Library Student Application

Library Student Application Form

Student Information * Student ID Number:
* First Name:
* Last Name:
* Email:

Address and Housing Status * Local Address:
* City:
* State:
* Zip:
* Local Phone: Additional Phone Numbers:

Emergency Contact Information

Contact #1 * Name:
* Day Phone:
Evening Phone:

Contact #2 Name:
Day Phone:
Evening Phone:

Work Experience * Worked on Campus * Computer Experience:
* Description of Previous Employment:

Expected Graduation * I expect to graduate at the end of: /

Availability What time(s) of the year are you available?

Fall Semester
Fall Break
Thanksgiving Holiday

Winter Break
Spring Semester
Spring Break

Summer Break

Interested in Evening Hours
Interested in Weekend Hours
Hours of Availability: