Technology Connection Student Worker Application

Learn more about us at: www.TechConnect.Tulane.edu

Anticipated graduation date? *

Are you a full time student or part time? *

What role would best suit you in our business? (Only select one.) *

Computer Sales and Consulting - you will advise other students about the best technology for their needs.

Computer Repairs - we will train and certify you to repair Apple and Dell computers.

We require that you are able to work a minimum of 2 hours per shift (preferably 3.) Total hours per week can not exceed 20 hours per week.

First Name *

Last Name *

Student ID Number *

Campus/Local Address *

Local Campus Phone

Home Address

Cell Phone *

City *

State *

Zip Code *

College/School *

Classification *

Major

Tulane Email Address *

Other E-mail

Give a brief statement of duties for each part-time, summer, full-time or student jobs you have held:

	Job Title	Statement of Duties	Dates Held
Job 1	Job Title	Statement of Duties	Dates Held
Job 2	Job Title	Statement of Duties	Dates Held
Job 3	Job Title	Statement of Duties	Dates Held
Job 4	Job Title	Statement of Duties	Dates Held

List any special skills or training *

Resume or other supporting documentation

References (If available)

	Name	Phone	Email
Ref 1	Name	Phone	Email
Ref 2	Name	Phone	Email

Are you a Federal Work-Study Student? *

In accordance with the Immigration Reform and Control Act of 1986, I understand that upon employment I will be required to provide documents that establish identity and employment eligibility. (This statemenet applies to all students)

Date * +

Signature *

TULANE UNIVERSITY IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION INSTITUTION IN ACCORDANCE WITH THE CIVIL RIGHTS ACT OF 1964 AND TITLE IX OF THE EDUCATION AMENDMENTS OF 1972