Application for Student Employment : Campus Recreation : UMass Lowell

Student ID number:
Date:
Name:
Email Address:
Phone Number:
Academic Major:
Year:
Permanent Address
Street:
City/State/Zip:
Home Phone:
Work Status
Are you currently eligible for Federal Work or Campus Work Program?:
If Yes list the dollar amount you were awarded:
Are you currently employed at UMass Lowell?:
If Yes in what capacity?:
Position(s) Applying for:
Facility:	Welcome Desk staff Fitness Center Attendant
Intramural Sports official/scorekeeper:
Instructional:	Group Fitness Instructor Personal trainer Swim Instructor Lifeguard
Office:	Office Staff
Availability:
Work Experience:
References:
1.Name:
Company:
Title:
Phone #:
2.Name:
Company:
Title:
Phone #:
3.Name:
Company:
Title:
Phone #:
Thank you for your interest in UML'S Campus Recreation Center! A member of the CRC staff will be in touch with you soon.

Application for Employment