Physics/Geosciences Department

STOREROOM Assistant
Semester Applying For: ________________

Year: ________

APPLICANT INFORMATION
Last Name

First

M.I.

Street Address

Date
Apartment/Unit #

City

State

TAMUK E-mail
Address

Cell Phone

ZIP

Personal
E-mail Address

Social Security No.

YES
NO

Social Security No.

Previously Applied?
YES
NO

Student ID

EDUCATION
Previous
College

If no, are you authorized to work in the

U.S.?
YES
NO

Are you now employed by TAMUK?

YES
NO

K_ _ _ _ _ _ _ _

Are you a citizen of the United

States? YES
NO

Home Phone

Have you ever worked for this university? YES

NO

If yes, when/where?

City

From

To

Graduated?
YES
NO

Major

GPA

GPA
(Presently)

Minor

Expected
Degree Date

Clubs/Organizations

EXPERIENCE (CHECK ALL THAT APPLY)

Excel/Spreadsheets

Filing

Fax Machine

Mail Distribution

Typing/Keyboarding

Binding Manuals

Copier

Multi-line telephone

MS Office Suite

Publications/Flyers

Receipting

Public Relations

CURRENT SCHEDULE (SHOW ALL COURSES, MEETINGS, OR OTHER ACTIVITIES TO CONSIDER WHEN DETERMINING YOUR SCHEDULE)
Monday

Tuesday

Wednesday

Thursday

Friday

8:00
30
9:00
30
10:00
30
11:00
30
12:00
30
1:00
30
2:00
30
3:00
30
4:00
30
5:00
30
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that
false or misleading information in my application or interview may result in my immediate termination.
Signature:

Date: