Citrus College»Human Resources»Student Employment
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Employment Application.pdfStudent Employment Application 
Form 01 Employee Information Form.pdf01 - Employee Information Form 
Form 02 Oath of Allegiance Form.pdf02- Oath of Allegiance Form 
Form 03c Statement Concerning Your Employment in a Job Not Covered by Social Security (SSA-1945,2013).pdf03c - Statement Concerning Your Employment in a Job Not Covered by Social Security (SSA-1945,2013) 
Form 04 Racial-Ethnicity Background Identification Form.pdf04 - Racial-Ethnicity Background Identification Form 
Form 07 Workers' Compensation--Pre-Designation of Personal Physician (2).pdf07 - Workers' Compensation--Pre-Designation of Personal Physician  
Form 09 Statement of Agreement to Adhere to Confidentiality Policies.pdf09 - Statement of Agreement to Adhere to Confidentiality Policies 
Form 10 Direct Deposit Authorization.pdf10 - Direct Deposit Authorization 
Form 10a Direct Deposit Account Verification Form.pdf10a - Direct Deposit Account Verification Form 
Form 11 I-9 2022 Employment Eligibility Verification.pdf11 I-9 2022 Employment Eligibility Verification 
Form 12 Employee's Withholding Allowance Certificate (W-4).pdf12 - Employee's Withholding Allowance Certificate (W-4) 
Form 12a CA Employees Withholding Allowance Certificate DE-4.pdf12a - CA Employee's Withholding Allowance Certificate DE-4 
Form 13 Smoking_Vaping_Tobacco Notification AP 3570.pdf13 - Smoking_Vaping_Tobacco Notification AP 3570 
Form 60 AP 7101.1 Discrimination Complaint Procedure Students.pdf60 - AP 7101.1 Discrimination Complaint Procedure Students 
Form 61 AP 7102.1 Prohibition of Harassment Students.pdf61 - AP 7102.1 Prohibition of Harassment Students 
Form 62 Student Guide Sex Discrimination student employee version.pdf62 - Student Guide Sex Discrimination 
Sick Leave Notification.pdfDocument 38 Sick Leave Notification 
Workers.pdfDocument 39 Workers' Compensation Benefits and Reporting on the Job Injuries 
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