Student Employment Application	
CAREER & EMPLOYMENT SERVICES	

Personal Information	
Name	Bishop	Marisa	N	   Telephone	(517) 775-1709	
	(Last)                                                 (First)                                                 (M.I.)     	
Address	8607 Carlsbad Lane	
	  (Street)  	
	Lansing	MI	48917	
	  (City)	  (State)	  (Zip Code)  	
Student Number	X00692925	Preferred e-mail address:                                 	marisabishop04@gmail.com	
CHOOSE ONE:   X  U.S. Citizen/Resident Alien           International Student
List any languages spoken, other than English:        	
Program of Study:	Elementary Education	 Expected Completion Date  at LCC:	     	
Number of credits for which you are enrolled:   Fall	15	 Spring     	  Summer      	  Overall GPA   .      	          	
Have you applied for Financial Aid (completed FAFSA) for the current aid year?       X Yes              No  	
Are you currently employed on-campus?       Yes      X   No     If yes, what department?       	

Work Experiences- International students may include experiences from their country.
(List most recent first. Include previous student employment, volunteer, work-study, co-op. and internship experiences.)

Date: Month/Year	Name & Address of Employer	Type of Work	Reason(s) For Leaving	
From: June 2009	Labor Law Poster Service
5859 W Saginaw Hwy #143
Lansing, MI 48917	Data Entry, Office Work, Customer Service	Lack of work	
To: Present				
From:      	     	     	     	
To:      				
From:      	     	     	     	
To:      				

Education 
High School Diploma or GED?     X Yes          No 	
List any Degrees or Certificates obtained:	     	

Awards Received – Clubs & Activities   
Salutatorian, Board of Trustees Award	

Skills-Indicate only those actually used. Be complete and as specific as possible.

Clerical & Computer	X Typing (80 wpm)         X Business Telephone      X Faxing         X Filing         X Copying  
    Cashiering             Personal Computer          X Macintosh          X Internet         X MS Word  
X Excel            Access          XPowerPoint              Hardware              Peripherals        
    Web Design             PageMaker      	
People	    Reception         X Customer Service             Tutoring             Knowledge of LCC campus/programs	
Other	    Cook           Food Server          Food Prep          Grounds/Landscaping          Building Maintenance 
    Custodial            Moving            Delivery    	
Additional Skills	List additional skills and/or qualifications here:        	

References- may include supervisors, teachers, counselors, etc. but should NOT include family members, relatives or friends. International students may include references from their country.

Name	Relationship 
(supervisor/co-worker, etc)	Address	Telephone	
Ashley Brzezinski	Friend	     	517-881-1931	
Steve Sochay	Teacher	     	517-402-7906	
Ricardo Torrez	Former Youth Pastor	     	517-599-7686	

Lansing Community College does not discriminate on the basis of race, religion, age, national origin, sex, marital status, color, height, weight, handicap or sexual orientation in its employment, educational programs or activities. If you feel you have been discriminated against, contact the Equal Opportunity Office at (517) 483-1030.
Check each box as you read and review the items below:
The information given in this application is correct and complete to the best of my knowledge, and permission is hereby given for any investigation that may be necessary. 
In applying for this position I understand that student employment at Lansing Community College is “at will” employment; this condition cannot be altered.