1. First Name ✻
2. Last Name ✻
3. Enter UTC ID ✻ (ex: abc123)
4. Email Address ✻
5. Phone Number ✻
6. Present Address ✻
7. Permanent Address ✻
8. Major/field of study ✻
9. Graduation Date ✻ Please select one Fall Spring Summer Please select one 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
10. GPA ✻
11. Classification/Degree Level ✻ Please select one Freshman Sophomore Junior Senior Graduate Student
12. Can you provide proper work authorization documentation? ✻ Please select one Yes No


13. Have you ever worked for the University before? ✻ Please select one Yes No
14. Are you able to lift and carry 30 lbs? ✻ Please select one Yes No
15. Have you ever been convicted of a crime? ✻ Please select one Yes No
16. If so, please explain. ✻
17. Date Available ✻
18. Desired Hours Per Week ✻

1. Please provide a cover letter for your application. The cover letter should address how you feel you can contribute to the mission of the Information Technology Division (ITD) as well as your specific qualifications and requirements. It should also include a section describing why you are interested in this particular position. ✻
2. Please provide your resume. ✻

Related Employment ✻

Please list your previous employers.

1. Employer 1 (most recent)

   Dates of Employment

   Supervisor

   Phone Number

   May we contact this Employer? Please select one Yes No

2. Employer 2

   Dates of Employment

   Supervisor

   Phone Number

   May we contact this Employer? Please select one Yes No

3. Employer 3

   Dates of Employment

   Supervisor

   Phone Number

   May we contact this Employer? Please select one Yes No

References ✻

Please provide at least two references, including at least one manager/supervisor. You must provide phone or email contact information (or both) for each reference.

1. Name

   Relationship

   Phone number

   Email

2. Name

   Relationship

   Phone number

   Email

3. Name

   Relationship

   Phone number

   Email

Computer Skills ✻

Please rate your experience with each of the following...

Additional Questions ✻

Please answer each of the following...

Related Skills

List any related skills and qualifications that you feel we should consider when reviewing your application. Have you ever worked in customer service and/or had a job in a computer-related field?

Student Assistants may be able to work up to 20 hours per week in blocks of at least 3 hours at a time. Assistants must also be available for at least one weekend shift per week. Listed below are the normal operating hours for the Student Technology Center:

Please list your availability according to the hours listed above. ✻

1. Monday
2. Tuesday
3. Wednesday
4. Thursday
5. Friday
6. Saturday
7. Sunday