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Student Worker Application

Name:
E-mail Address:
Campus Phone Number:
Campus Address:
Home Phone Number:
Cell Phone Number:
Home Address: (Street)
(City, State Zip)
 
School: Status:
University       High School Freshman Sophomore
Junior Senior
Are you a Muskingum University student? Yes       No
Are you a Muskingum University Work Study? Yes       No
Are you planning to attend summer school? Yes       No
Are you an Aramark Employee? Yes       No
Are you involved in any type of sports or other extra-curricular activity? Yes       No
If so, please list:
Are you in any Volunteer Services or Community Services? Yes       No
If so, please list:
 
Are you applying for: Summer Work       Academic-Year Work
 
Dates Available to Work
Start: End:
Days Available to Work (Check all that Apply): Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time Available to Work
Start: End:
Do you have a driver's license? Yes       No
Have you been authorized by Campus Police to drive campus vehicles? Yes       No
 
Please list any special skills or talents you have that would help you with the job you are applying for:
Please list any qualifications or experience that would help you with the job you are applying for:
What are your career aspirations?
 
Emergency Contact Name (1):
Contact Relationship (1):
Primary Contact Phone Number (1):
Secondary Contact Phone Number (1):
 
Emergency Contact Name (2):
Contact Relationship (2):
Primary Contact Phone Number (2):
Secondary Contact Phone Number (2):
 
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