C&VS Assistant Application

Summer Assistant Application

Please rank the position(s) for which you are applying from the most desirable to least desirable, with 1 being most desirable. If you do not wish to be considered for a particular position, please leave it blank. Copies of Job Descriptions are available online at http://www.cvs.umd.edu/employment and in the C&VS Office.

Desk Specialist	Communications Specialist
Key Specialist	Service Assistant
Audit Specialist	Night Associate

ALL APPLICATIONS MUST BE RECEIVED BY MARCH 29, 2013.

Personal Information:

First Name: *

Last Name: *

UID #: *

Street Address: *

Street Address 2:

City: *

State / Province: *

Zip / Post Code: *

Country: *

Home Phone: *

Cell Phone: *

Email Address: *

Cummulative GPA:

Class Standing: *

Employment History:

Position (Most Recent/Current):

Employer's Name:

Dates of Employment

Supervisor's Name:

Reason for Leaving:

Employer Phone Number:

Position:

Employer's Name:

Dates of Employment:

Supervisor's Name:

Reason for Leaving:

Employer Phone Number:

Position:

Employer's Name:

Dates of Employment:

Supervisor's Name:

Reason for Leaving:

Employer Phone Number:

Background Information:

Where did you hear about this position: *

Do you have a driver's license? *

Yes No

Are you planning on taking summer classes? *

Yes No

- If yes which classes?

- If known, what is the class schedule?

Are you planning on holding another position during the summer? *

Yes No

- If yes, what hours would you plan on working?

Please provide a short answer to the following question:
What motivated you to apply for a summer conference position? *