University of Southern Maine

*Attention: Please use the TAB key to move from field to field. DO NOT use the ENTER or RETURN key.

1. General Info

Name   
Address
City State Zip

Phone

Email

2. Are you in a degree program? Yes No Program:

3. What is your projected date of graduation?

4. Were you previously employed in a work-study position? Yes No

When? Where?

5. What skills do you have that might be used in the bookstore? (Example: retail experience)

6. What other strengths do you have that might be of interest to an employer?

7. Do you have Federal Work-Study Money? Yes No Don't Know
What is the amount of your workstudy award?

8. How many hours per week are you available for Work Study employment?

9. What hours are you able and willing to work? The bookstore is open 8:30 a.m. - 4:30 p.m. during the regular school year except at the beginning of each semester when it is open until 7 p.m. Click Here for Department Hours

Available Hours to work:

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

10. Is there any other information about yourself you would like a prospective Work-Study employer to know?

11. Please list 3 persons who could serve as employment-related references:

Name Phone

Name Phone

Name Phone