Name ___________________________ Local Phone Number _______________
Local Address _____________________________________________________
Permanent Address _________________________________________________
Permanent Phone Number ___________ Do you have a vehicle? ____________
What is your major? ________________ Student Classification? ____________
Date of Birth _______________________ Have you taken FACS 230? _______
What, if any, other foods/nutrition classes have you taken? _______________
There are 8 to 15 hours per week available and required for this position.
Is this too few hours, too many hours, or just fine? ______________________
Work Availability Schedule
Please indicate all times that you are available to work by placing an "X" in the appropriate time slot for each day. If your schedule is identical each day, then indicate this by writing "SAME" or "SAME as MONDAY"/"SAME as TUESDAY" for your school schedule.