Arkansas State University

-Arkansas State University- INTRAMURAL SPORTS EMPLOYEE APPLICATION

Semester ______Year ______

PERSONAL INFORMATION

Employee Name ______Date______

ASU ID Number ______ASU e-mail ______@ smail.astate.edu

Local Mailing Address: Street ______

City ______State______

Zip Code ______Campus PO Box ______

Phone______Cell ______

Text Messages: YES NO

Permanent Mailing Address: Street______

City ______State ______

Zip Code ______Phone ______

PO Box ______Other e-mail ______

EMPLOYMENT INFORMATION

Desired Position(s) ______

Relevant Experience

______

Do you currently work somewhere else? _____ Yes _____ No

If yes then where? ______Hours per week ______

Have you worked on campus before? _____ Yes _____ No

If yes then where? ______

Do you currently work on campus? ____ Yes _____ No

If yes then where? ______

Please complete information on the back COLLEGE INFORMATION

Declared Major ______

Classification : ____ Freshman____ Sophomore ____ Junior ____ Senior ____ Graduate

Housing: ______On-Campus ______Off-Campus

Number of credit hours you are taking ______

Average number of hours you want to work per week ______

EXTRACURRICULAR ACTIVITIES In which of the following Recreational Sports activities do you currently participate?

_____ Aerobics _____ Club Sports _____ Outdoor Equipment Rental

_____ Informal Rec _____ Pool _____ Outdoor Recreation Trips

_____ Intramurals _____ Weight Room _____ Wellness classes

____ Special Events _____ Other ______

In which of the following activities and/or organizations do you currently participate?

_____ Clubs or Professional Organization (related to major) ______Student Government

_____ Greek Organization (Fraternity/Sorority) ______Student Union Programs

_____ Honors Program/Societies ______Varsity Athletics

_____ International Student Programs _____ Residence Hall Activities

_____ Other (please specify) ______

If you have officiated please specify what sport and at what level:

Football______Soccer ______

Volleyball ______Softball/Baseball______

Other ______

** All information given is optional. This information will in no way affect your employment**

You can return this application to either of the following locations: 1) R.E.D Wolf Center, Room 107 2) Bring it with you to the officials clinics

FOR OFFICE USE ONLY

Hired: ____Yes No _____ Date Hired ______Pay Rate ______