164 E. Main Street Phone: (330) 672 – 9550 Suite 203

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164 E. Main Street
Suite 203
Kent, Ohio 44240
Phone: (330) 672 – 9550
Fax:
(330) 672 – 9555
Email: studentls@kent.edu
APPLICATION FOR PART TIME SECRETARY / RECEPTIONIST
Name:
Address:
City:
State:
Zip Code:
Cell Phone:
Home Phone:
Work Phone:
Email:
Driver’s License#:
Do you have your own vehicle?
Class Standing:
Major:
Grade Point Average:
Please rate your knowledge of Windows XP on a scale of 1-10:
Estimate how many words per minute you type:
Past Employment Experience
Name of Employer:
From:
Address:
City:
Phone:
Name of Immediate Supervisor:
Position Held:
Why did you leave?
Name of Employer:
From:
Address:
City:
Phone:
Name of Immediate Supervisor:
Position Held:
Why did you leave?
Name of Employer:
From:
Address:
City:
To:
State:
Zip Code:
To:
State:
Zip Code:
To:
State:
Zip Code:
Student Legal Services, Inc.~Kent State University
Phone:
Name of Immediate Supervisor:
Position Held:
Why did you leave?
Name of Employer:
From:
Address:
City:
Phone:
Name of Immediate Supervisor:
Position Held:
Why did you leave?
To:
State:
Zip Code:
Maximum hours per week you seek to work:
Please indicate the days and times (between 9:00 a.m. & 5:00 p.m.) you are Available to
work:
Spring 2015
Summer 2015
DAY
TIMES AVAILABLE
TIMES AVAILABE
Monday
Tuesday
Wednesday
Thursday
Friday
On a scale of 1-10, with 10 being the most certain, please rate how certain you are that you
will be able to continue working at least 20 hours for two semesters
(Be Honest):
Please state why you would like to work for Student Legal Services:
-2-
Student Legal Services, Inc.~Kent State University
Please indicate why you are qualified to work as a Secretary/Receptionist:
Please discuss your future career goals and aspirations
-3-
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