Application for Career Services
NOTE:
This request will be kept on file for six (6) months. It is your responsibility to notify the Career Services Office that you have either accepted employment or would like to have your request maintained beyond six (6) months.
I. PERSONAL DATA
First Name:
Last Name:
Address:
City:
State:
Zip:
Telephone:
E-mail Address:
Student ID Number:
Program:
Are you a gradutate of this program?
Yes
No
II.TYPE OF EMPLOYMENT DESIRED
Type of Work Desired:
Earliest Date Available for Work:
Type of Employment Desired:
Part-Time
Full-Time
Are you interested in temporary work?
Yes
No
Are you willing to work?
Weekends
Nights
Overtime
List the hours that you are able to work:
Minimum Salary Desired:
Geographical Locations Perferred:
Are you willing to relocate?
Yes
No
Geographic Preference:
III. VOCATIONAL TECHNICAL EDUCATION BACKGROUND
Are you presently enrolled at Wiregrass Georgia Technical College:
Yes
No
Day Classes
Night Classes
Which program are you enrolled in at the present time?
Expected graduation date:
IV. SUMMARY OF SKILLS
Please check any of the skills where you have expertise:
Typing
Calculator
Computer
Bookkeeping/Accounting
Please list any computer programs that you can use independently without extensive training.
To assist us in finding the proper position for you, please summarize any additional information necessary to describe your full qualifications. List any other special skills or qualifications that you may have and indicate length of time for each:
V. EDUCATION (other than Wiregrass Georgia Technical College)
College
Name and Location of School:
Dates:
Did you Graduate?
Yes
No
Programs or Courses:
High School
Name and Location of School:
Dates:
Did you Graduate?
Yes
No
Programs or Courses:
Other
Name and Location of School:
Dates:
Did you Graduate?
Yes
No
Programs or Courses:
VI. EMPLOYMENT HISTORY (List most recent employment first.)
Employer Info
Company Name:
From:
To:
Address:
Starting Salary:
Final Salary:
Supervisor's Name:
Type of Business:
Telephone:
Job Title:
Job Duties:
Reason for Leaving:
Employer Info
Company Name:
From:
To:
Address:
Starting Salary:
Final Salary:
Supervisor's Name:
Type of Business:
Telephone:
Job Title:
Job Duties:
Reason for Leaving:
Employer Info
Company Name:
From:
To:
Address:
Starting Salary:
Final Salary:
Supervisor's Name:
Type of Business:
Telephone:
Job Title:
Job Duties:
Reason for Leaving:
