Name: SOLAR ID: Home address: Town: State: Zip code:
School address: Town: State: Zip code:
Home phone: Cell phone:
Email address:
Fitness Program Available Work Hours Monday – Friday 9:30am – 11:00pm Saturday 10:00am – 6:00pm Sunday 2:00pm – 11:00pm
Please Check the days and hours you are unAvailable to work:
Friday
9:30am-10:35am
What is your prior work experience?
Why do you want to work in the Wellness Center?
In a few sentences please tell me a little bit about yourself: