*Last Name
*First Name
*Student ID#
Email

Address

This term: *Street *City *Zip *Phone

Permanent: *Street *City *Zip *Phone

Year In School Freshman Sophmore Junior Senior Graduate

Major:

*Units this quarter:

*GPA:

(Freshman indicate HS GPA)

* Expected Date of Graduation:

Do you have the legal right to work in the U.S.?

Yes No

Languages which you speak fluently:

Can you commit to work more than two quarters?

Yes No

Typing Speed:

Other job skills (i.e. filing, public service):
(500 characters max)

Number of hours per week you want to work: 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1

Date Available: 9/6/2008 9/7/2008 9/8/2008 9/9/2008 9/10/2008 9/11/2008 9/12/2008 9/13/2008 9/14/2008 9/15/2008 9/16/2008 9/17/2008 9/18/2008 9/19/2008 9/20/2008 9/21/2008 9/22/2008 9/23/2008 9/24/2008 9/25/2008 9/26/2008 9/27/2008 9/28/2008 9/29/2008 9/30/2008 10/1/2008 10/2/2008 10/3/2008 10/4/2008 10/5/2008

Available to work during intersessions and holidays?

Yes No

Available to work during summer vacation?

Yes No

Work Reference:

Name

Phone

Have you ever worked for any UCLA Library?

No Yes

If yes, when, where and for whom: (500 characters max)

Other campus or outside work experience (indicate company and job title): (500 characters max)

Have you been awarded Work-Study funding?

No Yes

Do you expect Work-Study funding?

No Yes

SCHEDULE: Please indicate below the hours you CANNOT work:
A--Available
C--In Class
NA--Not Available

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