Rod Library / University of Northern Iowa

DATE: ROD LIBRARY / UNIVERSITY OF NORTHERN IOWA SUMMER 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 [email protected].

[ ] 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) WORK STUDY AWARD (initial) [ ] Yes [ ] No

SUMMER ADDRESS: (street) (city) SUMMER TELEPHONE NUMBER (state) (zip code) ( ) -

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

E-MAIL ADDRESS: PRESENT TELEPHONE NUMBER ( ) - STUDENT ID NUMBER: GRADUATION DATE: (ANTICIPATED) (Month/Year) CLASSIFICATION: (Summer semester) I AM ALSO INTERESTED IN [ ] Freshman [ ] Sophomore [ ] Junior [ ] Senior WORKING THE FOLLOWING: [ ] Graduate [ ] Interims MAJOR: (if declared) MINOR or Second Major (If declared) [ ] Fall 201__ [ ] Spring 201__

NUMBER OF CREDIT HOURS FOR WHICH I AM ENROLLED THIS SUMMER (You must be enrolled at least as a half-time student (5 hours undergraduate – 4 hours graduate) for Summer or for the Spring and Fall to be eligible for summer employment on campus.) Please enter credit hours to the right. Spring ______Summer ______Fall ______

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 3) Saturday [ ] Afternoon 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 CLASS SCHEDULE/ SUMMER WOULD LIKE TO WORK (You may ( “ M ”=May term, “ O ”=June term, “ X ”=July term, “ + “ = June/July term) indicate a range): MON TUE WED THU FRI SAT SUN 7:00-7:50 am 8:00-8:50 am ADDITIONAL SCHEDULING NOTES: 9:00-9:50 am 10:00-10:50 ______11:00-11:50am am 12:00-12:50 ______1:00-1:50pm 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 Job Title: Pay Rate: Start Date: applicable): Supervisor: Note:

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