CSB Custodial Application Form

Name

Phone Number

E-mail Address:

Term Applying For:

Please indicate which area(s) you would like to work in:

	Academic Building
	Residential Building (CSB Students Only)

Would you be willing to work 6-8 a.m.?

	Yes
	No

Would you be willing to start working at 9:00 p.m. or 10:00 p.m.?

	Yes
	No

How many hours per week would you like to work?

Current or Previous Employment

Employer

Dates Employed

List Employment Skills Related to this Job

What do you consider to be your greatest strenghts relative to this job?

Briefly describe two or three things that would be important to you in a student employment position.

Desribe your most rewarding job experience:

Other comments (optional):

I confirm that all information in this application is truthful and accurate.

	Yes
	No

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