Today's Date:

Position Applied for (choose "yes" or "no" for each):
YesNo Information Desk/Student Assistant
YesNo Gameroom Attendant
YesNo Event Planning Assistant
YesNo Web Master
YesNo Operations Assistant
YesNo Marketing Assistant
YesNo Tech Crew Assistant
YesNo Yearbook Staff -indicate desired section
YesNo Newspaper Editor (Brackety-Ack)
YesNo Newspaper Staff -indicate desired section

Name:

Last First Middle

RC ID#:

Email Address:

Telephone#:

Campus Box#:

Class: FreshmanSophomoreJuniorSenior

Birthdate (MM-DD-YYYY):

*Federal Work Study Program: Yes No

Have you worked at Roanoke College before? Yes No

Do you have any previous related experience?

Why do you want to work for or help create programs for the Colket Center?