Name:       Academic Major:

Street Address:
Street Address: (Optional)
City:       State:       Zip Code:

Please provide a telephone number where you can be reached:
Home:       Work:       Cell:

Campus Cruiser E-mail Address:
                                                  Your e-mail address is your Login ID followed by @my.tridenttech.edu
                                                  Example: Jane Doe's e-mail address is: janedoe@my.tridenttech.edu

Have you ever been convicted of a crime other than minor traffic violations?      No      Yes
Note: A "yes" answer to this question will not necessarily bar you from employment. The nature, severity and date of the offense in relation to the position for which you are applying are considered.
Charges:
Where Convicted?        Date of Conviction:
Current Status:

I would like to have Federal Work Study Funds applied if eligible:      No    Yes

Once your eligibility has been verified, you must create a resume in the online resume database.
Supervisors will use these resumes to select candidates for their position.

Your application will be kept on file for the remainder of the current semester. You must update your application each semester if you want it to remain active.

By entering my Student ID and submitting this form, I confirm that the information provided above is true and accurate: