JOINT EDUCATIONAL PROJECT

Employment Application Form

Van Driver Position

Joint Educational Project

Please include
photo here

College of Letters, Arts, and Sciences

University of Southern California
(213) 740-1837
www.usc.edu/jep

Resumes and Cover Letters are encouraged and may be attached to application. Be sure to answer all questions.
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

Date _________________________________
Name ______________________________________________________________________________________________
Last

First

Middle

Local address _______________________________________________________________________________________

Number

Street

City

State

Zip

Permanent address ___________________________________________________________________________________

Cell (

) ____________________

Email _______________________

Home

Emergency Contact: ______________________ Telephone (

USC Card # __________________

) ___________

Are you currently authorized to work in the United States? ____YES _____NO.

US Drivers License #: _________________________ State: _____________

Have you worked on campus before? YES/NO

When? ___________ Where? _______________________________

Will you work anywhere else next semester? YES/NO

If so, how many hours? _______ Do you have workstudy? ____

Current year in college _______ Major ___________________ Minor ____________ No. of units next semester _______
Have you Participated in JEP?

YES/NO

How many times? ____ For what course (s) _________________________

Type of Assignment _________________________

PA(s) Name(s) _________________________________________

Please list two references other than relatives.

Name ________________________________________

Name ____________________________________________

Position ______________________________________

Position __________________________________________

Company _____________________________________

Company _________________________________________

Address ______________________________________

Address __________________________________________

______________________________________

__________________________________________

Telephone (

Telephone (

Tell us about yourself: Please use this space to elaborate on any background, experience, or qualifications which you
believe should be considered in evaluating your qualifications for employment. You may include hobbies, volunteer
experience, and other activities you believe relevant.
What interests you in this position and why are you qualified for it?

Work
Experience

Please list your work experience for the past two years beginning with your most recent job held.

Name of employer
Address
City, State, Zip Code
Phone number

Name of
supervisor

Employment dates

Pay or salary

From

Start

To

Final

Your last job title

Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this
company.

Name of employer
Address
City, State, Zip Code
Phone number

Name of
supervisor

Employment dates

Pay or salary

From

Start

To

Final

Your last job title

Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this
company.

May we contact your present employer?

Yes

No

PLEASE DARKEN ALL AVAILABLE TIMES:

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TUE
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SAT

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TUE
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THU
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NOTE: Hours provided should reflect your availability to drive the van and must remain consistent throughout
the semester. Hours cannot be changed.