Work Study

Name*

First Middle Last

Trocaire Student ID Number*

Trocaire Email Address*

Phone*

Personal Email Address*

Please enter the last four digits of your Social Security Number:*

Address*

Street Address Address Line 2 City State ZIP Code

Educational Experience

Grade Level @Trocaire College*

Major

Are you a Full-Time Student?

Work Experience

Place of Employment

Type of Employment

Are you presently employed?

Dates of Employment

Skills

Basic Computer Skills?

Yes

Have you ever worked in any of the following places?

Library

Science Lab

Hve you ever been in a Federal Work-Study program?

Yes

If "Yes," where?

Please list any additional skills you feel might be relevant.

Availability

Please check the days you are available to work:

Monday

Tuesday

Wednesday

Thursday

Friday

Do you have a preference for placement?

Yes

If yes, please list the office of where you'd like to work.

Trocaire College does not discriminate in admission, employment, in the administration of its educational policies, scholarship and loan programs, and other institutionally administered programs, on the actual or perceived basis of race, color, age, national and ethnic origin, religion, creed, gender, marital status, veteran status, sexual orientation, status as a victim of domestic violence, disability, genetic information or any other protected class as defined by Federal, State or local laws or regulations. Inquiries concerning affirmative action should be directed to the Title IX Affirmative Action Officer. Title IX Affirmative Action Officer, Kimberly Rosenfeld, Executive Room 321 Choate Ave location (716) 827-2461, RosenfeldK@trocaire.edu.

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