REACH - University of Louisville
Application for Student Employment
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On-Line Student Employment Application
Personal Information
First Name:
Middle initial:
Last Name:
Student ID (if available):
Date of Application:
Present address:
City:
State:
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Zip Code:
Home phone:
Other phone:
Primary email:
Gender:
Male or
Female
Ethnicity:
Select One
African-American
Asian
Hispanic
Native American
White
Other
Residency:
KY or
Non-KY
Please indicate your citizenship status:
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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