Texas Tech University Department of Recreational Sports Student Employment Application – Facilities Personal Information Date: ___________________ Name: ____________________________________ R Number: ________________________________ Birth Date: ________________________________ E-mail Address: ____________________________ Cell Phone Number: _________________________ Other Phone:_______________________________ Local Address: _____________________________________________________________________________ Street City State Zip Permanent Address: _________________________________________________________________________ Street City State Zip Emergency Contact: __________________ Relationship: _____________ Phone Number: ________________ General Information University Classification: _______________ Major: ______________ Anticipated Graduation: _____________ Are you American Red Cross CPR/ AED Certified? No Yes Expiration Date: ______________ Are you presently employed on campus? No Yes Where: _____________________ Do you know anyone who currently works at Rec Sports? No Yes Who: _______________________ Are you applying for other positions with Rec Sports? No Yes Where: _____________________ **Resume and class schedule are required to complete your application. Availability Indicate the shifts that you CAN NOT Work Sunday Monday Tuesday Wednesday Thursday Friday Saturday 6:00a – 9:00a 6:00a – 9:30a 6:00a – 9:00a 6:00a – 9:30a 6:00a – 9:00a 9:00a – 12:00p 9:30a – 12:30p 9:00a – 12:00p 9:30a – 12:30p 9:00a – 12:00p 8:00a – 12:00p 12:00p – 4:00p 12:00p – 4:00p 12:30p – 4:00p 12:00p – 4:00p 12:30p – 4:00p 12:00p – 4:00p 12:00p – 4:00p 4:00p – 8:00p 4:00p – 8:00p 4:00p – 8:00p 4:00p – 8:00p 4:00p – 8:00p 4:00p – 8:00p 4:00p – 7:00p 8:00p – 12:00a 8:00p – 12:00a 8:00p – 12:00a 8:00p – 12:00a 8:00p – 12:00a 8:00p – 12:00a 7:00p – 10:00p Please list any activities that you will need to schedule around (i.e. athletics, organizations, other jobs) __________________________________________________________________________________________ __________________________________________________________________________________________ Texas Tech University Department of Recreational Sports Student Employment Application – Facilities References (if not available on resume) Name Relationship Phone Number __________________________________________________________________________________________ __________________________________________________________________________________________ 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: _____________________________________ The Texas Tech 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, martial status, political persuasion, veteran status, or disability concerning employment or during the course of employment in the department.