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 Major: Position For which position are you applying? Please choose your top preference in the list below. Position Preference - Select -Administration Student AssistantAsian, Pacific Islander, and Desi American Center Student AssistantAV TechBuilding ManagerCross Cultural Center Student AssistantCoyote Lanes AttendantEvent Operations Student AssistantFinancial Literacy Center Graduate AssistantFinancial Literacy Center Student AssistantFirst People’s Center Student AssistantGraphic Design Student AssistantGraduate Student Success Center Graduate AssistantGraduate Student Success Center Student AssistantInformation Desk AttendantInformation Technology Student AssistantLatinX Center Student AssistantMaintenance Student AssistantMarketing Student AssistantOsher Adult Re-entry Center Student AssistantPan African Center Student AssistantProgram Board Student AssistantQueer and Transgender Resource Center Student AssistantRancho Mirage Student Center Student AssistantScheduling Student AssistantWomen’s Resource Center Student Assistant 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 semesterly GPA of 2.0 or above? - Select -YesNo Do you have Federal Work Study? - Select -YesNoDon't Know 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, pdf, doc, docx.25 MB limit per form. Graphic Design Portfolio (Graphic Design applicants only) If you are applying for the Graphic Design Student Assistant position please upload your portfolio in pdf format. One file only.20 MB limit.Allowed types: pdf.25 MB limit per form.