Off-Campus & Commuter Services Student Employee Application Form
First: Middle: Last Name:

Local Mailing Address
Street Address 1:
Street Address 2:
City: State:
ZIP:

Permanent Home Address
Street Address 1:
Street Address 2:
City: State:
ZIP:
Local Phone: Home Phone:
Campus E-mail Address: Alternate E-mail Address:
Which class are you in?
Freshman Sophmore Junior Senior
Thompson School Graduate School

Major:

Intent to Graduate Date:

Have you been granted work study?
Yes No
Work Study amount awarded?
Have you ever been employed by the Memorial Union? Yes No
If so, what area?
Available for employment? Fall Spring Summer (Please indicate any applicable changes.)

WORK EXPERIENCE: (Start with most recent employer.)
1. Dates of Employment: Company:
Position:
Company Address:
Supervisor & Phone Number:
Describe Duties:



2. Dates of Employment: Company:
Position:
Company Address:
Supervisor & Phone Number:
Describe Duties:



References: ( List one each of 1. Work Related 2. Academic 3. Personal )
1. Name: Address:
Phone:
2. Name:

Address:

Phone:
3. Name: Address:
Phone:

General Questions:
1. What do you feel you can contribute to the organization?
2. Why are you interested in a job at the Memorial Union?
3. Please list a few of your achievments, awards or college / high school involvements?

4. What type of job are you looking for? ( Positions are not necessarily open. )
Please enter a priority value in sequence from 1 up to 9 for any jobs (1 being the greatest interest) you are interested in. Please only indicate postions you are serious about. IT and Projectionist positions require previous background qualifications.

Building Manager GSS Mail Clerk
Commuter Assistant Leadership Center Assistant
Information Center Attendant Office Receptionist
  Ticket Office Assistant
IT / Web Graphics Intern Projectionist

What other specific questions/comments do you have?



OK, I am ready to submit the form.

Thank you very much!
If you have any questions please call the MUB Office at 603-862-4600.

Memorial Union Building
Uinversity of New Hampshire
83 Main St., Room 323
Durham, NH 03824
Email the MUB

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