Student Employment Application

Pace University affirms its commitment to the principle of equal employment opportunity as stated in
Federal, State, and local laws, which prohibits discrimination because of sex, race, age, ethnicity, marital
or domestic partnership status, national origin, sexual orientation, religion, disability or veteran.

Desired Location For Employment

Semester Applying for

Job posting #
Pleasantville

New York

White Plains

Midtown

Graduate Center

Fall

Do You Have Work Study?

Spring

Summer

Yes

No

Personal Information:

Last Name

Briarcliff

First Name

Student I.D. #

E-mail

Mailing Address:
Street
City

State

Permanent Phone #

Zip Code

Dorm Phone #

General Information:
If hired, do you have authorization to work in the United States

Yes

No

Academic Status:
Full Time (12 credits or more for Undergraduates and 9 credits or more for Graduate/Law)
Major
Session

Yes

Minor

Day

Standing

Evening

Freshman

Sophomore

Junior

Senior

Graduate Student

Law Student

Job Information:
Career Objectives
Position Desired
Have you previously been employed by Pace University?
If Yes, When?
Office/Customer Service Skills

Yes

No

In Which Department?

Computer Software Knowledge

Employment History:

(most recent Employment first, include both paid and volunteered)

1.) Employer
Date Employed From:

To:

Supervisor's Name
Position Title and duties

Last revised on 03/11/15, Page 1 of 2

No

Student Employment Application

Pace University affirms its commitment to the principle of equal employment opportunity as stated in
Federal, State, and local laws, which prohibits discrimination because of sex, race, age, ethnicity, marital
or domestic partnership status, national origin, sexual orientation, religion, disability or veteran.

2.) Employer
Date Employed From:

To:

Supervisor's Name
Position Title and duties
Extra Curricular Activities, Honors, Etc.
Availability (Using the chart below, please indicate the hours you are available to work for the current
semester)
Schedule
Day Evening Weekend
Hours per Week
Day

Fall

Spring

Summer

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Applicants Statement
(Please read carefully before signing)
I certify that the information given herein is true and complete to the best of my knowledge. I authorize
investigation of all statements contained in this application as may be necessary to arrive at an employment
decision. I hereby release Pace University and any former employer and any third party from any liability
whatsoever that may be imposed as a result of the release of such information. Should I be employed by
Pace University any false or misleading information will result in my employment being immediately
terminated.
I hereby understand and acknowledge that any employment relationship with Pace University is of an at will
nature, which means that the employee may resign at any time and that the employer may discharge the
employee at any time, with or without notice or cause. It is further understood that this at will employment
relationship may not be changed by any written document or by verbal agreement unless such change is
specifically acknowledged in writing by an authorized Executive of Pace University.
I Agree
Find the Job for you!
1. Visit the student employment database. Each position includes a job description and requirements. Also
included is the Hiring Manager's contact information
2. At the bottom of the Job Requisition a link to the Student Application will appear. You must click on this link
and save this document to your desktop as a word attachment.
3.Complete the entire Employment application and then save the information you have included. It is
imperative that you include the hours you are available to work and whether you have Federal Work Study.

Last revised on 03/11/15, Page 2 of 2

Student Employment Application

Pace University affirms its commitment to the principle of equal employment opportunity as stated in
Federal, State, and local laws, which prohibits discrimination because of sex, race, age, ethnicity, marital
or domestic partnership status, national origin, sexual orientation, religion, disability or veteran.

4.Then email your completed application as an attachment to the Hiring Manger's email address.
Please note that the Hiring Manger will contact you if they are interested in scheduling an interview
Available hours: Students may work up to 20 hours per week during the academic year. Only during specific
non-academic periods may the students work up to 40 hours per week.
*** IMPORTANT***- Please only apply to Work Study Positions if you are eligible for Work Study Funds
through Financial Aid.

Last revised on 03/11/15, Page 3 of 2