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Last Name:
Local Phone:-
Preferred E-mail Address:
Major:
Line 1:
Line 2:
City: , State:
Zip:
List the computer HARDWARE you are familiar with:
What previous job experience have you had?
References: (If applying for a Web Services position, please list urls of web sites you have worked on)
Are you available to come in the fall (one week prior to Freshman Week) for training? Yes No Not Sure/Maybe
Approximately how many hours do you want to work (up to 20 per week)? * Note: If you are applying for the Hardware Technician position, you must be able to work at least 15 hours between 8 am and 5 pm Monday-Friday.
How many hours are you eligible to work for the following programs? Work Study: Institutional: Scholarship:
Are you willing to work: Days Evenings Weekends During Breaks
Please list any additional information you would like included in your application.