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 11:30am ; 2:15pm Monday - Thursday 4:00pm ; 9:30pm
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:
