Employment Application

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Student Positions
Applying for:	Front Desk	Lab Coach (Please select specialty) Audio Video Graphics Web 3d/Animation
General Information
First Name:
Middle Initial:
Last Name:
Nickname:
Date of Birth:
Expected Graduation Date:
Email:
Home Phone:
Other Phone:
Local Address:
Permanent Address:
Class Standing:		Freshman Sophomore Junior Senior
Student Enrollment Status:		Full-Time	Part-Time
Federal Work Study?		Yes	No
US Citizen?		Yes	No
Authorized to Work in US?		Yes	No

Availability

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

12pm-4pm

4pm-8pm

8pm-12am