Student Employment Eligibility Database First Name Last Name Student ID Address City State - Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Phone Email Are you currently enrolled in at least 6 units at COC and possess at least a 2.0 cumulative GPA (per Board Policy 5541)? Yes No Current Semester - None - Winter Spring Summer Fall Year - None - 2024 2025 2026 Semester applying for - None - Winter Spring Summer Fall Year - None - 2024 2025 2026 I am a non-credit student No. of units currently enrolled Cumulative GPA? Anticipated Transfer/Graduation Date Academic Major - None - Accounting Accounting Technician Administration of Justice Administrative Assistant Animation Production Anthropology Architectural Computer Aided Drafting Art Athletic Training Audio/Radio Production Automotive Technology Baking and Pastry Biochemistry Biological & Physical Sci Biotechnology Building Inspection Business Business Administration Business Education Chemistry Comm- General Theory Comm- Public Address Comp Net- Linux/UNIX Comp Net- Network Eng. Comp Net- Netwrk Assoc. Comp Net- Security Tech Comp Net- System Admin Computer Animation Computer Applications Computer Business Appl Computer Networking Computer Science Construction Management CSU General Education Breadth CSU Humanities CSU IGETC CSU IGETC Humanities CSU IGETC Math & Science CSU IGETC Social & Behavioral Sci CSU Math & Science CSU Social & Behavioral Science Culinary Arts Dance Drafting – Architectural Early Child Educ- Core Early Childhood Ed Earth Science ECE - Infant/Toddler ECE - Preschool ECE - School Age ECE - Special Education ECE - Supervision/Admin E-Commerce- Business E-Commerce- Technology Economics Emergency Medical Tech 1 Engineering English Finance Finance- Int’l Trade Fire Tech – In-service* Fire Tech - Pre-service French General and Emerging Tech General Education Geography Geology German Graphic Design Health Science History Hospitality Wine Service Hotel Management* Hotel/Restaurant Mgmt Human Resources Mgmt Humanities ID - Merchandising Instructional Aide Int. Design: Set Decorator Int’l Trade- Marketing Interior Design Interior Design- Home Journalism Kinesiology Land Surveying Landscape Maintenance Landscape Management Liberal Studies Library/Media Tech Manf Tech: CAD/CAM Manf Tech: CATIA Manf Tech: Machng/CNC Manufacturing Tech Marketing* Mathematics Mechanical Drafting Medical Assistant Multimedia Multimedia Design Music Music – Composition Music – Concert Music – Guitar Music – Jazz Music – Voice Nursing –LVN to RN* Nursing --RN Nursing: Cert Nurs Asst. Nursing: Home Hlth Aide Paralegal Personal Training Philosophy Photography Photography-Commercial Photography-Fine Arts Photojournalism Physical Edu- Kinesiology Physical Education Physics Political Science Psychology Real Estate Recreation Management Restaurant Management* Retail Management Sign Language Interprtng Small Business Mgmt* Soci: Crime, Dev, Soc Ctrl Soci: Life & Longevity Soci: Multiculturalism Social Science Sociology Sociology CSU Breadth Sociology CSU IGETC Sociology- General Sociology UC IGETC Spanish Speech Communication Television Production Theater Theatre- General Theatre- Performance UC IGETC UC IGETC Humanities UC IGETC Math & Science UC IGETC Social & Behavioral Sci Undeclared Video Game Animation Water Systems Technology Web Site Development Welding Wine Studies Wine Studies- Hospitality Do you plan to enroll in at least 6 units at COC next semester? Yes No Are you currently employed or have you ever been employed at College of the Canyons? Yes No What department(s) do you prefer to work for? What campus do you prefer to work at? - None - Valencia Campus Canyon Country Campus Both No Preference Are you currently eligible for Federal Work-Study? Yes No Are you currently a recipient of Calworks funding? Yes No If hired, can you provide proof of authorization to work in the United States? Yes No Current/Last Employer Employer Dates of Employment From To Position Title Supervisor Telephone No. Address City State - None - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Previous Employer Employer Dates of Employment From To Position Title Supervisor Telephone No. Address City State - None - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Current Availability Day Start Time End Time Operations Day - Select - Monday Tuesday Wednesday Thursday Friday Saturday Start Time - Select - 12:00 AM 12:30 AM 01:00 AM 01:30 AM 02:00 AM 02:30 AM 03:00 AM 03:30 AM 04:00 AM 04:30 AM 05:00 AM 05:30 AM 06:00 AM 06:30 AM 07:00 AM 07:30 AM 08:00 AM 08:30 AM 09:00 AM 09:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 PM 12:30 PM 01:00 PM 01:30 PM 02:00 PM 02:30 PM 03:00 PM 03:30 PM 04:00 PM 04:30 PM 05:00 PM 05:30 PM 06:00 PM 06:30 PM 07:00 PM 07:30 PM 08:00 PM 08:30 PM 09:00 PM 09:30 PM 10:00 PM 10:30 PM 11:00 PM 11:30 PM End Time - Select - 12:00 AM 12:30 AM 01:00 AM 01:30 AM 02:00 AM 02:30 AM 03:00 AM 03:30 AM 04:00 AM 04:30 AM 05:00 AM 05:30 AM 06:00 AM 06:30 AM 07:00 AM 07:30 AM 08:00 AM 08:30 AM 09:00 AM 09:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 PM 12:30 PM 01:00 PM 01:30 PM 02:00 PM 02:30 PM 03:00 PM 03:30 PM 04:00 PM 04:30 PM 05:00 PM 05:30 PM 06:00 PM 06:30 PM 07:00 PM 07:30 PM 08:00 PM 08:30 PM 09:00 PM 09:30 PM 10:00 PM 10:30 PM 11:00 PM 11:30 PM Relevant skills that you would like to share Program Proficiency Software Proficiency Operations Software - None - Word Excel Outlook Zoom Adobe Canva Proficiency - None - Beginner Intermediate Advanced Typing Speed (words per minute) Resume One file only.15 MB limit.Allowed types: doc docx pdf. Introduction Video Recording (optional)? One file only.15 MB limit.Allowed types: avi mov mp4 ogg wav webm. Introduction Video Recording Link? Other clerical, technical, computer, language, or pertinent skills Licenses or certifications Acknowledgement I understand that my application is only a request for placement into the Student Eligibility Pool for consideration of employment at College of the Canyons. I also understand that my employment information may be entered into an employment database and viewed by any hiring manager of the District. I certify that the information I have is true and complete to the best of my knowledge and belief. I give Santa Clarita Community College District and its authorized agents permission to verify and/or disclose any information given in connection with this application for personnel/employment purposes. I acknowledge that any misstatement or omission in the application materials may be cause for elimination from further consideration or dismissal if hired. I hereby authorize any and all persons and agencies to furnish to Santa Clarita Community College District any information, including documents in my personnel file, which may be necessary to verify this application and any other materials submitted, and hereby waive any rights of privacy to the information or documents which I may have under any federal, state, or local law, ordinance or rule. I acknowledge that by clicking on the "Submit" button it is the same as applying my legal signature to this document. Leave this field blank