*****INFORMATION SERVICES*****
Student Employment Applications

Lab Assistant                                   Lab Technician

Today's Date: ________________________

Name: ______________________________ E-mail Address: _____________________

Purdue University Identification Number (PUID): _______________

Address: ________________________________________________________________

Home Phone #: ______________                       Cell Phone #: ______________

Which phone # is best to reach you at first - home or cell?

Have you completed a Federal Student Aid FAFSA application? (NOTE: The completion of the FAFSA application is not required for this position.  It just entitles the applicant for possible work-study funding.)

Why are you interested in becoming a lab assistant?

How long have you been using a computer?

In which machine environment are you comfortable?

IBM-compatible___ Macintosh___ Both___ Neither___ Don’t Know___

Other ___________________________

List the application software you have used (if any).

List computer-related classes you have taken (if any).

Describe your work experience (if any). Tell us where and when you worked, and briefly describe what you did.

Why do you think you would be a good lab assistant?

How many hours a week are you interested in working (we do prefer you are available for at least 10 hours per week)?

Since this position requires working weekends as well, are you available to work both Saturday and/or Sunday?

Please return this application, along with your class schedule, to the main desk in T265.  (Important: A copy of your class schedule must be submitted in order to be considered for a position.)