Name

Phone Number

Birthdate

E-mail Address

Boulder Address

Permanent Address

Year in School --please select-- 1st Year 2nd Year 3rd Year 4th Year 5th Year Grad Student Other

Credits Hours this Semester

Major/Emphasis

Expected Date of Graduation

Previous Education and Dates (High School, College, Degrees)

Do you have work-study award through financial aid? --please select-- Yes, I have work-study No, I don't have work-study

Work Study Amount per Semester

Bike Station Staff
Campus Carbon Neutrality Research Assistant
Communications Coordinator
Community Energy Connections Energy Auditors
Diversity Outreach Coordinator
Energy and Climate Outreach Staff
Environmental Justice Coordinator
Environmentally Responsible Purchasing Research Assistant
Events Coordinator
Event Coordinator: Rocky Mountain Sustainability Summit
Graphic Designer
Green Office Program Coordinator
Green Teams off campus outreach: Energy Team Members
Green Teams off campus outreach: Energy Team Coordinator
Green Teams off campus outreach: Recycling Team Members
Office Assistants
Promotions Assistants
Recycling Assistants
Recycling Outreach Staff
Residence Hall Eco-Leaders
Social Networking/Web 2.0 Coordinator
Transportation Program Production Assistant
Website Manager
Zero Waste Event Volunteer Coordinator
Temporary Cardboard Recyclers
Temporary Bike Station Staff

How many hours per week are you available for this position? (Please consider time needed for academics, other job, social life, etc.)

List times that you could be available between 8am and 6pm Monday-Friday

Can you be available evenings and/or weekends? --please select-- Yes, I am available evenings Yes, I am available weekends Yes, I am available BOTH weekends and evenings No, I am not available on evenings or weekends

When are you available to begin working?

Employer

City

State

From

To

Job Title

Hours worked per week

Last Salary

Describe duties and responsibilities

Reason for leaving

Employer

City

State

From

To

Job Title

Hours worked per week

Last Salary

Describe duties and responsibilities

Reason for leaving

Please list references familiar with your work habits

Please list academic honors, scholarships, fellowships, or memberships in academic honor societies

Please list involovement in any organizations, committees, boards or other extracurricular activities you consider significant

Please list special talents and skills relevant to the position(s) you are applying for

List relevant computer proficiencies and software application experience

Are there particular environmental issues that you are most interested in and/or concerned about?

Why do you want to work with the Environmental Center?

What Characteristic, not necessarily work-related, makes you unique?

How did you hear about this position? (i.e., mailing, friend, student employment, etc.) Mailing Friend Student Employment Office

Other

I would like to be put on the Environmental Center listserv. (E-mail posting of upcoming events and opportunities.)