UNIVERSITY LIBRARIES APPLICATION FOR STUDENT EMPLOYMENT
Submit completed forms at the Circulation Desk or Information Desk in Langsam Library, or any of the Circulation Desks at the College and Departmental libraries. 

PERSONAL INFORMATION

NAME_________________________________________________________________________________________ 
                         Last                                                First                                          Middle

LOCAL ADDRESS________________________________________________________________________________________

HOME ADDRESS_________________________________________________________________________________________

HOME PHONE NUMBER ___________________COLLEGE _______________________    

E-MAIL ADDRESS__________________________________________YEAR:     FR     SO     JR     SR     GRAD

ARE YOU A FULL TIME OR PART TIME STUDENT?  FT   PT  

DO YOU HAVE WORK-STUDY STATUS?  YES   NO  

WORK HISTORY AND EXPERIENCE

ARE YOU EMPLOYED ELSEWHERE ON CAMPUS?       YES   NO    
             IF YES WHERE?___________________________________  (Please indicate Department and Hours worked per week ).                                                                                                                  

HAVE YOU EVER BEEN EMPLOYED ON CAMPUS?       YES   NO     
             IF YES, WHERE?___________________________________(Please indicate Department and Hours worked per week ).                                      

DO YOU HAVE ANY LIBRARY WORK EXPERIENCE?                       YES   NO

Describe briefly.______________________________________________________________________________________

DO YOU HAVE EXPERIENCE USING A LIBRARY?                             YES   NO   

Describe briefly.______________________________________________________________________________________

DO YOU HAVE ANY CUSTOMER SERVICE EXPERIENCE?               YES   NO  

Describe briefly.______________________________________________________________________________________

DESCRIBE YOUR COMPUTER SKILLS.__________________________________________________________________

_______________________________________________________________________________________

CIRCLE ANY OF THE FOLLOWING WITH WHICH YOU HAVE EXPERIENCE:

OFFICE/CLERICAL DUTIES              DATA ENTRY/WORD PROCESSING         UCLID/OHIOLINK        

FOREIGN LANGUAGE SKILLS        WAREHOUSE/STOCK ROOM                       SECOND OR THIRD SHIFTS

TELNET APPLICATIONS                   PROBLEM SOLVING SKILLS

PREVIOUS EMPLOYMENT NOT LISTED ABOVE (Start with the most recent. Be sure to include the place, dates and the position.)

1._____________________________________________________________________________________________

2._____________________________________________________________________________________________

MAY WE CONTACT YOUR CURRENT EMPLOYER?          YES   NO

REFERENCES (Include names, phone numbers, and your relationship to each individual.)

1._____________________________________________________________________________________________

2.____________________________________________________________________________________________

PLEASE INDICATE THE HOURS YOU ARE ABLE TO WORK DURING:

____  QUARTER  FOR THE YEAR 20 ____

DO YOU HAVE ANY SPECIAL SCHEDULING NEEDS? (E.g., transportation, sports, meetings, weekends, etc.)  -     YES   NO

Describe briefly._______________________________________________________________________________________

I UNDERSTAND THAT ANY INTENTIONAL MISREPRESENTATION OF FACT IN THIS APPLICATION WILL BE CAUSE FOR DISMISSAL, CANCELLATION OF OFFER AND/OR NEGOTIATION OF ANY ADDITIONAL EMPLOYMENT CONSIDERATIONS OR AGREEMENTS. I HEREBY AUTHORIZE THE UNIVERSITY OF CINCINNATI TO INVESTIGATE THESE STATEMENTS WITHOUT LIABILITY ARISING THEREFROM.

APPLICANT SIGNATURE_____________________________________________     DATE ____________________

COMMENTS____________________________________________________________________________________________________

PLEASE NOTE:  For the purpose of performing essential duties, some positions may require the ability to stoop and bend, lift materials weighing up to 40 lbs, and/or the ability to move loaded books trucks weighing up to 100 lbs.