ROD LIBRARY / UNIVERSITY OF NORTHERN IOWA

APPLICATION FOR STUDENT EMPLOYMENT

Please fill out the application as completely as possible and return the application to the Student Employment Office Drop Box, near Room 215;
OR mail to: Library Student Employment, 211 Rod Library, 1227 W. 27th St, University of Northern Iowa, Cedar Falls, IA 50613-3675;
OR email to .

[ ] I am applying for a specific position/department in the Library (please indicate which) ______

[ ] I am interested in working in any department in the Library

Please Print

NAME: (last) (first) (initial) /

WORK STUDY AWARD

[ ] Yes [ ] No
FALL ADDRESS: (street) (city) (state) (zip code) /

FALL TELEPHONE NUMBER

( ) -
HOME ADDRESS: (if different from above) (city) (state) (zip code) /

HOME TELEPHONE NUMBER

( ) -
E-MAIL ADDRESS: /

PRESENT TELEPHONE NUMBER

( ) -
STUDENT ID NUMBER: / GRADUATION DATE: (ANTICIPATED)
(Month/Year)
CLASSIFICATION: (Fall semester)
[ ] Freshman [ ] Sophomore [ ] Junior [ ] Senior [ ] Graduate / I AM ALSO INTERESTED IN WORKING THE FOLLOWING:
[ ] Interims
[ ] Spring 201__ [ ] Summer 201 __
MAJOR: (if declared) / MINOR or Second Major (If declared)
NUMBER OF CREDIT HOURS FOR WHICH I AM ENROLLED THIS FALL
(must be degree seeking and enrolled at least half-time, 6 hours undergraduate or 5 hours graduate)
AVAILABILITY: Some students employed in the library are expected to be available for evening and weekend work. To facilitate scheduling, RANK THE EVENING AND WEEKEND SHIFTS (BELOW) ACCORDING TO YOUR PREFERENCE – USING “1” AS “MOST” PREFERABLE. Leave blank only those evening or weekend shifts for which there is a conflict, such as an evening class or another job.
I CAN WORK THE FOLLOWING EVENINGS: (Rank 1 through 4) [ ] Mon [ ] Tues [ ] Wed [ ] Thurs
I CAN WORK THE FOLLOWING WEEKEND SHIFTS: (Rank 1 through 6)
Friday [ ] Evening
Saturday [ ] Morning [ ] Afternoon [ ] Evening
Sunday [ ] Afternoon [ ] Evening
I CAN WORK THE LUNCH HOUR (Noon to 1:00 p.m.) ON: [ ] Mon [ ] Tues [ ] Wed [ ] Thurs [ ] Fri
I CAN WORK THE DINNER HOUR (5:00 TO 6:00 p.m.) ON: [ ] Mon [ ] Tues [ ] Wed [ ] Thurs [ ] Fri
NUMBER OF HOURS PER WEEK I WOULD LIKE TO WORK (You may indicate a range): / CLASS SCHEDULE/ FALL SEMESTER (use an “X” to indicate day and time of class)
MON / TUE / WED / THU / FRI / SAT / SUN
7:30-8:00 am
8:00-8:50 am
ADDITIONAL SCHEDULING NOTES:
______
______
______
______
______
______
______/ 9:00-9:50 am
10:00-10:50 am
11:00-11:50 am
12:00-12:50 pm
1:00-1:50 pm
2:00-2:50 pm
3:00-3:50 pm
4:00-4:50 pm
5:00 –5:50 pm
If you have an evening class, please list time and day below

Please continue application on reverse side

APPLICATION FOR STUDENT EMPLOYMENT (Side 2) - Please Print

WORK EXPERIENCE

Employer / Duties Performed / Dates of Employment

REFERENCES

Name & Relationship / Contact information

SKILLS OR INTERESTS YOU POSSESS (Check all that apply)

[ ] Typing/Keyboarding Speed: (words per minute) ______
[ ] Operating Systems: (i.e. Windows, UNIX)______
[ ] Word processing programs: (i.e. WordPerfect, Microsoft Word)______
[ ] Spreadsheet program: (i.e. Excel, Lotus) ______
[ ] Programming Languages: (i.e C++, JavaScript) ______
[ ] Shelving [ ] Data Entry [ ] Photocopy Machines [ ] Filing [ ] Microform Equipment
[ ] Other: ______
Library Services You Have Used:
[ ] UNISTAR [ ] Electronic Resources: (i.e. Electronic Journals, LEXIS-NEXiS)
[ ] Library Tours: (i.e. Class tours)______
[ ] Departments: (check all that apply) ( ) Art/Music ( ) Youth ( ) Special Collections ( ) Reference ( ) Circulation
( ) Reserve ( ) Photocopy
Special Interests/Hobbies: (i.e. music, community service work)
To the best of my knowledge, the above information is correct and true as given.
Signed: / Date:

For office use only – do not write in the spaces below

Work study: [ ] Yes [ ] No / $
Department: / Unit or Area (if applicable): / Job Title: / Pay Rate: / Start Date:
Supervisor:
/ Note:

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