| List other ON or OFF-CAMPUS Employment (where, when, supervisor) : |
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| POSITIONS: Please check those in which you are interested |
Building Coordinator Office Receptionist Access Control Monitor/Cleaner Lifeguard Aerobics Instructor |
| Check the certification you have and provide expiration dates: |
First Aid, exp: CPR, exp: WSI, exp: Lifeguard Training, exp. |
| How many hours per week are you interested in working?: |
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| Please list experience, qualifications, or comments regarding the positions for which you are applying : |
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| Please indicate what semester you are applying for: |
Fall Spring Summer, Year |
| What is your availability to work between 5:30 am and 12:00 am each day (Sunday-Saturday)? Please list the times you cannot work due to class, extracurricular activities, etc.: |
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
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