Name:		SOLAR ID:
Campus Address:
E-mail Address:		Cell Phone:

Do you qualify for work study? Yes No

If "Yes", how much have you been allocated? $

In the Fall 2010 semester, your academic rank will be (please choose one):
Freshman
Sophomore
Junior
Senior
Graduate Student

What is your cumulative GPA?

Wellness Center Working Hours (starting on Monday, August 30, 2010)
Monday - Thursday	7:15 a.m. - 11:00 p.m.
Friday	7:15 a.m. - 6:30 p.m.
Saturday	9:45 a.m. - 6:00 p.m.
Sunday	2:45 p.m. - 10:00 p.m.

# of hours you would like to work:

Please check the days and hours you are available to work:

Time	Monday	Wednesday	Friday Till 9pm	Time	Tuesday	Thursday
7:15am - 9:30am				7:15am - 9:30am
9:30am - 10:35am				9:30am - 11:15am
10:35am - 11:40am				11:15am - 12:45pm
11:40am - 12:45pm				12:45pm - 2:15pm
12:45pm - 2:15pm				2:15pm - 3:45pm
2:15pm - 3:45pm				3:45pm - 5:15pm
3:45pm - 5:15pm				5:15pm - 6:45pm
5:15pm - 6:45pm				6:45pm - 8:15pm
6:45pm - 8:15pm				8:15pm - 11:00pm
8:15pm - 11:00pm

Time	Saturday	Time	Sunday
9:45am - 12:00pm		2:45pm - 4:00pm
12:00pm - 3:00pm		4:00pm - 7:00pm
3:00pm - 6:00pm		7:00pm - 10:00pm

What is your prior work experience?

Why do you want to work in the Wellness Center?

In a few sentences, please tell us a little bit about yourself: