Santa Rosa Junior College - Petaluma Open Lab

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Student Lab Assistant Employment Application

Fill out the following form to apply to work as a student lab assistant in this lab.

You are applying to work in the Petaluma Open Lab lab.

Contact Information

Full Name:
E-mail Address:
Mailing Address:
Mailing Address 2:
City:
State:
Zip:
Daytime Phone:
Evening Phone:
Date you are able to start:	(mm/dd/yyyy)
Health/Physical Restrictions We Should Know About:
Position applying for:

Education & Experience

Operating systems you are familiar with (check all that apply):	Select operating systems Windows 95/98/Me Windows NT/2000 Windows XP Mac OS Unix/Linux
Software you're familiar with: (MS Office, Photoshop, Dreamweaver, etc.)
Computer experience: (hardware, system maintenance, etc.)
Computer classes you've taken:
Why do you feel that you would make a good lab assistant?
Other comments:

Check the times you are able to work this semester

	Mon	Tue	Wed	Thu	Fri	Sat
9AM-10AM	Mon-9AM-10AM	Tue-9AM-10AM	Wed-9AM-10AM	Thu-9AM-10AM	Fri-9AM-10AM	Sat-9AM-10AM
10AM-11AM	Mon-10AM-11AM	Tue-10AM-11AM	Wed-10AM-11AM	Thu-10AM-11AM	Fri-10AM-11AM	Sat-10AM-11AM
11AM-12PM	Mon-11AM-12PM	Tue-11AM-12PM	Wed-11AM-12PM	Thu-11AM-12PM	Fri-11AM-12PM	Sat-11AM-12PM
12PM-1PM	Mon-12PM-1PM	Tue-12PM-1PM	Wed-12PM-1PM	Thu-12PM-1PM	Fri-12PM-1PM	Sat-12PM-1PM
1PM-2PM	Mon-1PM-2PM	Tue-1PM-2PM	Wed-1PM-2PM	Thu-1PM-2PM	Fri-1PM-2PM	Sat-1PM-2PM
2PM-3PM	Mon-2PM-3PM	Tue-2PM-3PM	Wed-2PM-3PM	Thu-2PM-3PM	Fri-2PM-3PM	Sat-2PM-3PM
3PM-4PM	Mon-3PM-4PM	Tue-3PM-4PM	Wed-3PM-4PM	Thu-3PM-4PM	Fri-3PM-4PM	Sat-3PM-4PM
4PM-5PM	Mon-4PM-5PM	Tue-4PM-5PM	Wed-4PM-5PM	Thu-4PM-5PM	Fri-4PM-5PM	Sat-4PM-5PM
5PM-6PM	Mon-5PM-6PM	Tue-5PM-6PM	Wed-5PM-6PM	Thu-5PM-6PM	Fri-5PM-6PM	Sat-5PM-6PM
6PM-7PM	Mon-6PM-7PM	Tue-6PM-7PM	Wed-6PM-7PM	Thu-6PM-7PM	Fri-6PM-7PM	Sat-6PM-7PM
7PM-8PM	Mon-7PM-8PM	Tue-7PM-8PM	Wed-7PM-8PM	Thu-7PM-8PM	Fri-7PM-8PM	Sat-7PM-8PM
8PM-9PM	Mon-8PM-9PM	Tue-8PM-9PM	Wed-8PM-9PM	Thu-8PM-9PM	Fri-8PM-9PM	Sat-8PM-9PM
9PM-10PM	Mon-9PM-10PM	Tue-9PM-10PM	Wed-9PM-10PM	Thu-9PM-10PM	Fri-9PM-10PM	Sat-9PM-10PM