PS HOME
EMPLOYEE APPLICATION FORM
Date
UNI
*
Name
*
Cellphone
E-mail
*
Have you ever worked here before?
Yes
No
If yes, when?
How long?
Graduation Year
Semester
Fall
Spring
Summer
Winter
Work Study Eligible
Yes
No
Are you authorized to work in the United States
Yes
No
*
School
*
Please provide the following information as accurately as possible, since the scheduling of shifts will be done from this information
Preferred number of hours per week
Please check the shifts during which you will be available
MON:
8 AM -10 AM
10 AM - 12 PM
12 PM - 2 PM
10 AM - 1 PM
2 PM - 4 PM
1 PM - 4 PM
TUE:
8 AM -10 AM
10 AM - 12 PM
12 PM - 2 PM
10 AM - 1 PM
2 PM - 4 PM
1 PM - 4 PM
WED:
8 AM -10 AM
10 AM - 12 PM
12 PM - 2 PM
10 AM - 1 PM
2 PM - 4 PM
1 PM - 4 PM
THU:
8 AM -10 AM
10 AM - 12 PM
12 PM - 2 PM
10 AM - 1 PM
2 PM - 4 PM
1 PM - 4 PM
FRI:
8 AM -10 AM
10 AM - 12 PM
12 PM - 2 PM
10 AM - 1 PM
2 PM - 4 PM
1 PM - 4 PM
SAT:
8 AM -10 AM
10 AM - 12 PM
12 PM - 2 PM
10 AM - 1 PM
2 PM - 4 PM
1 PM - 4 PM
SUN:
8 AM -10 AM
10 AM - 12 PM
12 PM - 2 PM
10 AM - 1 PM
2 PM - 4 PM
1 PM - 4 PM
Please enter the letters in the image.
Columbia University- Department of Public Safety