Application Date:

Month January February March April May June July August September October November December Year 2007 2008 2009 20010

Personal Data:

First and Last Name

E-mail Address

Campus Address

CMR

Campus Phone Number

Class Year

Year 2008 2009 2010 2011 2012 2013

Have you ever interviewed with us?

Y/N Yes No

If yes, when?

Month January February March April May June July August September October November December Year 2007 2006 2005 2004 2003 2002

References:

Please list 3 on-campus references.

Specify name, address, and phone number for each. Include at least one faculty member

Reference 1:

Reference 2:

Reference 3:

Employment Data:

Are you receiving Work Study Assistance? Y/N Yes No

Have you worked on campus before? Y/N Yes No
If so, where and when?

Are you working elsewhere (on or off campus) this semester? Y/N Yes No
If so, where and when?

Technical Skills:
Information Technology provides over-the-phone client support, on-site tech support, computer set-ups and repairs. Describe any technical (hardware and/or software) skills that might be useful for this position:

Personal Skills:
Customer service skills are very important to our HelpDesk services.
Describe any experiences, work or otherwise, that have helped you to develop your "people skills".

Other Information:
Please describe any further experiences, knowledge or personal qualities you feel qualify you for this position: