Pacific Library Student Application

  

First Name:		Last Name:
ID Number:
Email Address:

Filled in tax info with Human Resources? Yes No

Local Address:

Permanent Address:
City:    State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RT SC SD TN TX UT VT VA WA WV WI WY    Zip:

Local Phone Number:    Permanent Phone Number:

Do you have Workstudy?: Yes No    If yes, how much?

Academic Standing: Freshman Sophomore Junior Senior Other

Academic Major:

Employer: Address: City: State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RT SC SD TN TX UT VT VA WA WV WI WY      Zip: Phone Number: Supervisor: Duties: Enter the tasks you performed at this job

Employer: Address: City: State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RT SC SD TN TX UT VT VA WA WV WI WY      Zip: Phone Number: Supervisor: Duties: Enter the tasks you performed at this job

Have you ever worked with the public?	Yes   No	If yes, briefly explain:
Do you have library experience?	Yes   No	If yes, briefly explain:
Do you have computer experience?	Yes   No	If yes, briefly explain:
Do you have a background in music?	Yes   No	If yes, briefly explain:

Languages? (Other than English)
   Spoken   Written   Read
   Spoken   Written   Read

Do you have experience with any of the following?

MS Word	Yes No	Photoshop	Yes No
MS Access	Yes No	Windows	Yes No
Tech Support	Yes No	Mac OS	Yes No
Blackboard	Yes No	MS Powerpoint	Yes No
MS Excel	Yes No	Web Design	Yes No
Other	Yes No
	If you checked yes for "Other", please explain:

Do you have another workstudy job on campus?   Yes   No
Where would you prefer to work?     Library Job Descriptions

Semester:    Fall   Spring   Summer

Enter ranges for times that you are not available to work.

Day	Open Hours	Hours You Cannot Work
Monday	7:30am - 2:00am
Tuesday	7:30am - 2:00am
Wednesday	7:30am - 2:00am
Thursday	7:30am - 2:00am
Friday	7:00am - 6:00pm
Saturday	12:00pm - 7:00pm
Sunday	12:00pm - 2:00am