UDtemp Application(2)

UDtemp Application(2) - North Carolina State University...

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North Carolina State University University Dining Temporary Employee Application Date: _____/_____/______ Name: ________________________________________________________________________________________________ Last First MI Preferred Address : ______________________________________________________________________________________________ Street City State Zip Code Home Phone: (____)________ Other Phone : (____)_________ E-Mail address ___________________________________ Are you entitled to work in the United States? Yes No Are you currently working? Yes No Experience: (check all that apply) ° Cashier _° °Dishwasher °Catering/Banquet Server/Waitress _° °Food Service Assistant °° ° Clerical _° °Stock Clerk °Cook _° °Truck Driver °Other (list): _________________________________________________ Position Applying For: ______________________________________________ Some positions may require a Driver’s license ; do you have a valid driver’s license? > Yes° ° No° ° p Number: _____________ State: ____________ Date available for work : _____/______/_____ Full Time Yes No Part Time Yes No Are you a full-time (minimum 12 hours ) NC State student? Yes No List hours available to work : (Be specific) Monday _______________Tuesday _____________________ Wednesday _________________ Thursday ______________Friday _____________ Saturday __________Sunday _____________ Do you have food service experience? Yes No Do you have a valid ServeSafe certificate? Yes No Do you have supervisory experience? ° No ° Yes how many years? __________ Did University Dining, NC State University or the State of NC previously employ you? ± Yes b No If yes, were you temporary or permanent? R ° Temporary ° ° Permanent Location/Department previously worked ____________________________________________________ Are you related by blood or marriage to any person(s) employed at NC State currently? ° Yes ° No If yes, please list the name(s), relation(s), and department(s) ___________________________________ If you are required to be registered by the Selective Service, please certify your compliance by your INITIALS: ____________ Please check appropriate boxes: o° ° I served honorably in the Armed Forces of the United States on active duty.
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  • Spring '08
  • GORMAN
  • supervisor, North Carolina State University, Employer Address_____________________________________________________________________ Supervisor, Employer Name_______________________________________________________________________ Employer, Name_______________________________________________________________________ Employer Address_____________________________________________________________________

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