You must have JavaScript enabled to use this form. Student Information Last Name: First Name: Middle Address City State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zipcode Email Telephone: Cell Phone: Coyote ID: Are you registered in 6+ units? - Select -YesNo Class Standing: - Select -NoneFreshmanSophmoreJuniorSeniorGraduate Student Position & Ranking For which position are you applying? Please choose your top preference in the list below. First Preference: - Select -NoneGraphic AssistantLifeguard/Swimming InstructorFitness StaffPersonal TrainerOffice AssistantSport ClubsGroup Exercise InstructorIntramurals Staff/OfficialsMembership Services StaffMarketingAdventure (Trips, Rentals, and Ropes)Ropes (Leadership Challenge Center and Climbing Wall)Well-being Student AssistantStudent Equipment Maintenance CustodianGraduate Assistant, Programs at Palm Desert CampusGraduate Assistant, Operations & Risk ManagementGraduate Assistant, AdventureAdministrative Assistant to the Director Certifications Select all that apply CPR/AED First Aid Other Other... CPR/AED Exp. Dat: First Aid Exp. Date: Other Exp. Date: Other... Exp. Date: Eligibility/Work Status Are you eligible to work in the United States? - Select -YesNo Have you ever been dismissed from employment? - Select -YesNo If yes, please explain: Do you have a minimum cumulative and quarterly GPA of 2.0 or above? - Select -YesNo Do you have College Work Study? - Select -YesNo If yes, what is your award amount? If you've worked at CSUSB before, list the last department worked: What interests you in this position? What previous experience do you have that is relevant to this position? Please upload a resume. Resume: One file only.2 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.2 MB limit per form.