Preview Receptionist Job Application Format

Desk Receptionist

Application Form

I. General Information: Please Print or Type

II. Scheduling Information:

Do you anticipate anything that may take time away from working as a DR? (This may include

study abroad, clinicals, athletics, etc.) Yes / No

If yes, please explain: ____________________________________________________________

______________________________________________________________________________

Name: ________________________________________________________

MUID: ___________________________ SSN: ___________________________

Current Address: _______________________________ Phone: ___________________

City, State, Zip: ________________________________

E-mail Address: ________________________________

Summer Address: _______________________________ Phone: ___________________

City, State, Zip: _________________________________

2010-11 Address: _______________________________ Phone: ___________________

City, State, Zip:_______________________________________________________________

Academic Classification for 2010-11 Fr So Jr Sr Grad

Degree Program: _____________________________ Graduation date: ______

______

Are you presently in good conduct standing with the University and Residence Life? Yes / No

If no, please explain: _________________________________________________________________

__________________________________________________________________________________

Average number of hours you will be available to work during: Summer 2010 ________

Fall 2010 ________

Spring 2011 ________

Are you willing to work:

1. At least two weeks during winter break? Yes / No

2. During Thanksgiving break? Yes / No

3. During spring break? Yes / No

4. During Easter break? Yes / No

5. During senior week? Yes / No

6. Summer 2011? Yes / No

Note: All DRs are expected to work either Thanksgiving or Easter break. Additionally, ALL

Apartment area DRs are expected to work over breaks, such as winter and spring.

Do you anticipate having Federal Work Study? Yes / No / Unsure

Please note that everyone is expected to attend fall training in August and work during the

opening of the residence halls.

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