Montgomery College
Auxiliary Services

Full Name:

Email Address:

Please check the campus for which you are applying
to work:
Rockville    
Takoma Park/Silver Spring    
Germantown

For what semester are you applying?
Select One Fall Spring Summer

For what type of employment are you applying?
Select One Work Study Other Student Employment

If for work study, # of approved hours:

For what unit are you applying?
Bookstore Services
Childcare Services
Contract Services
        (RV: Rec. Center, MC Copies & Munchies)

Street Address:

Phone:


A Valid Social Security Number is a condition of employment within Auxiliary Services

Date of Birth:

Are you a U.S. citizen?    Yes    No

If no, what type of Visa do you have?

What is the number?

What is the expiration date?

Please list any special skills (i.e. foreign langua-
ges, sign language, etc.) which help you deal with
a diverse student population.

Who to notify in case of emergency?
Name:
Relationship:
Phone:

Academic Information

How long have you been attending Montgomery College?

What is your current GPA?

What is your major?
Advertising Art (AA) Accounting (AC) Anthropology (AN) Art (AR) Automotive Technology (AT) Business Administration(BA) Biological Sciences (BI) Building Trade Technology BU) Computer Applications (CA) Chemistry (CH) Criminal Justice (CJ) Computer Science and Technologies CS) Architectural & Construction Technology (CT) Economics (EC) Education (ED) Electrical Engineering EE) English (EN) Engineering Science (ES) Food and Beverage Management FM) Fire Science (FS) Applied Geography (GE) Health (HE) Hotel/Motel Management (HM) Honors Program (HP) History (HS) Interior Design (ID) Paralegal Studies (LA) Mathematics (MA) Management (MG) Music (MU) Physical Education (PE) Photography (PG) Physics (PH) Philosophy (PL) Printing Technology(PR) Political Science (PS) Psychology (PY) Spanish (SN) Sociology (SO) Speech (SP) Theatre (TH) Television/Radio (TR)

Are you now, or have you ever been on academic alert?
Yes     No
Academic probation?
Yes     No

For what classes are you currently registered?

For how many credit hours are you enrolled?
hours

Employment Information

Are you currently employed?
Yes     No
If yes, where?

Work phone:

Position:

Supervisor's name:

Have you ever worked at MC before?
Yes     No
If yes, where?

Work phone:

Position:

Supervisor's name:

Please list other work experience below

Company:

Phone Number:

Position:

Supervisor's name:

When:

Company:

Phone Number:

Position:

Supervisor's name:

When:

Company:

Phone Number:

Position:

Supervisor's name:

When:

Please list any other references:

Name:
Phone:
Relationship:

Name:
Phone:
Relationship:

Name:
Phone:
Relationship:

Name:
Phone:
Relationship:

Availability

Are you available:
to work at night?
     Yes     No
to work on the weekend?
     Yes      No
to work extra hours?
     Yes      No

Knowledge, Abilities and Skills

Do you have experience working on a computer?
Yes     No
If yes, what type?
PC Mac Both

What software packages are you familiar with? Please list specific software:

Word Processing
Type:

Spreadsheet

Type:

Database

Type:

Desktop Publishing

Type:

Draw

Type:

Paint

Type:

Web Creation

Type:

Other

Type:


Do you have a working knowledge of and/or experience using the following equipment? (select all that apply)
Cash Register Copier Typewriter Calculator Adding Machine Laminator Button Maker Label Maker Concession Equipment

Do you have experience in any of the following areas? (select all that apply)
Retail Sales Graphic Arts Concession Service Sign making Child Care Cashier Fine Arts/Illustration Food Service Box Office/Ticket Sales Stock Clerk Accounting/Bookkeeping Cash Handling Arcade Operation Supervision/Management