| Contact Information
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Name:
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Southeast ID:
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Sem GPA:
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Primary Phone #:
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Alt. Phone #:
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E-Mail Address:
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Local Address:
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Permanent Address:
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About You
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Major:
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Minor:
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Campus Involvement/Student Organizations:
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Area you eligible for Work Study?
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Employment Information
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Please indicate the area(s) you are interested in, with #1 being your first choice:
Building Manager
Campus Life & Event Services Assistant
Center for Student Involvement (CSI)
Information Desk Staff
Reservation Assistant
Tech Crew
UC Office Staff
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Employment Experiences: Please list your two most recent work experiences.
You may submit your resume to the UC Office via email or campus mail (MS 1175)
1) Position, Employer, Supervisor, Dates of Employment
2) Position, Employer, Supervisor, Dates of Employment
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Applicant Questionnaire
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Describe Southeast Missouri State in 10 words or less:
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Describe yourself in 15 words or less:
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Describe the role of the University Center in 10 words or less:
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Why do you want to work at the University Center?
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What is your definition of good customer service?
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Have you had previous experience working in an office? If so, please explain your duties.
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What makes you stand out among all other applicants?
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Have you had experience working with a cash register? If yes, please explain.
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References
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Please list three references, at least one personal and two work references.
1) Name, Title, Address, Phone
2) Name, Title, Address, Phone
3) Name, Title, Address, Phone
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I understand that employment as a University Center student staff member is contingent upon disciplinary
standing at the University. By submitting this electronic form, I authorize appropriate personnel to review my
academic and disciplinary records.
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Please submit a copy of your class schedule for the semester(s) you wish to work to:
Gretchen Grojean - ggrojean@semo.edu
Or mail it to:
Southeast Missouri State University
Attn: Gretchen Grojean
One University Plaza, MS 1175
Cape Girardeau MO 63701
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