MyWritingLabPlus Headquarters
Assistant Application
PLEASE TYPE OR PRINT. Complete the entire application. You may attach a resume, but you must
still complete all questions. Please fill out each box.
Applicant Information
Full Name:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
State
Phone:
ZIP Code
Email:
Birthdate:
Student ID Number:
YES
NO
Have you ever worked for CSUB?
If yes, where?
YES NO
Do you know any of the assistants?
If so, who?
YES
NO
Are you currently employed (by anyone)?
If yes, where do you work, and what is your current job title?
If yes, how many hours are you currently working per week?
Have you ever been convicted of a felony?
YES
NO
If yes, explain:
Education
Name of School
Estimated
Date of
Graduation
City/State
Transfer School (Optional):
1
Major
CSUB
Bakersfield, CA
Activities
Note your activities (sports, clubs, organizations, etc.) that you are involved in both on and off campus.
Name of sport, club, organization, etc.
On/Off Campus?
Skill Levels
Note your level of proficiency (basic, intermediate, expert) for each computer program/skill.
Add in any other computer skills you may have at the end.
No
Basic experience Intermediate
experience
experience
MyWritingLabPlus
Microsoft Word
Microsoft Excel
Microsoft Publisher
Microsoft PowerPoint
Camtasia Studio
Microsoft Outlook
General Email (attaching documents,
etc.)
HTML/Web development
SnagIt/Youtube (creating videos)
Social Media (Twitter, Facebook, etc.)
Google Docs
Google Chat
Overall Computer Troubleshooting
Other (be specific):
Expert
Other (be specific):
Other Skill Levels
Rank your skill level in the following.
1 (not very
confident)
Typing
Grammar
Talking to Groups of People
2
2 (somewhat
confident)
3 (very
confident)
Working in Groups/Pairs
Communication (verbal and
written)
Website Creation
MyWritingLabPlus Experience
Have you heard of MyWritingLabPlus before?
Yes
No
Have you been in the Headquarters prior to
applying?
Yes
No
Have you used MyWritingLabPlus before?
Yes
No
In what class(es) have you used MyWritingLabPlus? Check “Yes” by each class
that applies and list the instructor.
English 50 (Early Start)
Yes
Instructor:
English 80
Yes
Instructor:
English 99
Yes
Instructor:
English 110
Yes
Instructor:
Humanities 207/407
Yes
Other (Please name course):
Instructor:
References
Please list three references. These can be friends; work, church, or activity related.
Full Name:
Relationship:
Company (if applicable):
Phone:
Email Address:
Full Name:
Company (if applicable):
Email Address:
Relationship:
Phone:
Full Name:
Company (if applicable):
Email Address:
Relationship:
Phone:
Work Experience & Previous Employment
Please detail your most recent work history. Begin with your current or most recent employer.
Include full-time military or volunteer commitments.
Name of Employer/Business:
Title:
3
Dates Employed (most recent position)
From:
To:
Full time
Part-time
If part-time, # hrs./wk:
Primary duties:
Reason for Leaving (if applicable):
Name of Employer/Business:
Title:
Dates Employed (most recent position)
From:
To:
Full time
Part-time
If part-time, # hrs./wk:
Primary duties:
Reason for Leaving (if applicable):
Availability
Please complete the information below in reference to your availability to work.
Are you available in summers to work?
Yes
No
Can you work 15-20 hours a week?
Yes
What is your availability?
Current Days to Work Available Times to Work
Monday
Monday
Tuesday
Tuesday
Wednesday
Wednesday
Thursday
Thursday
Friday
Friday
Mornings
Mornings
Mornings
Mornings
Mornings
No
Afternoons
Afternoons
Afternoons
Afternoons
Afternoons
Statement of Purpose
On a separate sheet of paper, type a paragraph, answering the following questions:
 Why do you want to work at the MyWritingLabPlus Headquarters?
 What can you offer to the existing team?
 Why are you the best applicant for the job?
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
4
If this application leads to employment, I understand that false or misleading information in my application or
interview may result in my release.
Signature:
Date:
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