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-