(Please print or type clearly)
Name: ________________________________ SNHU Student ID: ________________________________
Address: ________________________________
E-mail: ________________________________ Preferred phone: ________________________________
How many hours are you available to work?
Are you available to work nights or weekends?
What is your degree program?
What days and time are you available to work?
| Sun | Mon | Tue | Wed | Thu | Fri | Sat |
|---|---|---|---|---|---|---|
What are your interests? (Check all that apply)
|
Early child hood Education Pre-school or Elementary children Working with children between ages 11-16 Working with Teens 16-18 years old Mentoring Tutoring Organizing and supervising events Sports _____________ Aquatics Art/crafts Advertising |
Marketing Computers Web design Fundraising Government, Politics or World Affairs History Administrative Office work Facilities Management Behavioral Health Other _____________ |
Indicate any foreign language you: speak, read or write (optional)
Fluent / Good / Fair
Speak ____________________________
Read ____________________________
Write ____________________________
Why are you interested in the Community Service Work Study Program?:
| Employer: | From: | To: |
| Job Title: | Supervisor: | Phone: |
| Job Function: | ||
| Employer: | From: | To: |
| Job Title: | Supervisor: | Phone: |
| Job Function: | ||
Special Skills and Qualification: Summarize special skills and qualifications acquired from previous employment or volunteer experiences.
Any comments you wish to share?
I understand by signing this application, that in the event I obtain a position with the Community Service Work-Study program, I am representative of Southern New Hampshire University and must behave in a professional manor at all times. In making this commitment, I understand I am responsible for my own transportation, and that the organization is relying on me to report to work each week as scheduled.
Student Signature: ____________ Date: ____________
Suggested Organization(s):
Position:
Contacted: