Job Begin Date:
Employer Information:
Department Number:
Department Name:
Contact Person:
Office Location:

Office Phone:

Alternate Phone:

Job Information:

Job Title:

Work-Study

Regular

Number of Students Requested:

Hours per Week:

Schedule:

Work Schedule:

Mornings	Afternoons	Evenings	Weekends
Holidays	Breaks	Flexible

Days Needed:

Mon.

Tues.

Wed.

Thurs.

Fri.

Sat.

Sun.

Other/Detail: (specific time frame)

Qualifications Desired:

Major: Minor:

Job Description:


Names of Students Requested/SSN: (to check work-study eligibility)

Special Skills:

Please check those skills desired for the job.

Office

Keyboarding/Typing

Filing

Accounting

Receptionist

Cashier

Inventory

Other:

Computer Skills
PC	Mac	Web Page Development
Microsoft Word	Microsoft Access	Microsoft Publisher
Microsoft Excel	PageMaker	Photo Shop
Other:

Certification:

CPR		Lifeguard
First Aid		CDL
WSI		Tutoring

Other:

Experience with lab equipment		Speak foreign language:
Operate AV Equipment		Good oral/written communication skills
Able to work independently		Experience with farm/operations equipment

Other Qualifications:
Please list any that are needed to be considered for this position: