CSA Application

I am a full-time UCI student and possess a valid driver's license.

 
 

 

Applicant Information

 
 
 
 
 
Phone
 
 
 
 
 
 
mm/dd/yyyy
 
 
 
 

 
 

 
 

 
 

 
 

 
 
 
 

 

Work Availability

 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

Resume Attachment

Upload your resume in PDF format.

 
Drop your files here
 

 

Notice of Agreement

By clicking SUBMIT, I hereby certify that all statements made in this application are true and complete, and I understand that any misstatement of material facts will subject me to disqualification or dismissal.

 

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.