Student Employment Form

Have you been awarded a college work study?
 yes no

Are you a returning student library employee?
 yes no

Your Name (required)

Your Email (required)

Address

Contact Phone

Graduating Class

Have you ever worked in a library?
 yes no

If you answered yes, what area did you work in?
 Acquisitions Cataloging Circulation Reference Audio Visual Services Other

Please indicate preferred working hours:
 8:00-9:00AM 9:00-10:00AM 10:00-11:00AM 11:00-12:00PM 12:00-1:00PM 1:00-2:00PM 2:00-3:00PM 3:00-4:00PM 4:00-5:00PM 5:00-6:00PM 6:00-7:00PM 7:00-8:00PM 8:00-9:00PM 9:00-10:00PM 10:00-11:00PM 11:00-12:00AM

Please indicate preferred working days:
 Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Skills:

1. Computers:

Other Equipment:

General:

Employment Record

1. Company:

2. Date of Employment:

3. Supervisor:

4. Phone Number:

4. Responsibilities:

1. Company:

2. Date of Employment:

3. Supervisor:

4. Phone Number:

4. Responsibilities:

Anything else you would like us to know:

Please type the text you see below in the box before submitting this form.