Work-Study Application

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You will receive a confirmation email once you've submitted this form, letting you know your application has been received. This application becomes void after 365 days if not renewed.

* denotes required fields

Personal Information

Please include area codes.

Work-Study Positions

*I understand that selecting these positions does not guarantee that I am eligible nor that I will receive a work-study assignment.*


Employment Information

Please start with your most current position as position #1.

Previous Employment #1

Previous Employment #2

Work Status

*1. Have you ever been involuntarily terminated from any previous position?

*2. Are you authorized to work in the United States?
*Proof of citizenship or immigration status will be required upon employment.*

*3. Are you a veteran?

Criminal Background

*1. Have you ever been convicted of a crime other than a simple misdemeanor offense relating to motor vehicles and laws of the road under chapter 321 or equivalent provisions, in this state or any other state?

*2. Do you have a record of found child or dependent-adult abuse?

*Conviction will not necessarily disqualify an applicant from employment.*

**IVCCD Board Policy 403 requires IVCCD to perform post-offer, pre-employment  background checks, which may include but are not limited to criminal background checks as authorized by Section 692.2 of the Iowa Code, child abuse and/or dependent adult abuse record checks and/or sexual abuse registry checks.**

Optionally you can attach your resume here:

    Please select a valid file type!

Optionally you can attach a cover letter here:

    Please select a valid file type!

Please read and sign below:

Iowa Valley Community College District maintains an active application file for twelve months. 

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, false or misleading statements on this application shall be grounds for dismissal.

It is IVCCD’s policy to provide equal opportunities in its employment practices and policies for all employees and applicants for employment without discrimination on the basis of age, color, creed, disability, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, and veteran status.

I understand that submitting this application does not guarantee that I am eligible and that I will receive a work-study assignment. If I am offered a work-study assignment, I understand that I will need to complete appropriate criminal background check forms with my campus’ Human Resource office and receive acceptable results from the criminal background check. I also understand that hiring paperwork and acceptable documents for identification will be completed and submitted to the Human Resource office once the background check is completed and approved prior to my starting my assignment. It is our policy to keep work-study application on file until the end of the academic school year.

Please type your signature and today's date

Electronic submission of this application confirms the typed signature.