Name: SOLAR ID: Home address: Town: State: Zip code:
School address: Town: State: Zip code:
Home phone: Cell phone:
Email address:
Wellness Office Assistant Available Work Hours Monday - Friday 9:00am-7:00pm
Please Check the days and hours you are Available to work:
Friday
10:00am
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:
