IUPUI University Library
Part-Time Employment Application

Personal Data:

Last Name : !	First Name : !	Middle Name :
Street Address :
City :	State : Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip Code :
Email Address : !	Phone Number : !	Student ID (10 digit)

Student Status

Major :		Current GPA :
Credit Hours (current semester) :	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?

Hiring Information / Skills

How were you referred to University Library as a potential employer?	Friend Sign WWW	Current Employee International Affairs Career Development Center
What area in the library are you interested in working?
Have you applied for work with University Library before?	Yes	No
List approximate dates you applied:
Can you file Alphabetically?	Yes	No
Can you file Numerically?	Yes	No
What office machines do you know how to operate?	Computer Fax Copier	Calculator Typewriter
What Computer Software are you familiar with?

Background Information

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?	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

On the template below, check the times during a regular week when you are available to work.

Start with present or most recent employer. Please list all jobs.

Job #1 :

Name of Employer :		Ending Wage :
Position :		Phone Number :
Street Address :	City :	State :
Job Duties :		Zip Code :
Reason For Leaving :	Start Date :	End Date :

Job #2 :

Name of Employer :		Ending Wage :
Position :		Phone Number :
Street Address :	City :	State :
Job Duties :		Zip Code :
Reason For Leaving :	Start Date :	End Date :

Job #3 :

Name of Employer :		Ending Wage :
Position :		Phone Number :
Street Address :	City :	State :
Job Duties :		Zip Code :
Reason For Leaving :	Start Date :	End Date :

Please answer the following questions in as much detail as possible.

Have you ever worked in a library before? (explain duties performed)

List all Library Science courses you have taken:

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 :

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.)

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Enter your name below to signify you have read and agree to these terms. !