Student Staff Job Application
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
*
First Name
Last Name
UO Student ID
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Start Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Anticipated Graduation Date
Major
Have you ever been awarded work study?
If you have work study, how much each year?
List any classes you may have taken that relate to education:
What other experiences do you have in working with young children?
Why are you interested in working with young children?
Do you have any of the following?
Current CPR
Current First Aid
Current Oregon Food Handler Card
Recognizing and Reporting Child Abuse and Neglect Course
Are you registered with State of Oregon Central Background Registry (CBR)?
*
Yes
No
If yes, what is you Central Background Registry (CBR) Number?
Where are you interested in working?
Infants
Wobblers
Toddlers
Pre-School
Pre-K/Kindergarten
School Age
Kitchen
Reception
Upload Resume
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Upload School Schedule
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Submit
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