University of Massachusetts Lowell
Campus Recreation Center

Application for Employment

Date:     
Name:

Student ID Number:
E-Mail Address:    
Permanent Address:      
Street: City/State/Zip:
Home Phone: Cell Phone:
Campus Address:      
Street or Box #: City/State/Zip:
Campus Phone:    
       
Are you currently eligible for Federal Work or Campus Work Program?     Yes             No
Are you currently employed at UMass Lowell?     Yes             No
If yes, in what capacity?  
       
Position(s) Applying for: (Please check)    
Facility Positions Intramural Positions Instructional Positions Office Positions
Welcome Desk Staff Flag Football Official Class Instructor Office Staff
Equipment Room Staff Indoor Soccer Official Fitness Trainer  
Fitness Center Staff Volleyball Official Swim Instructor  
Maintenance Staff Basketball Official Lifeguard  
  Soccer Official    
  Softball Umpire    
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.		  
   
 
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