Arkansas State University



12128571120Date: 00Date: Student Employee ApplicationArkansas State University Red W.O.L.F. Center is an equal opportunity employer. The Red W.O.L.F. Center does not discriminate in hiring or terms and conditions of employment because of an individual’s race, religion, sex, age, national origin, marital status, or disability. We ask that you answer all questions as completely as possible. Your application will be considered active for the semester in which you apply,after that you must reapply. What position are you applying for? (Check all that apply)Service Desk/Fitness DeskClimbing WallGroup Fitness InstructorIntramural SportDo you qualify for work study?YNPersonal InformationLast Name:First Name:Middle Initial:Student ID:Are you at least 18 years of age?YNAddress:City:State:Zip CodePhone number:Email address:Major:Minor:Anticipated graduation semester and year:Are you a U.S. Citizen?YNAre you eligible for employment in the U.S.?YNHave you been convicted of a felony within the last seven (7) years?YesNoIf yes, please explain:Have you previously been employed by ASU?YNIf yes, please give the department(s):Do you have relatives employed by ASU?YNIf yes, please give the name(s)/department(s):Supplemental QuestionsPlease list your current certification(s) with the expiration date.CPRFirst AidProviderOther certificationsWhy are you interested in working at the Red W.O.L.F. Center?What does quality customer service mean to you?Please provide any additional information that you feel may be helpful to us when considering your application. (e.g. customer service, facility, and/or equipment experiences)Red W.O.L.F. Center HoursMonday – Thursday1421130-8890Semester applying for:00Semester applying for:6am – 11pm Friday6am – 10pmSaturday and SundayNoon – 10pmPlease list the times that you are available to work, in addition, please attach your class schedule.MondayTuesdayWednesdayThursdayFridaySaturdaySundayAMPMWhat activities are you currently involved in or plan to be involved in?Personal Trainer/Group Fitness Instructor Applicants Only:What fitness certification do you currently hold?What fitness classes are you interested in teaching?What is the extent of your fitness experience/training?Climbing Wall Applicants Only:Describe your climbing experience, if any. Do you hold any climbing or climbing related certifications? If so, what certifications?Employment HistoryDates worked:Employer’s name:Your job title:Reason for leaving:Job duties:Supervisor’s NameSupervisor’s phone number:May we contact your supervisor?YNDates worked:Employer’s name:Your job title:Reason for leaving:Job duties:Supervisor’s NameSupervisor’s phone number:May we contact your supervisor?YNReferencesName:Email:Phone number:Relationship:Name:Email:Phone number:Relationship:Signature:Date:Please attach your class schedule. A resume is encouraged, but not required. Office Use OnlyContacted:Response:Interviewed:YesNoWhy?Hired: ................
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