MTSU CUSTOMS: Student Orientation

CUSTOMS Clerical Application

Name

M#

Email

Current Address

City/St/Zip

Phone

Permanent Home Address - including city, state and zip code

Classification

Freshman

Sophomore

Junior

Senior

Major

Cumulative GPA

Number of Semesters at MTSU

Expected Graduation

Other Colleges Attended

Do you currently work on MTSU's campus?

Yes

If you work on campus, where do you work?

If you work on campus, how many hours per week do you work?

Please explain the importance of the clerical/office staff to the overall orientation program.

Please cite your background in working with people and/or groups and any managerial experience that you have had.

Please list other clerical type positions you have held and the responsibilities of the position.

When are you available to work part-time beginning in March?

Please provide your employment history beginning with the most recent employer.

Employer #1

Employer Name

Address

Your Position

Employment Dates

Responsibilities

Reason for Leaving

Employer #2

Employer Name

Address

Your Position

Employment Dates

Responsibilities

Reason for Leaving

Employer #3

Employer Name

Address

Your position

Employment Dates

Responsibilities

Reason for Leaving

Are you planning to have another job or take classes during the summer?

Yes

If you answered Yes to the above question, please describe.

Do you have any other commitments during the summer?

Yes

If you have other commitments, please describe them.

I understand that as a clerical staff member, I am a representative of MTSU and must follow all university rules and policies.

Yes

I can commit to all the requirements listed in the clerical job description.

Yes

I will be available for part time employment from March 30 until August 8.

Yes

I understand that if selected I will not be able to take classes or hold a summer job that would interfere with CUSTOMS.

Yes

Comments

List three PROFESSIONAL REFERENCES that will complete the recommendation forms. (these should not include your friends) Please include their title, position etc. One reference must be from an MTSU faculty/staff member.

Reference #1

Reference #2

Reference #3

By submitting this application I certify that the information herein is accurate to best of my knowledge. You have my permission to verify any and all information I have listed.

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Last Updated: Aug 24, 2023