Student Employment Application

First NameLast NameMI

Campus address (Residence Hall)
Email address (Home or University of Lynchburg)

Home Phone (including area code)Cell Phone (including area code)

Semesters you intend to work Fall Spring Month:

Intended MajorMinor (if applicable)

G.P.A. (College, or high school for freshmen)
Anticipated Graduation Year (College)

Did you receive a Federal Work-Study award as part of your Financial Aid Package?
Yes No Not Sure

Enrollment Status for Academic Year
Full Time (12-18 credit hours) Part Time (6-11 credit hours)

Number of credit hours enrolled per semester
Fall Spring

Classification:
Freshman
Sophomore
Junior
Senior
Graduate

Please list any employment experience (including campus employment):

List any extracurricular activities you are/plan to be involved in on campus (i.e. sports, organization)

Computer Skills

Please indicate your level of computer skills (1 indicates minimum knowledge
and 5 indicates extensive knowledge of computer skills).

Other Skills:

(e.g., photography, video, tutoring, graphic design, landscaping)