Da ________________ te:

WESTERN MICHIGAN UNIVERSITY

DINING SERVICES STUDENT APPLICATION

First Name:___________________________________ Last Name:___________________________________

“Nick” Name:______________________________ WIN:________________________

Address:________________________________ City___________________________ State:_____________ Zip:_______ (Local/School Address)

E-Mail:___________________________________________ Phone Number (_____)____________________

Citizenship: U.S. citizen______ J-1 Visa_____ F-1 Visa_____ Other_____

Do you have a current Work-Study award? Yes_____ No_____ Not Sure_____

Date you will be available to start:_______________________________

Check the Boxes when UNAVAILABLE to work

Fill out a SEPARATE Application for each Dining

location.

Location applying for:

__________________________________

Semester applying for:

Fall Spring Summer I Summer II

If you have previously worked in Dining Services, in which

location did you work?

__________________________________

Number of semesters previously worked in Dining:

___________________________________

Year in school:

Fresh Soph Junior Senior Grad Other

Do you have experience working with money, credit cards,

or cash registers?

Yes_____ No_____

----FOR OFFICE USE ONLY ----

Employee Hire Checklist Read Rules (make sure they understand)

W-4 Form ______ 1. Dress Code: ______

Hat Issued ______ 2. Sub Policy: ______

I-9 Form ______ 3. Call-In Policy: ______

4. Breaks: ______

5. No Shows: ______

I understand that if employed, any false statement on this application may result in my dismissal. I will abide by the standards, rules,

and regulations of Western Michigan University Dining Services.

______________________________________________________ ____________________

Signature Date

Hours Mon. Tues. Wed. Thurs. Fri. Sat. Sun.

6-7am

7-8am

8-9am

9-10am

10-11am

11-noon

noon-1pm

1-2pm

2-3pm

3-4pm

4-5pm

5-6pm

6-7pm

7-8pm

8-9pm

9-10pm

10-11pm

11-12am

WMU STUDENT EMPLOYMENT ELIGIBILITY FORM (Must be completed for every Semester you apply)

Student Name: ____________________________________________________ WIN: ____________________________________________________ Dining Unit: ____________________________________________________ In order to be and remain eligible for student employment at Western Michigan University, a student must be:

Enrolled, in good standing, at least half time throughout the semester(s) and/or session(s) of employment.

a. Half-time undergraduate: 6 hours fall or spring, 3 hours summer I or II b. Half-time graduate: 3 hours fall or spring, 2 hours summer I or II

Possess U.S. employment eligibility documentation (i.e. social security number or similar)

Working no more than 25 hours a week/50 in a pay period for all WMU employment positions combined in fall and spring semesters, during breaks and periods of non-enrollment. Non enrolled student employees may work a maximum of 39 hours a week/78 per pay period during summer I or summer II sessions only (if enrolled the previous semester and eligible to enroll follow fall semester).

a. Jobs in an American Federation of State, County and Municipal Employees (AFSCME) staffed operation, are limited to a maximum of 20 hours per week, in accordance with the regulations set forth in article 1.1.3 of the 2009-2012 AFSCME / WMU Agreement.

b. International students work a maximum of 20 hours per week during mandatory enrollment periods, due to immigration regulations.

Responsible for reporting all campus jobs to all supervisors. Identify the department(s), supervisor(s), and the number of hours worked in each job.

Able to prove a Federal Work-Study award at the point of hire (where applicable). Notify supervisor immediately if Federal Work-Study award has changed or been eliminated.

*List additional job(s) held on campus: Position/Department Supervisor Name/Phone Average hours per

week Utilizing Federal Work-Study Award

Do you presently hold a Graduate Assistantship? Yes ____ or No____.

I, _______________________________have read and agree to abide by these requirements. (Print student name)

_____________________________________ __________________________________________ Student Signature Supervisor Signature _____________________________________ __________________________________________ Date Date