influence (DUI).
You do NOT need to include minor traffic violations.
Failure to report convictions may jeopardize employment with the District.)
   Yes     No
If "yes", Please deliver a hard copy explaining the incident to Yasser in Seco Hall-115.    
 
Current Availability
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Employment History
Current/Last Employer
Employer: Dates of Employment: from to
Address: City:
State: Zip Code:
Position Title: Pay rate(US$):
Supervisor: Telephone No.:
Previous Employer
Employer: Dates of Employment: from to
Address: City:
State: Zip Code:
Position Title: Pay rate(US$):
Supervisor: Telephone No.:

 

Relevant skills that you would like to share
List proficiency in the following: Word:    Excel:    Typing Speed: words per minute
Other clerical, technical or computer skills:
Language or other pertinent skills:
Licenses or certifications:

 


Acknowledgement
I understand that my application is only a request for placement into the Student Eligibility Pool for consideration of employment at College of the Canyons. I also understand that my employment information may be entered into an employment database and viewed by any hiring manager of the District.

I certify that the information I have is true and complete to the best of my knowledge and belief. I give Santa Clarita Community College District and its authorized agents permission to verify and/or disclose any information given in connection with this application for personnel/employment purposes. I acknowledge that any misstatement or omission in the application materials may be cause for elimination from further consideration or dismissal if hired. I hereby authorize any and all persons and agencies to furnish to Santa Clarita Community College District any information, including documents in my personnel file, which may be necessary to verify this application and any other materials submitted, and hereby waive any rights of privacy to the information or documents which I may have under any federal, state, or local law, ordinance or rule.
 

I acknowledge that by clicking on the "Submit" button it is the same as applying my legal signature to this document.