| First Name: |
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| Last Name: |
|
| E-mail: |
|
| Student ID Number: |
|
| Campus/Local Address: |
|
| City: |
|
| State: |
|
| Zip Code: |
|
| Campus/Local Phone Number: |
-
-
|
| Expected Graduation Date: |
|
| Class Year: |
|
| Permanent Address: |
|
| City: |
|
| State: |
|
| Zip Code: |
|
Parent Names /
Phone Number and Address (if different):
|
Number of
credit hours
taking this semester: |
|
| Major: |
|
| Minor: |
|
| Current GPA: |
|
| Are you a
scholarship recipient? |
Yes
No |
| Are you
currently employed? |
Yes
No |
| If so, where? |
|
| Hours per week: |
|
List all
campus involvement:
|
List any
job-related or leadership experience:
|
What other
interests and hobbies do you have?
|
In 4-5
sentences, explain why you think you would do well in this
position.
|
How would you
describe your personality, specifically with regard to the
requirements of this position?
|
List two on-campus references (employer, advisor, etc. - please
do not list a friend) whom you have known at least a semester.
Include their phone number and e-mail address.
|
I am available
these nights.
(Select all that apply.) |
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
|
| I am available
to work these days. (Select all that apply) |
Saturday
Sunday |
|
