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Your Contact Information *Name:
*Local Address:
*Local Phone:
*Permanent Address:
*Permanent Phone:
Email Address:

Work Study Information Work Study Allocation for current school year :

List the days and specific hours you are available to work:

Tell us about yourself (Major, Year in School, etc.):

Why do you want to work for Big Brothers Big Sisters?:

What work experience do you have? Tell us about it:

Tell us about your written & oral communication skills, for example, answering phones, preparing a report, etc.:

What computer experience do you have? What types of software have you used, and in what capacity? For example, writing a paper, creating a spreadsheet, data entry, etc:

What would your ideal work enviornment look like?:

How do you organize your time during the day?:

Any other comments or notes: