| NAME: | ||||||||
| PHONE # | ||||||||
| Term (Circle one): Fall Winter Spring Summer Year:________ | ||||||||
| Are you currently enrolled as a student ?_____ | ||||||||
| If YES, Academic level_______________ | Credit hours enrolled__________ | |||||||
| Were you enrolled the previous term?______ | ||||||||
| If YES, How many credit hours were you taking? ______ | ||||||||
| Amount of hours desired _______ | ||||||||
| Minimum hours needed _______ | Maximum hours | |||||||
| Fill in Times Available to Work Below | ||||||||
| Monday | From_______ to _______ | |||||||
| From_______ to _______ | ||||||||
| NOTE: Do not schedule | From_______ to _______ | |||||||
| availability to begin 10 | ||||||||
| minutes after the end of | Tuesday | From_______ to _______ | ||||||
| a class or to end | From_______ to _______ | |||||||
| 10 minutes before the | From_______ to _______ | |||||||
| start of a class. | ||||||||
| Wed. | From_______ to _______ | |||||||
| From_______ to _______ | ||||||||
| Examples: | From_______ to _______ | |||||||
| Class ends @ 2:50. | ||||||||
| Available to work at 3:30. | Thurs. | From_______ to _______ | ||||||
| From_______ to _______ | ||||||||
| Class begins @ 1:00 | From_______ to _______ | |||||||
| Availability ends @ 12:30. | ||||||||
| Friday | From_______ to _______ | |||||||
| From_______ to _______ | ||||||||
| From_______ to _______ | ||||||||
| * Commitment to the above schedule is required. If anything is in question, please note it here: | ||||||||
| Scheduling is done on a first-come, first-served basis. | ||||||||
| The sooner this is returned, the more preferred hours you will get. | ||||||||
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