DIGITAL LEARNING CENTRE; Faculty of Arts
FRENCH
Monitor Application Form
for which MUN semester:___________
FULL NAME: ________________________ M.U.N. STUDENT #: _______________
LOCAL ADDRESS:______________________ CITY:____________________PROV:_____
POSTAL CODE:___________ PHONE: ____________MUN E-MAIL:_______________
MOST FREQUENTLY USED EMAIL: _______________
PERMANENT ADDRESS:______________________ CITY: ______________PROV:____
POSTAL CODE:_____________ DATE OF BIRTH (Y /M /D) _____/_____/_____/
SOCIAL INSURANCE NO.: ________________
CITIZENSHIP: ________________If Non-Canadian, exp. date on work permit:_______
EMERGENCY CONTACT NAME:
RELATION:___________
TEL. NO.: ___________
MAJOR/MINOR:___________/____________
FACULTY & YR. OF STUDY (according to no. of credits currently held): ________________
UNDERGRAD / GRAD STUDENT? _______ EST. TIME OF GRADUATION ______
Please submit a current resume with your application.
Failure to provide any of the above information may result in your being paid late.
International student applicants must submit a valid student visa, an employment contract and
must have a Social Insurance Number.
WORK HABITS:
For each of the following select the description that most accurately applies to you:
□ Prefer independent work □ Prefer team/ group work □ Prefer to do both □ No pref.
□ Prefer DLC shifts □ Prefer conversation classes □ Prefer a mixture □ No preference
HIRING INFORMATION:
1. Total # of hours per week you would want to work (combo of DLC and conversation
classes) __________________
Undergraduate applicants only: Would you be willing to be paid as a MUCEP in the DLC
this term? (There is no difference in the amount paid, whether you are MUCEP or stu.
assistant. You can have a MUCEP elsewhere and still work here). □ Yes □ No
Please list those periods exceeding one month that you have spent in a French-speaking
milieu (place / duration of visit / year):_________________________________________
Previous DLC or other computer facility monitoring experience? If yes, where and for how
many semesters? _______________
Please checking all of the following with which you feel comfortable working:
□ Macintosh platform □ word processing software □ spreadsheets □ HTML □ SiteBuilder
Other technical skills (e.g. classroom support, repair experience):____________________
NAME:
SEMESTER :
_______
YOUR TIMETABLE (OF THE SEMESTER FOR WHICH YOU ARE APPLYING)
XXXX = BUSY
left blank = FREE
Notes: (e.g. special circumstances, requests for shifts etc., or comments in general)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Please submit your completed application, with résumé, to:
Karin Thomeier; Director; Digital Learning Centre; Science Building Room SN-4022B
Memorial University of Newfoundland; St. John’s, NL A1B 3X9 Email: karint at mun.ca
Or fax to 709-864-3594 / 864-4000 Thank you!