Apply to be a Student
Technology Assistant

To apply, you may consult Glen Avery or submit this online application.
Name
Date

Email address
Campus address

Campus phone number
Home address


Home phone number

Year in college

Fr. So. Jr. Sr.

Major
GPA
Work study Yes No
If yes, hours/week

Course schedule for Fall 2000 semester
Total number of credit hours
   
FALL 2000 EXTRACURRICULAR ACTIVITIES
Organization Position/Title Hours/week

 

WORK EXPERIENCE (MOST CURRENT FIRST)
Employer Position/Title Length of employment
   
REFERENCES (MAY BE ON- OR OFF-CAMPUS)

Name

Relationship to you

Phone number
   

Describe any computer-related experience you may have had that would benefit you in the Student Technology Assistants Program.
   

Describe any interpersonal skills or experiences that will benefit you as a Student Technology Assistant.