FIRST name :       LAST name:

This is my first form for the upcoming semester    /     This is a REVISED form for the upcoming semester

Major:      Social Security number:

KU/local phone:      Permanent/parent's phone:

My preferred e-mail address:     I check my e-mail: More than once a day Once a day Several times a week Once a week A few times a month Almost never

 I expect to graduate: Spring Fall    2004 2005 2006 2007 2008 2009 2010

GENERAL

I would prefer to work in: Slide Library Art Gallery Either Both

I am willing to work a minimum of 2 3 4 5 6 7 8 9 10 hours per week.     /     I am willing to work a maximum of 6 7 8 9 10 11 12 13 14 15 15+ hours per week.

I would most prefer to work 2 3 4 5 6 7 8 9 10 11 12 13 14 15 15+ hours per week     /      I can start work   (date)

DAILY AVAILABILITY (These are times that you are free to work. Please list every free block that is at least 2 hours long. Please round off times: if you have a class that starts at 2 p.m., it is OK to say that you can work till 2 p.m. because you'll be allowed to leave work a few minutes early in order to get to your class on time.)