George Fox University | Offices and Services | Plant Services | Placement Questionnaire

Placement Questionnaire

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Placement Questionare

Please fill out this form as completely as possible. If you do not know the requested information you can leave the question blank and we will contact you. If you realize you have made a mistake or your information changes after you have submitted the form, contact Custodial Services directly at 2030. Do not submit the form more than once.

* denotes required elements.

*Semester

*Academic Year

* First Name

* Last Name

*Student ID

Year In School

Campus Email

Box Number

Campus Phone Extension

Cell Phone

Home Phone

Campus Housing Yes

If yes, please select location

Apartment orRoom Number

Sports and other extracurricular activities:

Physical requirements: must be able to lift and carry 35 lbs repetitively, bend, kneel, push, pull, and work with cleaning chemicals and sprays. Please list any physical restrictions or limitations that may affect your ability to do this job with or without accommodation

If you are a returning student please indicate your preferred supervisor and schedule. We will try to accommodate your request but cannot guarantee your desired schedule.

Requested Supervisor

Requested Schedule:

Have you accepted Student Employment as a part of your financial aid package? Yes No

Amount of Award

Custodial Crews typically run:

Monday-Friday

Saturday

After sporting events

6:00 A.M. to 9:00 P.M.

6:00 A.M. to 2:30 P.M.

Various Times

I am intersested in working at (on) 6:00 AM Saturday

*Monday

No Classes

7:40

8:25

8:40

9:40

Chapel

11:40

12:40

1:40

2:40

3:40

4:40

6:30

*Tuesday

No Classes

7:40

8:40

9:05

10:30

10:40

11:55

12:40

1:20

2:40

4:10

4:40

6:30

*Wednesday

No Classes

7:40

8:25

8:40

9:40

Chapel

11:40

12:40

1:40

2:40

3:40

4:40

6:30

*Thursday

No Classes

7:40

8:40

9:05

10:30

10:40

11:55

12:40

1:20

2:40

4:10

4:40

6:30

*Friday

No Classes

7:40

8:25

8:40

9:40

10:40

11:40

12:40

1:40

2:40

3:40

4:40

6:30

This page was last updated 5-14-2008 08:21:45.
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