Wellness Center Application for Employment
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PERSONAL INFORMATION
Name
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First
Middle
Last
Date
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MM slash DD slash YYYY
Address
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Street Address
City
State / Province / Region
ZIP / Postal Code
DOB
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MM slash DD slash YYYY
Phone #
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Email
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CU Student ID #
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Are you a U.S Citizen?
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Yes
No
If no, do you have a social security card/number?
Yes
No
Have you ever been convicted of a felony?
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Yes
No
Education
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School Name
Location
Degree Received
Major
Years Attended
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Other training, certifications, or areas of expertise:
Other
Employment
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Employer
Location
Dates Employed
Reason for Leaving
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Acknowledgement and Authorization
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I agree to the following:
I certify that all answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.
Signature of Applicant
Date
MM slash DD slash YYYY
Interview Questions
1. How many semesters do you plan to stay in the Campbellsville area?
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2. Why do you want this job?
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3. Imagine you’re working the front desk and someone that is not a Wellness Center Member is eating at the smoothie bar. After they finish, they decide to go downstairs (a prohibited area for non-members), what do you do?
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4. Imagine you’ve slept through your alarm and your shift started an hour ago. What do you do?
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5. How would you describe your working style?
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6. Imagine your best friend is breaking the Wellness Center rules, how would you confront this issue?
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7. Tell us about a challenge you faced at work, and how you dealt with it.
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8. We probably don’t know you, what do you feel like is important for us to know about you?
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Hours of Availability
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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