Arkansas State University

Arkansas State University

<p> -Arkansas State University- INTRAMURAL SPORTS EMPLOYEE APPLICATION</p><p>Semester ______Year ______</p><p>PERSONAL INFORMATION</p><p>Employee Name ______Date______</p><p>ASU ID Number ______ASU e-mail ______@ smail.astate.edu</p><p>Local Mailing Address: Street ______</p><p>City ______State______</p><p>Zip Code ______Campus PO Box ______</p><p>Phone______Cell ______</p><p>Text Messages: YES NO</p><p>Permanent Mailing Address: Street______</p><p>City ______State ______</p><p>Zip Code ______Phone ______</p><p>PO Box ______Other e-mail ______</p><p>EMPLOYMENT INFORMATION</p><p>Desired Position(s) ______</p><p>Relevant Experience </p><p>______</p><p>______</p><p>Do you currently work somewhere else? _____ Yes _____ No</p><p>If yes then where? ______Hours per week ______</p><p>Have you worked on campus before? _____ Yes _____ No</p><p>If yes then where? ______</p><p>Do you currently work on campus? ____ Yes _____ No</p><p>If yes then where? ______</p><p>Please complete information on the back COLLEGE INFORMATION</p><p>Declared Major ______</p><p>Classification : ____ Freshman____ Sophomore ____ Junior ____ Senior ____ Graduate</p><p>Housing: ______On-Campus ______Off-Campus</p><p>Number of credit hours you are taking ______</p><p>Average number of hours you want to work per week ______</p><p>EXTRACURRICULAR ACTIVITIES In which of the following Recreational Sports activities do you currently participate?</p><p>_____ Aerobics _____ Club Sports _____ Outdoor Equipment Rental</p><p>_____ Informal Rec _____ Pool _____ Outdoor Recreation Trips</p><p>_____ Intramurals _____ Weight Room _____ Wellness classes</p><p>____ Special Events _____ Other ______</p><p>In which of the following activities and/or organizations do you currently participate?</p><p>_____ Clubs or Professional Organization (related to major) ______Student Government</p><p>_____ Greek Organization (Fraternity/Sorority) ______Student Union Programs</p><p>_____ Honors Program/Societies ______Varsity Athletics</p><p>_____ International Student Programs _____ Residence Hall Activities</p><p>_____ Other (please specify) ______</p><p>If you have officiated please specify what sport and at what level:</p><p>Football______Soccer ______</p><p>Volleyball ______Softball/Baseball______</p><p>Other ______</p><p>** All information given is optional. This information will in no way affect your employment**</p><p>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</p><p>FOR OFFICE USE ONLY</p><p>Hired: ____Yes No _____ Date Hired ______Pay Rate ______</p>

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