Application for Student Employment

On-Line Student Employment Application



Personal Information

First Name:
Middle initial:
Last Name:
Student ID (if available):
Date of Application:
Present address:
City:
State:
Zip Code:
Home phone:
Other phone:
University email:

* Optional to Answer: *

*Gender:* Male  or Female
*Ethnicity:*

Please indicate your residency/citizenship status:

KY or Non-KY
A citizen of the United States
An alien lawfully admitted for permanent residence
An alien authorized by CIS to work in the United States

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