Name:

Email:
(a confirmation email will be sent to this address)
(I acknowledge that by giving UCAF my email, it will be added to the UCAF Student Employee Listserv)

Local Address:

Permanent Address:

Local Phone:

Permanent Phone:

Peoplesoft ID#:

Are you currently eligible for work study?:

Anticipated Graduation Date:


1. Job Preference (Please identify your areas of job preference in the text box below)
Areas:
Audio/Visual Technician (UC Event Services)
Cashier (UC Business Office, UC Satellite Games Room, UC Games Room)
Commuter Services
Customer Relations Manager (UC Administrative Services and Operations Office)
Evening/Wknd Supervisor (UC Games Room, UC Satellite Games Room)
Financial Assistant (UC Business Office)
Mail Clerk (UC Business Office)
Maintenance Assistant (UC Building Services)
Office Assistant (UC Administrative Services and Operations Office,
UC Building Services, UC Creation Station, UC CARS Office)
Sales Attendant (Shasta’s Cones & More)
Student Graphic Designer (UC Creation Station)
Student Marketing Assistant (UC Administrative Services and Operations Office)
Student Mechanic (UC Games Room)
Technology Support Assistant (UC Technology Support)

2.  Please Specify Days/Hours Available to Work



3.   Employment/References

Employer:
Supervisor:
May we contact this employer?:
Address:
Telephone:
Dates of Employment:

Employer:
Supervisor:
May we contact this employer?:
Address:
Telephone:
Dates of Employment:

Employer:
Supervisor:
May we contact this employer?:
Address:
Telephone:
Dates of Employment: