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Psychology Department Employment Application

Personal Information

Last Name

First Name

M.I.

Date

Street Number or P.O. Box

City

State

Zip

                                     

Phone                                                                    Email

  Dates available for  interview

   
Employment Information

Position are you applying for:       Position #:
Are you able to work the required hours for this position?

Yes    No  

Have you been employed at BYU-Idaho before?   Yes   No                  If yes, please give details: 
Do you have relatives working for BYU-Idaho?     Yes   No    If  yes, give name(s) and relationship(s): 
Are you currently employed?      Yes   No      

               If yes, please give details and number of hours you are currently working:   

Do you have other commitments that might affect your possible employment for this job?   Yes   No  

If yes, please explain:

Are you able to work multiple semesters?       Yes   No     If yes, which semesters?        
Have you ever been discharged from any position?  Yes   No   If yes, what was the reason? 


Education

Major:                                                Minor:                          

                

Number of Credits earned:

 

Track:

Expected Graduation Date: Present Cumulative GPA: 
List any special schooling or training:
List career plans or goals:
School Achievements, Extracurricular Activities, Awards, Leadership Experience, etc:

 

Employment History  (List three most recent jobs)

Employer #1

Name of Employer: Employer Phone:
Supervisor's Name:
Job Title: Dates Worked:
Job Duties:
Reason for leaving:

Employer #2

Name of Employer: Employer Phone:
Supervisor's Name:
Job Title: Dates Worked:
Job Duties:
Reason for leaving:

Employer #3

Name of Employer: Employer Phone:
Supervisor's Name:
Job Title: Dates Worked:
Job Duties:
Reason for leaving:

Additional Information

List relevant experience and qualifications:

References: Please provide the names, addresses and phone numbers of three people who could serve as references for you.

We will be contacting the three most qualified applicants for interview appointments by email. Please list your preferred email address in the appropriate box above.  Thank you for your application.


Revised: March 23, 2010