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Farm Student Employment Application

First Name:   Last Name:
Student Number:

Local address:
City: State: ZIP code:

Permanent address:
City: State: ZIP code:

E-mail:   Local phone:

Major:   Advisor:
Current semester standing:
(you must have completed your second semester)
Current grade point average:

Do you have a work study award? Yes No
What experience are you looking for? Please indicate species, type of work, etc.
What experience have you had?
Indicate in the semester areas what years you think you are available to work that semester:
Fall:   Spring:   Summer:

Do you have transportation? Yes No
Are you willing to live at the unit? Yes No