IN FRONT OFFICE OF DEPARTMENT OF COMPUTER SCIENCE TEXAS STATE UNIVERSITY Start Date: Today’s Date:________________ Preferred ____________________ Monday Tuesday Wednesday Thursday Friday LIST TIME FRAMES YOU ARE AVAILABLE TO WORK (EX: 8-12) ___REFERENCES______________________________________________________________ Current/Previous Employer: _________________________________ Phone: __________________ Position: ______________________ Supervisor’s Name:_________________________ Supervisor’s Your job duties: ____________________________________________________________________ May we contact this reference (circle)? Yes No HOURS AVAILABLE TO WORK SEMESTER/YR _______________ ANTICIPATED HRS/WK (must be 25 hrs or less): ____ PREVIOUS WORK EXPERIENCE BOTH ON AND OFF-CAMPUS Date Date JOB TITLE NAME OF EMPLOYER & DUTIES Began Ending PHONE NUMBER
IN FRONT OFFICE OF DEPARTMENT OF COMPUTER SCIENCE TEXAS STATE UNIVERSITY Today’s Date:________________ Preferred Start Date: ____________________ ___REFERENCES______________________________________________________________ Current/Previous Employer: _________________________________ Phone: __________________ Supervisor’s Name:_________________________ Supervisor’s Position: ______________________ Your job duties: ____________________________________________________________________ May we contact this reference (circle)? Yes No Monday Tuesday Wednesday Thursday Friday LIST TIME FRAMES YOU ARE AVAILABLE TO WORK (EX: 8-12) HOURS AVAILABLE TO WORK SEMESTER/YR _______________ ANTICIPATED HRS/WK (must be 25 hrs or less): ____ PREVIOUS WORK EXPERIENCE BOTH ON AND OFF-CAMPUS Date Began Date Ending JOB TITLE NAME OF EMPLOYER & PHONE NUMBER DUTIES