Create Part-Time Hourly Employment Form

If you would like to apply for a part-time position with the IUPUI University Library, please fill out the following online form. By submitting this form you will be applying for jobs such as Circulation Desk Attendant, Computer Consultant, Security Monitor, Shelving and Interlibrary Loan Specialist. Applicants will need to pass a University mandatory background check and will be expected to work a minimum of ten hours a week. Jobs are open to students and non-student alike. Completion of an application does not guarantee consideration for employment. Applications will remain on record for 3 months.

Last Name: *

Personal Data

First Name: *

Middle Name:

Street Address:

City:

State:

Zip Code:

Email: *

Phone: *

Student ID: *

(10 digits ) For non-students, please enter xxxxxxxxxx.

Student Status

Student Major:

Current GPA:

Credit Hours (Current Semester):

Student Credit Hours (next semester):

Expected Graduation Date:

Work Study

Are you qualified for a Work Study Award: *

Yes

No

What is the amount of the Award:

Current Availability

University Library hires on an as-needed basis. When there is an opening in a department, the supervisor responsible for hiring in that department will go through on-file applications and conduct interviews with qualified candidates.

Can you commit to working at least ten hours per week:

N/A

Yes

No

List the ideal number of hours you would be willing to work per week:

Which semesters are you available to work:

Summer

Fall

Spring

Indefinitely

Place an X in each time slot when you are available to work. Not all hours require staffing. Check the Library Hours for current need.

	Sun	Mon	Tue	Wed	Thu	Fri	Sat
7-8 AM
8-9 AM
9-10 AM
10-11 AM
11-12 AM/PM
12-1 PM
1-2 PM
2-3 PM
3-4 PM
4-5 PM
5-6 PM
6-7 PM
7-8 PM
8-9 PM
9-10 PM
10-11 PM
11-12 PM/AM

Work Experience:		Order
	Position: Name of Employer: Phone Number: Street Address: City: State: Zip Code: Job Duties: Reason for Leaving: Ending Wage: Dates Employed Empty 'To date' values will use the 'From date' values. From date: Year: Month: To date: Year: Month:
	Position: Name of Employer: Phone Number: Street Address: City: State: Zip Code: Job Duties: Reason for Leaving: Ending Wage: Dates Employed Empty 'To date' values will use the 'From date' values. From date: Year: Month: To date: Year: Month:

Customer Sevice

Part-time employees at University Library are in direct contact with IUPUI Faculty, Staff, & Students, as well as the general public on a constant basis. Therefore, Customer service skills are very important to the Library. Please answer the following questions in as much detail as possible.

Describe the customer service skills you have used:

List any other skills applicable to the job:

Acknowledgement Agreement

Convicted means you were declared guilty by a judge or jury or you pleaded guilty in court. A conviction may have taken place even if you did not pay a fine or spend time in jail or prison. A conviction could have been for either a misdemeanor or a felony.

Have you ever been convicted of a crime other than a minor traffic violation: *

Yes

No

I certify that the answers on this application are complete and accurate to the best of my knowledge. In addition, I agree to maintain my availability to work a minimum of ten hours per week. I understand that if hired, should my availability fall below ten hours per week, my employment with University Library could be terminated. Should it be found that any information has been falsely reported, I understand that my application will be immediately withdrawn from consideration. I also understand that direct deposit of my paycheck to my personal checking or saving account is a condition of employment. (At this time, Work Study employees are exempt from direct deposit, but it is encouraged they participate.)

Enter your name below to signify you have read and agree to these terms: *

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