Skip to Main Content

The University of Tennessee

University Center

Frequently Used Tools:



Student Assistant » Application


Student Assistant Application

I. Personal Information

Name  Preferred Name 
           Last             First             Middle
  
Student ID # 
Date of Birth   (mm/dd/yyyy)
   
Phone Number  (best to reach you by) UT E-mail Address
   
  Verify Email Address
 
 
Local Address  
   
Street City                          State     Zip
   
Permanent Address (if different)  
   
Street City                          State     Zip
   
   
Emergency Contact  
Name  Phone Number  
           Last             First
  
   
Street City                          State     Zip
   
   
Classification  Major 
   
Grade Point Average  Expected Graduation (Sem./Yr.) 
   
Date of Availability:   (mm/dd/yyyy)

II. Co-Curricular Activities

Please list activites and times. (i.e. student organizations, church activities, etc.).

III. Employment History


Employer: Position: Dates Employed: Name & Title of Reference: Phone #:
         
For Example:
The University of Tennessee Resident Assistant 8/2006 to 5/2007 Joe Reference, Hall Director (865) 974-1000
         
   
   
   
   

IV. Experience/Skills


A. Please check all that apply

Cash Register Operation
Drawing/Painting
Film Projection
Mail Handling
 Money Handling/Counting
Printing/Duplication
Reception/Clerical
Audio-Visual Operation
 Computers/Software
Computers/Hardware
Retail Sales
Design/Graphic Layout
 Bowling/Billiards
Public Relations
Other:

B. List any other factors about yourself which should be considered with your application.

C. Briefly, please give specific reasons why you would like to work at the University Center.

V. Areas of Interest

I am interest in working in the following areas of the University Center.
Please number in order of preference 1 (highest) - 7 (lowest).

 Administration Office Reservations
 Down Under Recreation Center
 Information Desk/Sweet Shop
 Post Office
 Student Organization Suite
 UCopy 201 Printing & Design
 Event Setup Crew

VI. Schedule of Classes and Other Obligations


Please list your class schedule.

Course Title: Building/Room #: Days: Times: Credit Hours:
         
         
         
         
         
         

Please list recurring activities.

Organization Name: Day: Time:
     
     
     
     

This schedule is: Permanent Subject to Change

VII. Agreement

By initialling and submitting your application you agree to the following:

I certify that all answers to the questions in this application are true, and I further understand that any false statement and/or omission in this application and all other accompanying documentation will be sufficient grounds for rejection of the application or termination of employment. I authorize the University to make any and all necessary and appropriate investigations to verify the information contained herein, including criminal records and work experience checks. I also understand prior to employment, I must provide information related to identity and employability. Failure to provide appropriate documentation for verification of employment eligibility (I-9 form) shall result in immediate termination of employment and/or offer of employment.

Initials: Date: (MM/DD/YYYY) 

For security reasons, your computer's IP address will be recorded when you submit this application.

Disclaimers

All qualified applicants will receive equal consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, marital status, sexual orientation, age, physical or mental disability, or covered veteran status.

Eligibility and other terms and conditions of employment benefits at The University of Tennessee are governed by laws and regulations of the State of Tennessee, and this non-discrimination statement is intended to be consistent with those laws and regulations.

In accordance with the requirements of Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, The University of Tennessee affirmatively states that it does not discriminate on the basis of race, sex, or disability in its education programs and activities, and this policy extends to employment by the University.

Inquiries and charges of violation of Title VI (race, color, national origin), Title IX (sex), Section 504 (disability), A.D.A. (disability), Age Discrimination in Employment Act (age), sexual orientation, or veteran status should be directed to the Office of Equity and Diversity (OED), 1840 Melrose Avenue, Knoxville, TN 37996-3560, telephone (865) 974-2498 (V/TTY available) or 974-2440. Requests for accommodation of a disability should be directed to the ADA Coordinator at the Office of Equity and Diversity.