Department of Residential Life & Department of Custodial Services

Department of Custodial Services Job Application for summer 2017

Custodial Room Attendant Positions- BEGIN mid-May to mid-August. If you are interested in applying for a position, please fill out the following form completely. Note: If you are planning on taking any summer courses, we cannot accommodate time off for classes during work hours, so do not apply for these jobs. Please print very clearly and neatly. Applicant’s Name______Social Security #______Address:______Home Phone______Cell or Message phone______Email address (mandatory):______other contact info.______Are you 18 years of age or older? Yes_____ No_____ Are you a U.S. Citizen? Yes______No______If no, can you submit verification of your legal right to work in the United States Yes_____ No______What is the earliest date you can begin summer work? ______Have you ever been convicted of a crime? Yes______No______If yes, list below any criminal or moving violations for which you have been convicted. Date of Conviction Offense Disposition of Case 1.

Are you physically able to perform the task as listed on the job description? Y____N____

Summer Housing Employees: To qualify for rent-free summer housing while working for Custodial Services, you must be willing to work flexible shifts according to the job description.

Are you related to anyone who works at UVM: ______

I certify that the information given on this application is true and correct.

Would you like to be considered to be an Housing Coordinator for summer housing? Yes___ No___

Applicant’s signature:______Date:______

Completed applications should be submitted by email only:

[email protected] Attention: Mary Palin