STUDENT Work Application
Michigan Tech Sports and Recreation, Memorial Union
and Rozsa Center Operations
Student Work Application
INSTRUCTIONS:
  • This form is intended for the use of STUDENTS seeking work.
  • Take care to provide all information requested, as incomplete applications cannot be considered.
  • Before filling out this application, please check near the bottom for openings; areas without check boxes may not have openings or prefer you to contact them directly.
First Name:  Middle Initial:  Last Name:
Tech ID Number:
Current Address:
City:  State:  Zip Code:   Country:
Phone:   E-mail:   Work Visa Type:
Summer Address:
City:  State:  Zip Code:  Phone:
Yes No  Previous Work Experience
Yes No I am currently or will be a fulltime student at MTU.
  If "Yes", please indicate current class standing.
Yes No I am currently or will be a full time student at another college or high school.
Name of college or high school: Current class standing:
Yes No Do you have a valid drivers license recognized by the State of Michigan with less than 5 points?
If you are under 18, please enter your age  
If hired, I can work when needed from:  Starting Date   to Ending Date
List work experience and special skills - include previous MTU jobs.
DATE JOB TITLE SKILLS EMPLOYER PHONE
Since we prefer to avoid the assignment of relatives within the same work unit, please
list any relatives employed at MTU, giving name and building or department.
NAME TITLE DEPARTMENT RELATIONSHIP
 Work Preference / Schedule

Total number of weekly hours requested:  

Hours can vary during the summer semester and semester breaks.
Please check with the area for specific semester hours.

Check the boxes you are available to work. Leave boxes blank if you are unavailable.

Day/Hours 6:30-
8:00		 8:00-
9:00		 9:00-
10:00		 10:00-
11:00		 11:00-
12:00		 12:00-
1:00		 1:00-
2:00		 2:00-
3:00		 3:00-
4:00		 4:00-
5:00		 5:00-
6:00		 6:00-
7:00		 7:00-
8:00		 8:00-
9:00		 9:00-
10:00
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Please check-mark your preferences on where you would like to work.
(Please note: Areas without job openings do not have check boxes.)

 
 SDC Student Manager    Central Ticket Office  
 Rozsa Center Technical    SDC Weight Room/Fitness Center  
 Rozsa Center Concessions    SDC Multi-Purpose ID Checker  
 Rozsa Center Box Office    SDC/Ice Arena Custodial  
 Rozsa Center Custodial    Summer Athletic Camp Counselors  
 MUB Student Manager    SDC Pool Life Guard (Certified Level:  ) 
 Gates Tennis Center    Portage Lake Golf Course  
 MUB Bowling⁄Game Room   Mont Ripley Ski Hill   (Apply in person at chalet) 
 Tech Express   Campus Store  
 MUB Custodian   University Images  
 MUB Guest Room Housekeeper    Auxiliary Technologies 
 MUB Snow Shoveler  
 You will receive a confirmation copy after you submit this form. 
Please print out the next page.
Michigan Tech is an Affirmative Action/Equal Opportunity educator and employer and aggressively recruits
minority and female applicants in an effort to bring greater diversity to its work force.