student application - wichita state university student application... · student application date...

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Student Application Date _______________________________ WSU ID# ________________ Interviews First Name _________________________________________________________________ are Granted based upon Last Name _________________________________________________________________ the information Address ___________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ provided on this application. Sell Yourself. Phone (xxx) xxx-xxxx: ____________ ___ Email ___________________________________ # of Credit Hours enrolled this semester ___ _ Major _________________________ __ Degree Pursuing: Bachelor's Master's Doctorate Expected Graduation Date ____________________ GPA ____________ Plans for obtaining another degree at WSU? If So, list degree ____________________ ___ Do you currently have a job on campus? Yes No If you answered yes , please answer the following: Where is your current campus job? _______________________________ How many hours per week do you work? _______________ If hired by NIAR, will you stay at your current position as well? Yes No Please submit the completed form via email using the button below. You may also attach a resume or other relevant files to this pdf with the attach button or as seperate file in your submission.* Professor(s) Who Could Provide a Recommendation _________________________________ Last Employer ________________________________________ Pay Rate($/hr) __________ Your application Please specify which lab you are interested in and why are you interested in working in this laboratory? will remain active for six months. ___________________________________________________________________________ ___________________________________________________________________________ Thank you for your interest in working at Describe some experience (class, work, home, or hobby) that may have prepared you for work in the lab. Include any machining knowledge, software proficiency, organizational skills or other talents you possess. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Hours/Week Available - Between 8 a.m. and 5 p.m. __________________________________ *While not required, resumes are welcomed NIAR. NOTE: For some NIAR Laboratories and Projects, applicants are required to be eligible for employment under U.S. export control laws and must meet the requirement of being a "U.S. Person" (U.S. citizen, lawful permanent resident, or protected individual as defined by 8 U.S.C.1324b (a)(3)) or eligible to obtain U.S. government authorization for this position. Information collected in this regard will only be used to ensure compliance with U.S. export control laws and will be used in compliance with all laws prohibiting discrimination on the basis of national origin and other factors.

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Page 1: Student Application - Wichita State University Student Application... · Student Application Date _____ WSU ID# _____ Interviews First Name ... Last Name _____ the information Address

Student ApplicationDate _______________________________ WSU ID# ________________

InterviewsFirst Name _________________________________________________________________

are Grantedbased upon

Last Name _________________________________________________________________

theinformation

Address _______________________________________________________________________________________________________________________________________________________________________________________________________________________ provided

on thisapplication.Sell Yourself.

Phone (xxx) xxx-xxxx: _________________ Email _____________________________________

# of Credit Hours enrolled this semester _____ Major _____________________________

Degree Pursuing: Bachelor's Master's Doctorate

Expected Graduation Date ____________________ GPA ____________

Plans for obtaining another degree at WSU? If So, list degree __________________________

Do you currently have a job on campus? Yes NoIf you answered yes , please answer the following:

Where is your current campus job? __________________________________________How many hours per week do you work? _______________If hired by NIAR, will you stay at your current position as well? Yes No

Please submit the completed form via email using the submit button below.You may also attach a resume or other relevant files to this pdf with the attach button or as seperate file in your submission.*

Professor(s) Who Could Provide a Recommendation _________________________________

Last Employer ________________________________________ Pay Rate($/hr) __________

Your application

Please specify which lab you are interested in and why are you interested in working in this laboratory?

will remain activefor six months.

______________________________________________________________________________________________________________________________________________________

Thank you foryour interest inworking at

Describe some experience (class, work, home, or hobby) that may have prepared you for work in the lab. Include any machining knowledge, software proficiency, organizational skills or other talents you possess.

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Hours/Week Available - Between 8 a.m. and 5 p.m. __________________________________

*While not required, resumes are welcomed

NIAR.

NOTE: For some NIAR Laboratories and Projects, applicants are required to be eligible for employment under U.S. export control laws and must meet the requirement of being a "U.S. Person" (U.S. citizen, lawful permanent resident, or protected individual as defined by 8 U.S.C.1324b (a)(3)) or eligible to obtain U.S. government authorization for this position. Information collected in this regard will only be used to ensure compliance with U.S. export control laws and will be used in compliance with all laws prohibiting discrimination on the basis of national origin and other factors.

Page 2: Student Application - Wichita State University Student Application... · Student Application Date _____ WSU ID# _____ Interviews First Name ... Last Name _____ the information Address

FOR INTERNAL USE ONLY

Type of Employment: Student GRA

Department Name__________________________Org#_____________________ Fund#_____________________

Supervisor Name __________________________________________ WSU ID# _______________________

Hours Per Week ___________ Rate of pay per hour $___________

Person Completing Form_____________________________________ Date _____________________