Saint Louis University

DPS Student Employment Application

Note: all fields are required
Last Name:
First Name:
Date of Birth:
Local Address:
(Include dorm room and box # if applicable)
Local Phone #:
Year of School: Freshman Sophomore Junior
Senior Graduate
Estimated Graduation Date:

Have you ever worked for SAINT Louis University before? Yes No

If yes, which department?

If yes, when?

Are you eligible for college Work - Study? Yes No

Is it currently being used? Yes No

Are you currently licensed?

Drivers: Yes No
Exp. Date:   State:

Chauffeurs: Yes No
Exp. Date:   State:

Have you had any traffic violations in the last 24 months? Yes No

If Yes, please list what you were cited for:

What experience do you have which may be beneficial to you in the position for which you are applying?
List two references (include name, address, and phone #).
Please use former employers, NO RELATIVES OR PERSONAL FRIENDS. Letters of recommendation are preferred.

Higher purpose. Greater good.
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