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Applicationform2018 (Arkansas Tech University)

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PENDERGRAFT LIBRARY APPLICATION FORM
STUDENT WORKER [MUSIC LAB]
Please fill in, print, and return application to RPL 209.
Personal Information:
Last name: First name:
Current Address: Phone:
Email: Other Phone:
Education Information:
Major: Year:
Are you eligible for College Work Study? If no, have you applied?
List any music,
computer, and
library classes you
have taken:
List software titles
you are familiar
with (include
music and general
titles):
What campus
activities do you
participate in?
Please list your
previous work
experience.
Include dates,
names, and duties.
Feel free to attach
a separate
resume.
Work Information:
Please list three
people who will
serve as references
for you. Include
their job title and/
or how they know
you, as well as
their contact
information.
Scheduling Information:
Please attach a copy of your anticipated and current class schedule to this application.
Please list other
activities not
listed on your
class schedule to
which you're
committed.
Additional
comments:
Please sign and date:
I acknowledge that the information on this form is true, and that falsifying employment information is a serious offense resulting in
immediate dismissal and forfeiture of additional employment at the Library.
Please note:
Student workers are hired not only based on their qualifications but also their availability for employment. Hiring is also based on
the type and quantity of funding the library has at any given time, for example, more hours may be available for college work study
than non-work study.
Before being hired, an individual must present several forms of identification; most frequently used are a driver's license or passport
and a Social Security Card. If you are in doubt about your identification papers, please talk with someone in the Financial Aid Office
in Doc Bryan.
For further information please contact
Music/Multimedia Librarian
Pendergraft Library Room 209
Arkansas Tech University
305 West Q Street
Russellville, AR 72801
blongair@atu.edu
479.964.0584
llybarger@atu.edu
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Completed 18 July 2020

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