Name
Gender
Male
Female
Birthdate
Local
Address
...be
sure to include city, state and zip in this address
for
example, 39329 Charles Town Pike, Hamilton, Virginia 20158
Local
Phone
Email
Address
Number
of Credit Hours this term
Major GPA
Grade
Level
Freshman Sophomore Junior Senior Masters Other
Worked
at Mason before?
Yes
No If
yes, where:
Experience
Do
you have a current Work Study award
Yes
No
If
yes, enter amount: $
Below, check
each department where you have an employment interest
all of the above )
all of the above )
all of the above )
Describe
Computer Skills (briefly)
Spoken
Languages
Please
give any other information that you think would help to complete the
picture of your background qualifications and interests. For example:
work experience, volunteer work, and extracurricular activities.
Hours
to Work per Week
Available
Start Date