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Recreation Services: Student Application for Employment

The items denoted with an * are required.

General Information
*Name:
Year at FSC:
SS#
Date of Birth:
Graduation Date:
*Email:
Home Information
Street Address:
City:
State:
Phone:
FSC Information
Residence:
PO Box:
Phone:
Education
High School:
Years Attended:
Date Completed:
College:
Years Attended:
Date Completed:
Special Skills
PC Software:
Other:
Significant On-Campus/Off-Campus Commitments Athletics, Clubs, etc.:
Basic First Aid:	Yes No
Other:
Expiration Date:
Community CPR:	Yes No
Other:
Expiration Date:
Position Applying For
Is work-study a part of your financial aid allocation?	Yes No
Semester interested in working:
General Positions: (hold Control or Option to select more than one)
Leadership Positions: (hold Control or Option to select more than one)
Past Employment Experience Relevant to Position(s) Applying For:
Most Recent Past Employment
Employer 1:
City, State:
Dates Employed (From/To):
Position/Duties:
Supervisor:
Phone:
Can be Contacted:	Yes No
Employer 2:
City, State:
Dates Employed (From/To):
Position/Duties:
Supervisor:
Phone:
Can be Contacted:	Yes No
Priorities
Rank in order of importance 1-7, 1 most important.
Academics:
Athletics:
Social Life:
Family:
Work Study Employment:
Clubs, Orgs.:
Intramural Participation: