Texas Tech University Department of Recreational Sports Student Employment Application Student Rec Center Office Personal Information Name: _______________________________________________ ID Number: __ __ __ - __ __ - __ __ __ __ Local Address: _____________________________________________________________________________ Local City: ________________________________ State: __________ Zip: ________________ Permanent Address: _______________________________________________________________________ Permanent City: ______________________________ State: __________ Zip: ________________ Local Phone: _____________________ Permanent Phone: _______________________________________ E-mail: ______________________________________ Is this e-mail current now & during summer?___ Are you applying for employment in __ Summer I __ Summer II __ Fall __ Spring Emergency Contact Name: _____________________________________________ Telephone: ___________________________ General Information University classification: Freshman Sophomore Junior Senior Grad Law HSC Major: _____________________________________ Anticipated Graduation Date: ___________________ Are you presently employed on campus? ___ no ___ yes (where): __________________________ Are you simultaneously applying for other positions with Recreational Sports? ___ no ____ yes Position(s): _________________________________________________________ Are you willing to work some holiday hours? ___ no ___ yes Do you know anyone who works here now? ___ no ___ yes (who): ___________________________ Qualifications & Work Experience List previous job experience, customer service, leadership, and maintenance, etc., experiences you possess. Describe how these skills can be applied to work at the Student Recreation Center. ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Over, please. Why would you like to work at the Student Recreation Center? Also, what can you contribute to our staff and to our daily operation? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Schedule of Availability This is my __ Su I __ Su II __ Fall __ Spring availability Shade in all possible shifts that you can work. (Shading 8am –5pm means that you will be here at your assigned station ready to work at 7:55 am.) Attach additional copies for subsequent semester availabilities. 8-9AM 9-10 10-11 11-12 12-1 1-2 2-3 3-4 4-5 MON TUES WED THUR FRI Employment References Name of Supervisor Place of Employment Phone Number Dates of Employment Name of Supervisor Place of Employment Phone Number Dates of Employment Name of Supervisor Place of Employment Phone Number Dates of Employment I believe and understand that the aforementioned information is true to the best of my knowledge and that any false or misleading information is sufficient grounds for disqualification of this application or termination of employment. Completion of and submission of this application does not guarantee employment with the Department of Recreational Sports or Texas Tech University. With my signature, I also promise to adhere to the Honor Code and Student Code of Conduct that applies to my employment at the Student Recreation Center. Signature Date The Texas Tech Student Recreation Center is strongly and actively committed to diversity and providing equal opportunity within its community. No applicant or employee will be discriminated against because of race, color, religion, gender, sexual orientation, familial status, age, national origin, lifestyle, height, weight, marital status, political persuasion, veteran status, or disability concerning employment or during the course of employment in the department. Department of Recreational Sports www.ttu.edu/recsports P.O. Box 42151 806/742-3351 Lubbock, TX 79409-2151 806/742.1996 FAX