PPDC Student Application

Name

Banner Number

Phone

Email

Current Year

Campus

	CSB
	SJU

Work Award

	Yes, I have a work award
	No, I do not have a work award

The Well-Being Center Student Office Assistant position is a 6 hour/per week position.

Student Office Assistant hours are scheduled 8 a.m. to 4:30 p.m. (Monday thru Friday). Are you available during this time?

	Yes
	No

Major

Minor/Special Concentration

Please indicate if you have experience in the following:

	Maintained confidential information
	Demonstrated punctuality, dependability, & kept scheduled hours
	Worked independently to complete projects
	Demonstrated Initiative
	Managed multiple projects at once
	Managed professional upkeep of office setting (may require lifting)

Experience:
(Please list your previous jobs, volunteer or internship experiences)

Position

Employer

Dates

Responsibilities, skills, office experience, etc.

Please explain why you would like to be employed in this position.

I certify that the above information is complete and accurate to the best of my knowledge.

Applicant Name

Date

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