JOB APPLICATION / DATE
Name
Last First Middle
Local address
NumberStreetCityStateZip
MUID No. / Social Security No.
Phone
Position applied for
Graduate Information Assistant 
Navigator (technical assistant) 
Office Assistant  / Class Standing
Freshman 
Sophomore 
Junior 
Senior 
Graduate – Master’s Program 
Graduate - Doctoral Program 
Anticipated graduation (Month/Year)
Are you available to work over breaks? Yes  No 
Earliest date available to start work
May I share your application with other library personnel who may be hiring? Yes  No 
TYPE OF SCHOOL / NAME OF SCHOOL / LOCATION
/ NUMBER OF YEARS COMPLETED / MAJOR & DEGREE
High School
College
APPLICATION FOR EMPLOYMENT
Work Experience / Please list your work experience for the beginning with your most recent job held.
You may attach a resume, but it does not substitute for this form.
Name of employer
Address / Name of last supervisor / Employment dates / Pay or salary
City, State, Zip Code
Phone number / From
To / Start
Final
Job title
Specific reason for leaving
Name of employer
Address / Name of last supervisor / Employment dates / Pay or salary
City, State, Zip Code
Phone number / From
To / Start
Final
Job Title
Specific reason for leaving
Name of employer
Address / Name of last supervisor / Employment dates / Pay or salary
City, State, Zip Code
Phone number / From
To / Start
Final
Job Title
Specific reason for leaving
Name of employer
Address / Name of last supervisor / Employment dates / Pay or salary
City, State, Zip Code
Phone number / From
To / Start
Final
Job Title
Specific reason for leaving
Important Schedule information
Indicate that you understand by checking the box Yes  No 
Read all directions
Follow all directions
Meet deadlines
I reserve the right to schedule any available student employee as needed.
If your commitments change, you must notify me right away.
I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.  Yes  No
After reviewing the job description, please indicate if you are able to perform the essential functions of the job for which you have applied, with or without a reasonable accommodation? Yes  No 
I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered. Yes  No 
If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of law. Yes  No 

Signature/Date______

Commitments Fall 2014

Read Direction. Follow Directions. Meet deadlines.

For the semester schedule your willingness to work when available is a condition of employment. No one can opt out of unpopular shifts. I honor preferences when practical. Students with seniority are given preference. You may be assigned one or more opening, closing &/or weekend shifts. There may be a rotation for unpopular shifts.

Expect strict enforcement of attendance requirements. The Student Employee Manual states, “One or two days of absence without notification in a three-month period is considered to be excessive and reason for dismissal.

  1. Name
  1. Phone Number
  1. Number of hours you prefer to work:
  1. Schedule preferences:
  1. Is this likely to be your final schedule? Or is it going to change?
  1. Include all classes and other regular daily or weekly commitments including weekends. Include name of the class/commitment, start and end time.

Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
GIA staffing / 1:00-11:00 / 7:45-11:00 / 7:45-11:00 / 7:45-11:00 / 7:45-11:00 / 7:45-9:00 / 10:00-9:00
Tech staffing / 10:00-midnight / 7:45-midnight / 7:45-midnight / 7:45-midnight / 7:45-midnight / 7:45-10:00 / 9:45-10:00
8:00
9:00
10:00
11:00
12:00
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00

Technical Aptitude & Inventory

Provide evidence of technical ability or aptitude to assist patrons with printing, faxing, scanning, copying, wifi access, MS Office and Digital Media equipment and software.

If you have experience with similar hardware or software, please describeit.

Indicate Your Skill Level
None / Some / Proficient / Expert
Customer Service
Windows OS
Mac OS
MP3 players
iPhone (or other smart phones)
Use wireless network
Use photocopier
PrintWise system
Printer maintenance (add paper, clear jams, change toner)
Scanners
Scanning text into OCR format
Basic scanner troubleshooting
Troubleshoot software & hardware problems
Zip and Unzip files
Convert Mac files to PC
Convert pc file to Mac
Convert files to PDF
Knowledge of Microsoft Word
Knowledge of Microsoft Powerpoint
Knowledge of Microsoft Excel
Basic Web Navigation
Use common viewers and plug-ins
Clear browser history & cache
Emarq
Web authoring software
Adding text and image files to Web page documents
Basic knowledge of Marqcat
Statistical software (SPSS, EViews, Maple, MATLAB, Minitab)
Digital Media / Indicate Your Skill Level
None / Some / Proficient / Expert
iPads or other tablets
Mac laptops
PC laptops
Adobe Photoshop (image editing)
Adobe illustrator (vector graphics)
Adobe in Design (page design & layout for publishing)
Adobe Premier Pro (video production & editing)
Adobe Dreamweaver (web & mobile design)
Adobe Flash professional (Interactive experiences, game design,& mobile device packaging)
Adobe Acrobat pro (create, edit, sign pdf documents)
Adobe Audition (audio recording, mixing, restoration)
Apple iMovie
Apple IPhoto
Apple Garageband
Apple Final Cut
Avid Media Composer
Windows Live Movie Maker
Digital Cameras
Video Cameras