STUDENT WORKER REQUEST FORM
500 College Drive
Lake Jackson , TX 77566
Phone: 979.230.3317
Fax: 979.230.3112
Date
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Month
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Day
Year
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Full Name
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First Name
Last Name
E-mail
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Department
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Phone Number
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Area Code
Phone Number
Office/Room #
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Title/Position
Student Worker Job Title
Number of Positions Open
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Semester Requested
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Fall
Spring
Summer
Additional Job Description
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Skills
Hours Student Needed
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Days Student Needed
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Please Select
M-TR
M-F
T/TR
M/W
M/W/F
Hours Needed Per Week
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Prefer student majoring in
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