Employment Application FOR PART-TIME OR NON ACADEMIC STUDENT POSITIONS UP TO 25 HOURS PER WEEK OR LESS THAN 4 ½ MONTHS IN LENGTH

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1 NAME: (mbre) DATE (Fecha) EMPLOYMENT DESIRED You may select more than one position (Puesto deseado Puede seleccionar mas de uno) FOOD SERVICE (SERVICIO DE ALIMENTOS) Student Assistant (Asistente Estudiantil) Student Manager (Gerente Estudiantil) Building Attendant (Limpieza de Edificio) Cashier (Cajero/a) Cook (Cocinero/a) Food Prep (Preparación de Alimentos) Marketing (Mercadotecnia) Sustainability (Sostenibilidad) Dietetics (Dietética) RESIDENCE LIFE (VIDA RESIDENCIAL) Student Night Supervisor (Supervisor Estudiantil cturno) BUILDING SERVICES (SERVICIOS DE EDIFICIOS) Building Attendant (Limpiador de Edificios) Student Assistant (Asistente Estudiantil) BUSINESS SERVICES (SERVICIOS ADMINISTRATIVOS) Student Computer Lab Proctor (Asistente Estudiantil de Salón de Computación) Student Computer Technician (Tecnico Estudiantil de Computación) Human Resources Student Associate (Asistente Estudiantil de Recursos Humanos) Student Housing Ambassador (Embajador Estudiantil de Vivienda) UNIVERSITY APARTMENTS (APARTAMENTOS UNIVERSITARIOS) Student Assistant (Asistente Estudiantil) Student Associate (Asociado Estudiantil) ESL Instructor (Instructor de ESL) Community Advisor (Consejero Comunitario) FACILITIES MAINTENANCE (MANTENIMIENTO DE INSTALACIONES) Painter (Pintor) Student Maintenance Worker (Trabajador Estudiantil Mantenimiento) WHERE DID YOU HEAR ABOUT US? ( A través de que medio se enteró de este trabajo?) Campus Advertisement Word of Mouth Walk In Work In Texas Hirealonghorn Other: WHEN ARE YOU AVAILABLE TO WORK? NOTE: FOOD SERVICE HOURS OF OPERATION ARE 6AM TO 12AM MIDNIGHT ( Cuando está disponible para trabajar? AVISO: OPERACION DEL SERVICO DE ALIMENTOS ES DE 6AM - 12AM DE LA MEDIANOCHE) From (Desde) Monday (L) Tuesday (M) Wednesday (X) Thursday (J) Friday (V) Saturday (S) Sunday (D) To (Hasta)

2 Are you currently enrolled as a student? ( Está usted actualmente inscrito como estudiante?) Have you worked for the University of Texas at Austin? ( Ha trabajado para la Universidad de Texas en Austin?) Do you currently work in any positions at the University of Texas at Austin? ( Ha trabajado para la Universidad de Texas en Austin?) If yes, how many hours per week? ( Si la respuesta es afirmativa, cuantas horas por semana?) Have you worked for a Temporary Agency? ( Ha trabajado por medio de una agencia de empleo?) If yes, which agency? (Si la respuesta es afirmativa, nombre de la agencia) Do you have a current Food Handler Certificate? ( Tiene usted un certificado vigente de elaboración de alimentos?) Do you have experience preparing or assisting with food preparation? ( Tiene usted experiencia elaborando o asistiendo con elaboración de alimentos?) Do you have janitorial/custodial experience? ( Tiene usted experiencia en conserjería/limpieza?) Do you have cashier experience? ( Tiene usted experiencia de cajero/a?) Do you have any cooking experience? ( Tiene usted experiencia de cocinero/a?)

3 The University of Texas at Austin does not discriminate on any basis prohibited by applicable law including race, color, religion, sex, national origin, disability, age, citizenship status, veteran or disability status in recruitment, employment, promotion, compensation, benefits or training. It is also the university s policy to maintain a work environment free from discrimination on the basis of sexual orientation. The information on the Application, together with any attachments, is the property of the university. Answer all questions completely. Please return completed application to the department to which you are applying. Last name First name Middle initial UT EID Mark if eligible to work in the U.S.A Do you have a current Driver s License? Street address City State Zip code Daytime phone Evening phone address Date available to start work Hours per week available If you are related by kinship or marriage to any current employee or to any member of the Board of Regents of The University of Texas System, provide their name, relationship and department. If your age is below 18 years, give date of birth If you are a UT Austin student, how many hours are you currently enrolled in? Education General Education High School Graduate GED Other Highest Grade Completed School name and location Beginning attendance date (mm/yy) End Attendance (mm/yy) Major(s) Currently enrolled Graduated Undergraduate hours Graduate hours Completed degree level School name and location Beginning attendance date (mm/yy) End Attendance (mm/yy) Major(s) Currently enrolled Graduated Undergraduate hours Graduate hours Completed degree level

4 Work history

5 Work history

6

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