ATTACH a class schedule for the applicable semester AND indicate below the hours that you would be AVAILABLE for work
WORK TIMES
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
:00 - :50
free
free
free
free
8:00 - 8:50
free
free
free
free
free
free
9:00 - 9:50
free
free
free
free
free
free
10:00 - 10:50
free
free
free
free
free
free
free
11:00 - 11:50
free
free
free
free
free
free
free
12:00 - 12:50
free
free
free
free
1:00 - 1:50
free
free
free
free
2:00 - 2:50
free
free
free
free
free
free
free
3:00 - 3:50
free
free
free
free
free
free
4:00 - 4:50
free
free
free
VENING
free
free
free
free
free
HAN
DONGLIN
E11093584
Name (Print):
EID#: .
Last
First
Middle Initial
620
7578075
*****@*.*******.***
Daytime phone (8 a.m. - 5 p.m.): Cell Phone: EMail Address
1533 MERCHANT ST.APT.E8
EMPORIA
KS
66801
Mailing Address
Street
City
State
Zip Code
SKILLS/WORK E PERIENCE:
List skills/work experiences related to the position.
Office/Clerical Experience: (filing, shredding, faxing, scanning, proofreading, answering phones, etc.)
I CAN SPEAK TWO LANGUAGE ENGLISH AND CHINESE, THUS, I CAN DO IT WELL.
Please specify:
Customer Service Experience: (cashier, receptionist, sales associate, etc.)
I DID CASHIER IN CHINA.
Please specify:
Computer/Software Experience/Certification: (Word, Excel, Access, Outlook, PowerPoint, Mac, etc.)
I MASTER THESE APPS FOR 4 YEARS. USING THEM A LOT IN MY UNDERGRADUATE UNIVERSITY.
Please specify:
Other related experience (A/V equipment, housekeeping, maintenance, lab equipment, CPR, etc.)
I DID LAB EQUIPMENT IN MY UNDERGRADUATE.
Please specify:
EDUCATION:
School Name Location Major Dates attended Degree/Certificate Awarded
DALIAN MEDICAL UNIVER DALIAN CHINA BIOLOGY MEDICINE 2013-08 TO 2017-07 UNDERGRADUATE
EMPLOYMENT HISTORY:
Completion is re uired below. A resume may also be submitted.
List in order the last three positions you have held, including any time you were self-employed and any periods of military service. If your duties changed significantly in the course of any employment, indicate changes as separate employment.
CURRENT or MOST RECENT EMPLOYER: Position Title:
Supervisor’s name: Phone: From: To:
Type of Business: Hours per week: Reason for Leaving:
Duties:
List equipment or software used regularly in the work of this position:
May we contact this employer regarding your qualifications? No Yes
EMPLOYER: Position Title:
Supervisor’s name: Phone: From: To:
Type of Business: Hours per week: Reason for Leaving:
Duties:
List equipment or software used regularly in the work of this position:
EMPLOYER: Position Title:
Supervisor’s name: Phone: From: To:
Type of Business: Hours per week: Reason for Leaving:
Duties:
List equipment or software used regularly in the work of this position:
REFERENCES (List three persons we may contact regarding your past work performance. These may include previous supervisors):
Name Relationship Organization Daytime Telephone Email Address
To the best of my knowledge, all answers to the foregoing are true and correct. I understand that incomplete information or omission of employment history, (or erroneous information provided in any part of the employment process) may be just cause for rejection of my application or be sufficient cause for discharge. I hereby grant permission to Emporia State University to contact each of my former employers listed above concerning my qualifications for employment (unless otherwise noted). Permission is also granted to each of my former employers to give Emporia State University the information re este
with respect to my work experience with them. By providing my name below, I agree to the above and hereby apply for the position listed on this application. I understand this position may be subject to a background check.
Digital or Actual Signature Required Date