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
Availability
Work Experience
References
1.Name
Company
Title
Phone #
2.Name
3.Name