Campus Jobs

Employment Application
Applicant Information
Full Name:

Date:
Last

First

M.I.

Address:
Street Address

Department/Hall/Unit

City

State

Phone:

ZIP / Post Code

Email

Date Available:

Desired Salary:N

Student ID No.:

Job Applied for:

YES

NO

YES

Are you a Student in a Nigerian University?

YES

NO

Have you ever worked for Campus Jobs?

If yes, when?
YES

NO

Have you ever been convicted of a crime?

If Yes, Why?_____________________________________

Bank Name &

Account No:

Education
High School:

Address:
YES

From:

To:

College:

Diploma::

Address:
To:

Other:

NO

Did you graduate?

Degree:

Address:
YES

From:

NO

Did you graduate?

YES

From:

To:

NO

If no, are you currently studying in Nigeria?

Did you graduate?

NO

Degree:

References
Please list three professional references.
Full Name:

Relationship:

Company:

Phone:

Address:
Full Name:

Relationship:

Company:

Phone:

Address:
Full Name:

Relationship:

Company:

Phone:

Address:

Previous Employment
Company:

Phone:

Address:

Supervisor:
Starting Salary:N//$

Job Title:

Ending Salary:N//$

Responsibilities:
From:

To:

Reason for Leaving:

YES

NO

May we contact your previous supervisor for a reference?

Company:

Phone:

Address:

Supervisor:
Starting Salary:N//$

Job Title:

Ending Salary:N//$

Responsibilities:
From:

To:

Reason for Leaving:

YES

NO

May we contact your previous supervisor for a reference?

Company:

Phone:

Address:
Job Title:

Supervisor:
Starting Salary:N//$

Ending Salary:N//$

Responsibilities:
From:

To:

Reason for Leaving:

YES

NO

May we contact your previous supervisor for a reference?

National Youth Service Corps or Military Service

State:

From:

Date/Rank at
Discharge:

To:

Type of Discharge:

If other than honorable, explain:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or
interview may result in my dismissal and blacklisting.
Signature:

Date:

Completed Application Forms should be sent with an endorsed Passport Photograph to:
Campus Jobs,
PO Box 176
University of Lagos Post Office
University of Lagos
Akoka, Yaba,
Lagos, Nigeria