Campus Rec Student Worker Application

Campus Recreation Student Employment
Name

First NameLast Name
For which position are you applying?
Have you previously worked for us?
Work Availability

(Write the hours you are available for each day and "Not Available" if you cannot work at all a particular day.)
Monday
Tuesday
Wednesday
Thursday
Friday
Weekends
When can you begin?
Are you able to swim 150m continuously, without stopping?
Being able to re-rack weights is a part of the job duties. Are you able to easily lift up to 45 pounds?
Contact Information
Memphis Email
example@memphis.edu
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Local Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Name

First NameLast Name
Relationship
Parent, guardian, aunt, significant other, etc.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Education & Work Background
High School Attended
City & State
Previous Employment
Dates Employed
e.g. Jan. 2022-June 2024
Type of Work/Job Duties
Previous Employment
Dates Employed
e.g. Jan. 2022-June 2024
Type of Work/Job Duties
Previous Employment
Dates Employed
e.g. Jan. 2022-June 2024
Type of Work/Job Duties
Additional Experience
Please list any additional experience you may have in the following areas: Sports (Individual/Team), Aquatics, Exercise/Fitness, Safety/First Aid, Technology, Other
Examples include playing on a basketball team in high school, lifeguard certification, certification as aerobics instructor, sports referee, etc.
Financial Aid Status
Major
Classification
Have you been awarded Federal Work-Study?
How much have you been awarded?
Signature
Should be Empty:

Campus Recreation Student Employment

Work Availability

Contact Information

Emergency Contact

Education & Work Background

Additional Experience

Financial Aid Status