Student Employment Application

Position Applying For


Name(Required)
Do you have a legal right to remain and work in the U.S.?(Required)
Can you submit a work permit if you are under eighteen (18) or are not a U.S. Citizen?(Required)
Have you ever been discharged from employment?(Required)
Are you able to perform the essential functions of this position, with or without reasonable accommodation?(Required)
Anticipated CSUDH Graduation Date

Please List At Least Two (2) Professional References

(Academic or Volunteer References may be used if no prior work experience)

Upload Supporting Documents

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      Accepted file types: pdf, png, jpg, Max. file size: 50 MB, Max. files: 10.
        Please read carefully before submitting.(Required)