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?*
YesNoNot sure
YesNoNot Sure
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*

Clear
Should be Empty:

Campus Recreation Student Employment

Work Availability

Contact Information

Emergency Contact

Education & Work Background

Additional Experience

Financial Aid Status