Employment Application
Applicant Information
 
Last Name*: First Name*:
M.I.:
Address*:
City* / State* / Zip*: ,
Phone*:
PeopleSoftID*:
Email*: Visa Type:
Major*: Minor:(if any)
I am enrolled as a(n) *:
Expected Graduation Year/Month*:
(Undergraduate only) My classification is*:
I currently pay *:
Citizenship Status*:
Do you have SSN*:
I am applying for the position(s) of *:
I will be enrolled as a full-time student during the semester for which I am applying *:
I am applying for work during*:    Semester:    Year:
Have you worked for CASA in the past*?    If yes, when?   Semester   Year:
Have you worked for UH main campus in the past*?    If yes, when was the last month you were on UH payroll?

Academic Background
List below all college level Math Courses taken and grades earned
Course
Taken at UH
Grade
When
Course
Taken at UH
Grade
When
If you wish to apply for the position of tutor, please state below the areas of Mathematics in which you feel confident. These may
include subjects such as 1310 College Algebra, 1313 Finite Math, 1330 Precalculus, 1431 Calculus, etc. A math assesment will be given during interview.
Work Experience
Company:
Phone:
Address:
Supervisor:        
Job Title: Supervisor Email:
Responsibilities:
From:
(mm/dd/yyyy)		 To
-----(mm/dd/yyyy)
Reason for leaving:
May we contact your previous supervisor for a reference?
Company:
Phone:
Address:
Supervisor:        
Job Title: Supervisor Email:
Responsibilities:
From:
(mm/dd/yyyy)		 To
-----(mm/dd/yyyy)
Reason for leaving:
May we contact your previous supervisor for a reference?

Class Schedule
List the class schedule that you will have during the semester you are applying for. Do not submit without your class schedule.
Course ID*
Course Title*
Class Time*
  
.............. Day*
 
 
 
 
 
 
 
 
 
Weekly Availability

Please fill in the form as accurately as possible.
1. Mark any time that you do not have class (do not include the 1/2 hour before and after class to ensure that your work with us does not interfere with your classes)
2. Do not include any times/days that you absolutely cannot work.
3. Remember the more hours that you are available, the better chances of being offered the position.
Days
Start
End
Start
End
Start
End
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
*How many hours per week (between 15-20) would you consider ideal?
Additional Information:
 
Disclaimer

Thank you for applying. If hired, we will base your work schedule on the class schedule and availabilty information given above. Re-scheduling will be considered on a case by case basis.

Applications will be considered in the order they are received.You will be notified if you have been hired. We regret that due to number of applications we receive, we cannot respond to every applicant.