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  Ag Microcomputer Lab Assistant Student Application  
 
(Use the Tab key to advance through the form.)
 
Name
Local Address
Local Phone
-
City,   State,   Zip
E-mail
Home Address
Home Phone
-
City,   State,    Zip

Major
Graduation
Graduation Year
Are you a Work Study student?   
Are you on academic probation?   
     If yes, explain:
     
Undergraduate Student      Graduate Student

Please check the semesters you are willing to work (check all that apply):
     Fall    Winter    Spring   Summer

Desired work hours per week: (min. of 8, max. of 20 hrs/wk)


Knowledge of Operating Systems
Indicate level of knowledge using the following scale:
0 = none, 1 = novice, 2 = experienced, 3 = expert

 Win 95/98  Windows NT  Win 2000
 UNIX  DOS Win XP

Knowledge of Software Applications
Indicate level of knowledge using the following scale:
0 = none, 1 = novice, 2 = experienced, 3 = expert

 MS Word  MS Excel  MS PowerPoint  MS Access
 Photoshop  Acrobat  FTP  AutoCAD
 SAS  WordPerfect  Scanning  

Knowledge of Networking
Indicate level of knowledge using the following scale:
0 = none, 1 = novice, 2 = experienced, 3 = expert

  Ethernet Setup    PPP Setup    Ethertalk Setup
  Microsoft Networking    NT Server   

Knowledge of Internet and Programming
Indicate level of knowledge using the following scale:
0 = none, 1 = novice, 2 = experienced, 3 = expert

 Pine Mail  Internet Explorer  Outlook

Knowledge of Hardware
Indicate level of knowledge using the following scale:
0 = none, 1 = novice, 2 = experienced, 3 = expert

 Hardware Installation     Hardware Troubleshooting     Hardware Upgrading   


Work Schedule Availability Form:
(Use the Tab key to advance through the form.)

Please indicate hours available for work with a "P" for preferred hours, a "Y" for hours you can work.

Start Time Mon. Tues. Wed. Thrus. Fri. Sat. Sun.
8a
9a
10a
11a
12n
1p
2p
3p
4p
5p
6p
7p
8p
9p
10p
11p

Please list relevant experience with computers, customer service, tutoring or volunteer experience

Employment Record: Please list most recent employer first.
Employer
From (Mo/Yr) to (Mo/Yr)
Address
City, State, Zip
Supervisor
Phone Number
-
Duties


Employer
From (Mo/Yr) to (Mo/Yr)
Address
City, State, Zip
Supervisor
Phone Number
-
Duties

Employer
From (Mo/Yr) to (Mo/Yr)
Address
City, State, Zip
Supervisor
Phone Number
-
Duties