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Fields with an asterisk (*) are required.
* Last Name:
* First Name:
WIU ID #:
* Campus Phone #:
* E-mail Address:
Home Phone #:
Year In School During Fall
Can You Work Weekends?
Can You Work Evenings?
Can you work breaks? (Thanksgiving, Christmas)
Do you have another job either on campus or off?
Can you type?
List previous experience, special training, interests (e.g., typing, computer experience, public service, etc.)
On the schedule below, "select" the boxes where you have classes
WESTERN ILLINOIS UNIVERSITY
Sherman Hall / 1 University Circle
Macomb, IL 61455 USA