Petaluma Computer Lab
Santa Rosa Junior College
680 Sonoma Mountain Pkwy
 Rm.223
Petaluma, CA 94954
Phone (707) 778-3905

Student Lab Assistant Employment Application

Please complete all fields.

Personal Information

Full Name:
Email Address:
Mailing Address:
Street 1:
Street 2:
City: State: Zip:
Daytime Phone Number:
Evening Phone Number:
Date of Application:
Date you are able to start:
Health/Physical Restrictions We Should Know About:
Position Applying for:

Education & Experience

Operating systems you're familiar with (check all that applies):

Mac OS Windows 95/98/Me
Windows NT/2000 Windows XP
UNIX/LINUX

Software you're familiar with : (MS Office, Photoshop, Dreamweaver, etc.)

Computer experience:
( hardware, system maintance, 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 free to work this semester:

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