Site Administration The College of William and Mary

Employment Application

Application For:

Fall:
Spring:
Summer:

Year

Name

Last:
Middle Initial:
First:
Local Address (CSU Box):
Permanent Address:
Cell Phone (if applicable):
Email: (e.g. jxjeff@wm.edu)

Class Standing

Freshman:
Sophomore:
Junior:
Senior:
Graduate Student:

Status

Full Time:

Part Time:

US Citizenship

Yes:
No:
Visa Type (If applicable):

Are you receiving financial aid or assistance?

Yes:
No:

If yes, indicate type(s)

Work Study:
Graduate Assistant:
Loan:
Scholarship/Grant:

Employment History

Previously Employed by Rec Sports

Yes:
No:
Position:
Date(s):
Pay Rate:

Previously Employed by W&M

Yes:
No:
Department:
Date(s):

Previous Work Experience

1

Place of Employment:
Phone:
Position:
Date Started:
Date Ended:
Supervisor:

2

Place of Employment:
Phone:
Position:
Date Started:
Date Ended:
Supervisor:

3

Place of Employment:
Phone:
Position:
Date Started:
Date Ended:
Supervisor:

Position Desired

Office Assistant:
Office Manager:
Facility Supervisor:*
Lifeguard:**
IM Sports Official:
Outdoor Recreation Center:
W&M Hall Supervisor:
Fitness Instructor:***
IM Sports Supervisor*:
Other:

* Facility and Sports Supervisors are required to obtain and update current Adult CPR/AED and First Aid Certifications. (Certification provided by Recreational Sports)

** Lifeguards are required to have current Lifeguarding, Adult CPR/AED, and First Aid Certifications. (Recreational Sports will provide CPR/AED and First Aid only).

*** Fitness Instructors are required to obtain and update current Adult CPR/AED and First Aid Certifications. (Certification provided by Recreational Sports). Fitness Instructors are required to audition and demonstrate Fitness Instruction Skills.

CPR/AED: Expiration Date: Received From:
First Aid: Expiration Date: Received From:
Lifeguarding: Expiration Date: Received From:
Fitness Cert.: Expiration Date: Received From:

Click OK to review and confirm your application.
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