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					JOB APPLICATION FORM

   Directions for applying for a tutoring position in Lamar University’s Writing Center:

       1. Complete the job application form.
       2. Attach an unofficial copy of your Lamar transcripts. If your writing classes were
          taken at another university or college, you’ll need to enclose that transcript(s) as well.
       3. Enclose your best college-level writing sample.
       4. Write a two-hundred and fifty word response to this question: Why would I be a
          good writing center tutor?

Put all documents in an envelope or folder in the English Department mailbox of Melissa Hudler.
The mailbox is located in the English Department, which is in the Maes Building. To find the
mailbox, enter the building from the front, pass the staircase, make a left, and go through the
glass doors. Make your first left. The brown boxes are on the right.



PERSONAL INFORMATION:

First Name _____________________________

Middle Name ___________________________

Last Name _____________________________

Street Address

_______________________________________________________

City, State, Zip Code

_______________________________________________________

Primary Phone Number                  (___)___________________________________

Secondary Phone Number                (___)___________________________________

Email Address      ______________________________________________________

Are you eligible to work in the United States?

Yes _______ No_______ AVAILABILITY:

Days/Hours Available
Monday ___________________________________________________________________

Tuesday ___________________________________________________________________

Wednesday _________________________________________________________________

Thursday __________________________________________________________________

Friday _____________________________________________________________________

Saturday ___________________________________________________________________

Sunday ____________________________________________________________________

What date are you available to start work?

________________________________________

EDUCATION:

School (if not Lamar) - Degree or Current Classification – Expected Graduation Date

_________________________________________________________________

_________________________________________________________________

Writing Classes Taken and/or Experience

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

EMPLOYMENT HISTORY:

Present Or Last Position:
Employer: _____________________________________________________

Address:______________________________________________________

Supervisor: ____________________________________________________

Phone: _______________________________

Email: ________________________________

Position Title: _________________________

From: ______________ To: ______________

Responsibilities: ____________________________________________________

__________________________________________________________

Salary: _______________

Reason for Leaving: ____________________________________________

===========

Previous Position:

Employer: _____________________________________________________

Address:______________________________________________________

Supervisor: ____________________________________________________

Phone: _______________________________

Email: ________________________________

Position Title: _________________________

From: ______________ To: ______________

Responsibilities: ___________________________________________________

__________________________________________________________

Salary: _______________
Reason for Leaving: ____________________________________________

May We Contact Your Present Employer?

Yes _____ No _____

References:

Name/Title, Phone (Include on person knowledgeable about your writing.)

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

I certify that information contained in this application is true and complete.

I understand that false information may be grounds for not hiring me or for immediate
termination of employment at any point in the future if I am hired. I authorize the verification of
any or all information listed above.

Signature______________________________

Date__________________________________

				
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