The College at Brockport
Office of Student Accounts and Accounting
Student Employment Application



Your Name:
Student ID Number:
*
*
     
Local Address: Home Address:
     
Local Phone: Home Phone: Cell Phone:
     
Current E-Mail Major/Minor or Intents: Anticipated Graduation Date:
*   *  
     
Type of Employment (choose one) (If work study) Amount of Work-Study Awarded
College Work-Study
Temp Service
$
     
List any office equipment and computer programs you are familiar with:
     
Prior work experience:
     
List any particular skills you would like to acquire working in this office:
     
Are you available to work during the winter or summer intersessions? (Please check all that apply)
Winter *  
   
Summer      *      
     
Please indicate below what days and times you are available to work:
Days Times    
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
     
Please list below any additional information you would like us to know or to take into consideration for employment at the Accounting Office.
     

If sending a resume please use one of these options:
email it to acctgofc@brockport.edu
fax to (585) 395 - 2325
Mail to : The College at Brockport, Office of Student Accounts & Accounting, 350 New Campus Drive
Brockport, New York 14420

The College at Brockport, State University of New York, does not discriminate on the basis of race/ethnicity, color, gender, sexual orientation, actual or perceived gender identification, religion, national origin, age, disability, marital status, predisposition to genetic characteristics, domestic violence victim status, criminal background or status of Vietnam-era, special disabled, recently separated, or other protected veteran, in admission, employment, or treatment of students and employees.
Discriminatory acts shall be prohibited in the conduct of College services for students as such services affect housing, employment, financial aid, admissions, advisement, counseling, placement, academic progress, scholarships and awards and program activities.


If you would like a copy of this request for your records, please print this page before you submit the form. Use the print command from the file menu.

* Required Information: This form cannot be submitted without the required information