Office of Student Employment
Form is Secure

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 #
* E-mail
* Do you have Federal Work Study?
* What is your Major?
* What is your career objective?
* What year are you in school?
* Do you have access to a car?
* 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