First Name Last Name Student ID Address City State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming 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 -WinterSpringSummerFall Year - None -202420252026 Semester applying for - None -WinterSpringSummerFall Year - None -202420252026 I am a non-credit student No. of units currently enrolled Cumulative GPA? Anticipated Transfer/Graduation Date Academic Major - None -AccountingAccounting TechnicianAdministration of JusticeAdministrative AssistantAnimation ProductionAnthropologyArchitectural Computer Aided DraftingArtAthletic TrainingAudio/Radio ProductionAutomotive TechnologyBaking and PastryBiochemistryBiological & Physical SciBiotechnologyBuilding InspectionBusinessBusiness AdministrationBusiness EducationChemistryComm- General TheoryComm- Public AddressComp Net- Linux/UNIXComp Net- Network Eng.Comp Net- Netwrk Assoc.Comp Net- Security TechComp Net- System AdminComputer AnimationComputer ApplicationsComputer Business ApplComputer NetworkingComputer ScienceConstruction ManagementCSU General Education BreadthCSU HumanitiesCSU IGETCCSU IGETC HumanitiesCSU IGETC Math & ScienceCSU IGETC Social & Behavioral SciCSU Math & ScienceCSU Social & Behavioral ScienceCulinary ArtsDanceDrafting – ArchitecturalEarly Child Educ- CoreEarly Childhood EdEarth ScienceECE - Infant/ToddlerECE - PreschoolECE - School AgeECE - Special EducationECE - Supervision/AdminE-Commerce- BusinessE-Commerce- TechnologyEconomicsEmergency Medical Tech 1EngineeringEnglishFinanceFinance- Int’l TradeFire Tech – In-service*Fire Tech - Pre-serviceFrenchGeneral and Emerging TechGeneral EducationGeographyGeologyGermanGraphic DesignHealth ScienceHistoryHospitality Wine ServiceHotel Management*Hotel/Restaurant MgmtHuman Resources MgmtHumanitiesID - MerchandisingInstructional AideInt. Design: Set DecoratorInt’l Trade- MarketingInterior DesignInterior Design- HomeJournalismKinesiologyLand SurveyingLandscape MaintenanceLandscape ManagementLiberal StudiesLibrary/Media TechManf Tech: CAD/CAMManf Tech: CATIAManf Tech: Machng/CNCManufacturing TechMarketing*MathematicsMechanical DraftingMedical AssistantMultimediaMultimedia DesignMusicMusic – CompositionMusic – ConcertMusic – GuitarMusic – JazzMusic – VoiceNursing –LVN to RN*Nursing --RNNursing: Cert Nurs Asst.Nursing: Home Hlth AideParalegalPersonal TrainingPhilosophyPhotographyPhotography-CommercialPhotography-Fine ArtsPhotojournalismPhysical Edu- KinesiologyPhysical EducationPhysicsPolitical SciencePsychologyReal EstateRecreation ManagementRestaurant Management*Retail ManagementSign Language InterprtngSmall Business Mgmt*Soci: Crime, Dev, Soc CtrlSoci: Life & LongevitySoci: MulticulturalismSocial ScienceSociologySociology CSU BreadthSociology CSU IGETCSociology- GeneralSociology UC IGETCSpanishSpeech CommunicationTelevision ProductionTheaterTheatre- GeneralTheatre- PerformanceUC IGETCUC IGETC HumanitiesUC IGETC Math & ScienceUC IGETC Social & Behavioral SciUndeclaredVideo Game AnimationWater Systems TechnologyWeb Site DevelopmentWeldingWine StudiesWine 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 CampusCanyon Country CampusBothNo Preference Are you currently a recipient of 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 -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Previous Employer Employer Dates of Employment From To Position Title Supervisor Telephone No. Address City State - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Current Availability Day Start Time End Time Operations Day - Select -MondayTuesdayWednesdayThursdayFridaySaturday Start Time - Select -12:00 AM12:30 AM01:00 AM01:30 AM02:00 AM02:30 AM03:00 AM03:30 AM04:00 AM04:30 AM05:00 AM05:30 AM06:00 AM06:30 AM07:00 AM07:30 AM08:00 AM08:30 AM09:00 AM09:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM01:00 PM01:30 PM02:00 PM02:30 PM03:00 PM03:30 PM04:00 PM04:30 PM05:00 PM05:30 PM06:00 PM06:30 PM07:00 PM07:30 PM08:00 PM08:30 PM09:00 PM09:30 PM10:00 PM10:30 PM11:00 PM11:30 PM End Time - Select -12:00 AM12:30 AM01:00 AM01:30 AM02:00 AM02:30 AM03:00 AM03:30 AM04:00 AM04:30 AM05:00 AM05:30 AM06:00 AM06:30 AM07:00 AM07:30 AM08:00 AM08:30 AM09:00 AM09:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM01:00 PM01:30 PM02:00 PM02:30 PM03:00 PM03:30 PM04:00 PM04:30 PM05:00 PM05:30 PM06:00 PM06:30 PM07:00 PM07:30 PM08:00 PM08:30 PM09:00 PM09:30 PM10:00 PM10:30 PM11:00 PM11:30 PM Relevant skills that you would like to share Program Proficiency Software Proficiency Operations Software - None -WordExcelOutlookZoomAdobeCanva Proficiency - None -BeginnerIntermediateAdvanced 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