NORTHWEST MISSOURI STATE UNIVERSITY
Department of Geology/Geography
Student Assistant Application
Please Print Date
Name
Major
Minor
Apt Number
Street Name
City/State/Zip
Phone No.
E-mail
Soc. Sec. Number
Class Standing: (NOTE: You MUST be enrolled in at least 6 hours for the trimester during which you wish to work.)
Freshman
Sophmore
Junior
Senior
Position applying for:
Computer Lab Assistant for
Cartography Lab
Department Ambassador
Department Webmaster
Faculty Office Assistant
Geology Laboratory Assistant
Large Class Assistant
Department Office Assistant
Department Tutor
Earth Science Lab
General Geology Lab
Geo-Tech Computer Lab Assistant
GIS Lab
If faculty assistant state faculty member name
If large class assistant then specify class
Faculty Member Supervisor:
Hours per week
Trimester
Summer
Spring
Fall
Are you employed by any other department on campus?(Note: You may work only a TOTAL of 20 hours on campus.)
If yes, how many hours?
Work Classification:
Regular
Practicum
Federal Work Study
Computer Skills:
Typing Skills:
List the Geography and/or Geology courses you have had in high school and/or college.
Put an X where you are not available to work
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
8 - 9
9 - 10
10 -11
11 - 12
12 -1
1 -2
2 - 3
3 - 4
4 - 5
Thank you for your application.