Montclair State University, Academic Success Center, Career

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					                                                                           Academic Affairs                 The Center for Career Services and
                                                                                                            Cooperative Education


       ON-CAMPUS STUDENT EMPLOYMENT APPLICATION FORM – STUDENT ASSISTANT (SA)
          Complete one application form for each position in which you are interested.

Name                                                                        Email

Year in School (click to use drop-down menu):     Freshman                           Date of Application     _/_      /_

Major (state if undeclared):                          Are you employed elsewhere on campus (if yes, where)?

Campus Address                                                                      Campus Ph #

Home Address

Home Ph. #                                            City                                        State                    Zip


                                   CONTACT INFORMATION (FROM JOB POSTING)
MSU Contact Person Name:                                        Phone #                                   Room #


Campus Department                                               Building Name                             Job Title


                                                           SKILL SECTION
Check off the skills that you possess
1. Word-processing                                                        6.    Telephone Work
2. Data Entry                                                             7.    Bookkeeping
3. Filing                                                                 8.    Handle Mailings
4. Photocopying                                                           9.    Lifting Heavy Objects
5. Typing                                                                 10.   Research
11. Organizing ideas to communicate effectively (orally and written)
12. Acquiring and applying new knowledge
13. Ability to work as a team with people from diverse backgrounds
14. State computer programs you know (indicate proficiency):


15. Additional language(s) (please list):

16. Other work related skills or strengths (explain or attach resume):


17. Name and ph.# of 2 references (if available):


18. Other skills that may qualify you for this position:


19. Indicate when you can start:



                                 COMPLETE SCHEDULE GRID ON PAGE 2
     Time    Monday   Tuesday   Wednesday   Thursday   Friday   Saturday   Sunday
AM
      8:15
      8:30
      8:45
      9:00
      9:15
      9:30
      9:45
     10:00
     10:15
     10:30
     10:45
     11:00
     11:15
     11:30
     11:45

PM                                                                         PM
     12:00
     12:15
     12:30
     12:45
      1:00
      1:15
      1:30
      1:45
      2:00
      2:15
      2:30
      2:45
      3:00
      3:15
      3:30
      3:45
      4:00
      4:15
      4:30
      4:45
      5:00
      5:15
      5:30
      5:45
      6:00
      6:15
      6:30
      6:45
      7:00
      7:30
      8:00
      8:30
      9:00
      9:30
     10:00

				
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