Office of Student Employment
 
Form is Secure
AMERICA READS/AMERICA COUNTS APPLICATION
 

Please review our privacy statement relating to information we collect, choice/opt-out, and correction/updating of personal information before proceeding. Required questions are marked with an (*).

 

* E-mail Address
 
 
* Name
 
 
* ID#
 
 
* Date
 
 
* Address
 
 
* Phone #
 
 
Pager/Cell
 
 
* E-mail
 
 
* Do you have Federal Work Study?
 
Yes
No
 
* What is your Major?
 
 
* What is your career objective?
 
 
* What year are you in school?
 
 
* Do you have access to a car?
 
Yes
No
 
* Have you ever been arrested? If yes, please explain.
 
 
* Have you ever worked with children? If yes, please explain.
 
 
* Why are you interested in this job? Please explain.
 
 
* What skills, training, or specific classes have you had that would prepare you for an America Reads tutoring position?
 
 
* What is your previous job experience?
 
 
* What area/school site would you prefer to work?
  (Please provide your 3 preferences)
 
 
* What hours are you available to work?
 
Monday (Mornings 8-11am)
Monday (Afternoons 12-3pm)
Monday (Late Afternoons 3pm-after)
Tuesday (Mornings 8-11am)
Tuesday (Afternoons 12-3pm)
Tuesday (Late Afternoons 3pm-after)
Wednesday (Mornings 8-11am)
Wednesday (Afternoons 12-3pm)
Wednesday (Late Afternoons 3pm-after)
Thursday (Mornings 8-11am)
Thursday (Afternoons 12-3pm)
Thursday (Late Afternoons 3pm-after)
Friday (Mornings 8-11am)
Friday (Afternoons 12-3pm)
Friday (Late Afternoon 3pm-after)
 
* Please provide us with the contact information for one personal reference.
  Do not include family or friends.
 
 
* Position/Title
 
 
* Business Phone
 
 
* Home Phone
 
 
* Contact's Address