Name:

Email:

Phone #:

ID#:

What year are you currently?
Freshman Sophomore
Note: We are currently not hiring students who will be seniors during the following academic year, since they will be graduating that year.

Do you have work study?
Yes No

Would you be able to interview on Monday thru Wednesday, March 9th - 11th, 2009?
Yes No

Will you be going abroad during the 2009-2010 academic year?
Yes No

If so, what term will you be gone?
Fall 2009 Centre Term 2010 Spring 2009

Which student worker position are you interested in?
Lab to Classroom Technician Assistant
Instructional Technology Production Assistant
Media Delivery and Setup Technician

Why would you like to work as a student worker in the Center for Teaching & Learning?

Describe your experience working with computers and any additional technology equipment. Have you held any jobs or positions that required you to work with, troubleshoot, or utilize computers and/or other technology equipment?

What extracurricular activities such as sports, Greek organizations, clubs, or other groups are you involved in at Centre?

In consideration of my potential selection as an student worker in the Center for Teaching & Learning, I acknowledge the expectation that I will be working approximately ten hours per week on duties related to the Center for Teaching & Learning as defined by the Director of the CTL.