ROD LIBRARY / UNIVERSITY OF NORTHERN IOWA
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 .
[ ] 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) (initial) /WORK STUDY AWARD
[ ] Yes [ ] NoSUMMER ADDRESS: (street) (city) (state) (zip code) /
SUMMER TELEPHONE NUMBER
( ) -HOME ADDRESS: (if different from above) (city) (state) (zip code) /
HOME TELEPHONE NUMBER
( ) -E-MAIL ADDRESS: /
PRESENT TELEPHONE NUMBER
( ) -STUDENT ID NUMBER: / GRADUATION DATE: (ANTICIPATED)
(Month/Year)
CLASSIFICATION: (Summer semester)
[ ] Freshman [ ] Sophomore [ ] Junior [ ] Senior [ ] Graduate / I AM ALSO INTERESTED IN WORKING THE FOLLOWING:
[ ] Interims
[ ] Fall 201__ [ ] Spring 201__
MAJOR: (if declared) / MINORor Second Major (If declared)
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 WOULD LIKE TO WORK (You may indicate a range): / CLASS SCHEDULE/ SUMMER
( “ M ”=May term, “ O ”=June term, “ X ”=July term, “ +“ = June/July term)
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 am
11:00-11:50 am
12:00-12:50 pm
1:00-1:50 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 EmploymentREFERENCES
Name & Relationship / Contact InformationSKILLS 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 applicable): / Job Title: / Pay Rate: / Start Date:
Supervisor:
/ Note:
i:/student employment/application.doc