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Year in College *
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Please indicate the earliest time commitment you have on each day for the semester you plan to work:
(If you have a MWF class at 8:00 am, enter 8:00 am next to Monday, Wednesday, and Friday.)
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Reference Information
List two people who can attest to your character and/or work ability, have known you for at least four months, and are not family:
(If possible, at least one of these people should be a faculty member, staff member, or student of Eastern Illinois University)
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Work Experience
(list all work experience at EIU or any other companies)
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Submission of this form certifies that all the above information is accurate and correct to the best of my knowledge *
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Please consider me for the
(one or both based on you preference) *
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