Grainger Engineering Library
APPLICATION FOR STUDENT EMPLOYMENT
√
Number of Hours Desired:_____
Are you a Federal Work Study student?
(circle one)
SESSION APPLYING FOR ( which apply):
Fall 2011 ___ Spring 2012___
Current year in school: (circle 1)
Fresh
Soph
Junior
Senior
YES NO
Major___________________________
(Please notify us if your FWS status changes)
NetID___________________________
NAME:______________________________________________
LOCAL ADDRESS:_____________________________CITY/ZIP:__________________________
DAYTIME PHONE NUMBER:____________________________
NIGHTTIME PHONE NUMBER:_________________________
E-MAIL (@ILLINOIS.EDU):_________________________
PERMANENT ADDRESS:_________________________ CITY/STATE/ZIP:__________________________
HOME PHONE NUMBER:______________________
EMERGENCY CONTACT:________________________ RELATIONSHIP:__________________
EMERGENCY CONTACT PHONE: ________________________
On the chart below, indicate for following:
1. WRITE CLASS IN THE HOURS YOU HAVE A CLASS
2. DRAW AN O IN THE HOURS YOU WOULD PREFER TO WORK.
3. DRAW AN X IN THE HOURS THAT YOU ABSOLUTELY CANNOT WORK.
4. MUST HAVE A MINIMUM OF 8 SCHEDULED HOURS AND CAN HAVE A MAXIMUM OF 15 SCHEDULED HOURS. 5 MORE HOURS CAN
BE WORKED THROUGH SUBS FOR A TOTAL OF 20 HOURS A WEEK.
5. *ANY BLANK SPACES WILL BE CONSIDERED HOURS AVAILABLE TO WORK*
Higher Hourly Rate of $10
(12am to 8am)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
12-1am
1-2am
2-3am
3-4am
4-5am
5-6am
6-7am
7-8am
8-9am
9-10am
10-11am
11-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
5-6pm
6-7pm
7-8pm
8-9pm
9-10pm
10-11pm
11-12am
*Black areas indicate closed hours. Hours in gray indicate higher pay rate of $10.00 per hour*
Sunday
1. Do you have another job at school?
YES NO
If yes, where and how many hours a week?
___________________________________________________________________________
2. If you are an international student, are you aware that you cannot work more than 20 hours
per week as a University Student Employee? YES NO
3. University policy stipulates that in order to obtain and continue to work as a University
Student Employee, you must be registered for at least 6 credit hours. Are you registered for at
least 6 credit hours? YES NO
4. Have you ever worked in a library before?
YES NO
If yes, where (Include Name of Library, Name of Supervisor, Phone Number and Reason for
Leaving)?
___________________________________________________________________________
5. How did you hear about working at Grainger Engineering Library as a Student Worker (if you
were referred by someone, please indicate their name)?
___________________________________________________________________________
6. Have you ever applied to work at Grainger Engineering Library before (If yes, please indicate
the semester and year you last applied)? YES NO
___________________________________________________________________________
7. Please list three references, at least one of them must be from a previous job-related
supervisor.
NAME:
JOB TITLE:
RELATIONSHIP TO APPLICANT:
PHONE NUMBER:
NAME:
JOB TITLE:
RELATIONSHIP TO APPLICANT:
PHONE NUMBER:
NAME:
JOB TITLE:
RELATIONSHIP TO APPLICANT:
PHONE NUMBER: