BCC - LRC Staff Employment Application
Date: *
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Student ID: *
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Name *
First and last name
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Email *
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Phone number *
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Semester Applying for: *
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GPA: *
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Units Enrolled for Semester Applying: *
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Are you currently employed elsewhere in the Peralta District? If so, please state where and for how many hours. *
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Major: *
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Have you been awarded Federal Work Study (FWS) for the semester in which you are applying? *
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Are you an International Student? *
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Availability:
Mondays: *
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Tuesdays: *
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Wednesdays: *
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Thursdays: *
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Fridays: *
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Saturdays: *
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Check List: *
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