Application


	MARSHALL


	UNIVERSITY


	APPLICATION FOR EMPLOYMENT SUMMER CONFERENCE STAFF


	Position Applied For:


	Conference Manager Conference Assistant


	_____ _____


	PERSONAL INFORMATION


	Name:________________________________________________ SSN:__________________________ MUID No.____________________________________________ D.O.B.________________________ Local Address:________________________________________ Phone:__________________________ _________________________________________ Permanent Adr________________________________________ ________________________________________ County:_________________________ E-mail address:________________________________________ Best time to call you at is:________________________________________________________________ Please indicate MU residential experience:___________________________________________________ Class standing for next academic year: Soph_____ Junior_____ Senior_____ Graduate_____ Current G.P.A.__________ Major:________________________________________________________ Have you submitted an application here before? Yes______ No______ Have you ever been employed on Summer Conference Staff? Yes______ No______ If so, please provide the dates____________________________________________________________ Are you able to meet the commitments of this position? Yes______ No______ Do you plan to take summer classes? Yes______ No______ If yes, please list the number of hours and which sessions_____________________________________ ____________________________________________________________________________________ In the event we want to interview you, what times are you available? Mon __________ to __________ & __________ to __________ Tue __________ to __________ & __________ to __________ Wed __________ to __________ & __________ to __________ Thu __________ to __________ & __________ to __________ Fri __________ to __________ & __________ to __________

		EMPLOYMENT HISTORY

Employer_________________________________________________________

Address__________________________________________________________

__________________________________________________________

Job Title__________________________________________________________

Duties____________________________________________________________

May we contact this employer for a reference? Yes______ No______


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	Employer_________________________________________________________ Address__________________________________________________________ __________________________________________________________ Job Title__________________________________________________________ Duties____________________________________________________________ May we contact this employer for a reference? Yes______ No______

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		Employer_________________________________________________________ Address__________________________________________________________ __________________________________________________________ Job Title__________________________________________________________ Duties____________________________________________________________ May we contact this employer for a reference? Yes______ No______

	MISCELLANEOUS INFORMATION

Skills and Qualifications - Summarize any special training, skills, licenses and/or certificates that may
qualify you as being able to perform job-related functions in the position for which you are applying.

_____________________________________________________________________________


	References - List names and telephone numbers of three individuals who are not relatives that will submit letters of reference on your behalf:. ________________________________________ telephone________________________________ ________________________________________ telephone________________________________ ________________________________________ telephone________________________________

	List special accomplishments, publications, awards, etc. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________

	List any additional information, including any special talents you would like us to consider. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________


	SUBMIT COMPLETED APPLICATION NO LATER THAN CLOSE OF BUSINESS FRIDAY, APRIL 6, 2013 TO LINDA BOWEN, MANAGER OF FACILITES SCHEDULING, MSC ROOM 2W17.


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