Application for Employment

Student ID number

Date

Name

Email Address

Phone Number

Academic Major

Year

Permanent Address

Address

Home Phone

Work Status

Are you currently employed at UMass Lowell?

If yes, please list the department you currently work for

Position(s) Applying for

Facility



Intramural Sports



Instructional





Marketing






Outdoor Adventure


Office


Bike Shop


RecKids Summer Camp


Club Sports


Availability

Work Experience

References

1.Name

Company

Title

Phone #

2.Name

Company

Title

Phone #

3.Name

Company

Title

Phone #