Employment Application

Contact Information

Name

Phone

Dorm and Room # or Home Address

Background Information

Major

Classification

Areas Of Interest

Systems Support

Web Development

Programming

Help Desk

Data Entry

Telecommunications

Networking

Other…

Current Skills

Questions	1 (Some)	2	3	4	5 (Excellent)
Data Entry	1 (Some)	2	3	4	5 (Excellent)
Systems Support	1 (Some)	2	3	4	5 (Excellent)
Help Desk	1 (Some)	2	3	4	5 (Excellent)
UNIX/LINUX	1 (Some)	2	3	4	5 (Excellent)
Microsoft Office	1 (Some)	2	3	4	5 (Excellent)
MS Office Macros & VBA	1 (Some)	2	3	4	5 (Excellent)
Visual Basic	1 (Some)	2	3	4	5 (Excellent)
Microsoft Windows	1 (Some)	2	3	4	5 (Excellent)
Web Development	1 (Some)	2	3	4	5 (Excellent)
HTML	1 (Some)	2	3	4	5 (Excellent)
ASP	1 (Some)	2	3	4	5 (Excellent)
Adobe Photoshop	1 (Some)	2	3	4	5 (Excellent)
Adobe Illustrator	1 (Some)	2	3	4	5 (Excellent)
Networks	1 (Some)	2	3	4	5 (Excellent)
Other	1 (Some)	2	3	4	5 (Excellent)

(Please rate yourself on a scale of 1 to 5 with 1 being "some" and 5 being "excellent". Leave blank if no experience.)

Work Experience

From	To	Company	Description of Duties
1 - From	1 - To	1 - Company	1 - Description of Duties
2 - From	2 - To	2 - Company	2 - Description of Duties
3 - From	3 - To	3 - Company	3 - Description of Duties
4 - From	4 - To	4 - Company	4 - Description of Duties

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