Clear Form

Date:________________

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_____

Do you have a current Work-Study award? Yes_____

Other_____

No_____ Not Sure_____

Date you will be available to start:_______________________________

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_____
Employee Hire Checklist
W-4 Form ______
Hat Issued ______
I-9 Form ______

Hours
6-7am
7-8am

Check the Boxes when UNAVAILABLE to work

Mon. Tues. Wed. Thurs. Fri.
Sat.

Sun.

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

No_____
----FOR OFFICE USE ONLY ---Read Rules (make sure they understand)
1. Dress Code:
______
2. Sub Policy:
______
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

WMU STUDENT EMPLOYMENT ELIGIBILITY FORM

(Must be completed for every Semester you apply)
Student Name:
WIN:
Dining Unit:

____________________________________________________
____________________________________________________
Choose One
____________________________________________________

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
Choose One
Choose One
Choose One
Choose One
Choose One
Choose One

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
_____________________________________
Date

__________________________________________
Supervisor Signature
__________________________________________
Date