Audio Visual Employment Application

* Last Name
 * First Name
 Middle Initial
Date of Birth
 Date of Application
Tuesday, May 21, 2013
Campus Address
 Graduation Year
 * Student ID Number
City
 State
 Zip Code
Best Phone to Reach You
 Next Best Phone
Home Address
 Home Telephone
 * Email Address
City
 State
 Zip Code
Major
 Minor
How did you learn of this job opening? (Check all that apply.)
Email Message       Poster/Advert.       Faculty Member       Current Employee       Westminster Weekly       JOB Fair       Website       Other

Position Applying for:


We are an equal opportunity student employer, and we do not and will not discriminate on the basis of race, religion, national origin, sex, age, handicap, marital status, or status as a disabled veteran. Information provided on this application will not be used for any discrimatory purpose. Please provide all information requested. Your complete application form will be maintained in our active files for six (6) months from the date of application. You may submit a new application at any time.


Able to work:    days     nights     weekends           Approximate hours per week:   


Special Skills: Check all that apply
Data Processing Westminster Voicemail Web Design & Management
Apple/Mac Computing Westminster Computer Network List all other skills/experience, including specific hardware and software you are proficient with, in the box below.
PC Computing Graphic Art & Design
Audio Equipment Event Coordination & Scheduling
Video Equipment Photography
Smart Classroom Equipment Budget Management/Purchasing

Interests: Check all that apply
Media Production & Editing Event Coordination & Scheduling Media Research & Publication
Media Design & Consultation Technical Support & Maintenance Database Use & Management
Purchasing & Financial Operations Electronic/Print Publications & Public Relations Web Design & Management
Media Library Circulation, Cataloging, & Inventory Resource Scheduling & Coordination Classroom Technology Integration, Design, & Planning
Equipment Library Circulation & Inventory Supply Inventory & Maintenance Other (Please list.)
Equipment Instruction


So that we may plan appropriately, are there semesters that you will have significant time away from campus for study abroad, student teaching, internships, or the like? If yes, please provide background information here:


How long would you expect to work for us, if hired?



Employment Record


Starting with the present or most recent, list all previous employers. Include self-employment and summer and part-time jobs. You may attach a resume, but complete this application as well.

Last or Present Company
 Type of Business
Type or Classification of Job
Street Address
 Phone Number
Brief Description of Job Duties
City
 State
 Zip Code
Supervisor's Name
 Phone Number
Job Title
 Dates worked
From       To
Reason For Leaving


Last or Present Company
 Type of Business
Type or Classification of Job
Street Address
 Phone Number
Brief Description of Job Duties
City
 State
 Zip Code
Supervisor's Name
 Phone Number
Job Title
 Dates worked
From       To
Reason For Leaving

Upload Your Resume:


Outside Activities


Please include past and present civic or service experience or activities - include offices held:


Principal Hobbies



Professional/Work References


List individuals who have knowledge of your qualifications for the position for which you are applying.

Name
 Title/Relationship
 Address
 Phone No.
 Occupation
Name
 Title/Relationship
 Address
 Phone No.
 Occupation
Name
 Title/Relationship
 Address
 Phone No.
 Occupation
May we contact your present employer?
Yes       No 		Number of Hours Requested per Week
 Date Available
So that we may grade your written communication ability, please scan and upload a short handwritten paragraph on explaining what you would hope to gain from employment in AV.


* I hereby certify that the answers and other information on this application are true and correct and that I understand any misrepresentation or omission of facts on my part will be justification for seperation from the department's service, if employed.



* Enter the text shown in the box before submitting:





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