Advertising Staff Application

Date: *

Last Name: *

First Name: *

Middle Initial:

OSU I.D. Number: *

Mailing Address: *

Apartment Number:

City: *

State: *

Zip Code: *

Phone Number:

E-mail:

Year in school: *

Freshman

Sophomore

Junior

Senior

GPA (accum): *

GPA (last term): *

Major: *

Minor: *

Position Wanted: *

Advertising Sales Representative

Assistant Business Manager

Work and volunteer experience

Name of Employer:

Responsibilities:

Please list the responsibilities and duties you performed at this job.

hrs/wk.:

please tell us how many hours you worked per week.

Employment Dates:

Name of Employer:

Responsibilities:

Please list the responsibilities and duties you performed at this job.

hrs/wk.:

please tell us how many hours you worked per week.

Employment Dates:

Name of Employer:

Responsibilities:

Please list the responsibilities and duties you performed at this job.

hrs/wk.:

please tell us how many hours you worked per week.

Employment Dates:

Detailed selling and Customer relations experience:

Activities, interestes, involvement, etc.:

Have you taken a DPD course?:

Yes

(DPD - Difference, Power, and Discrimination)

What other time commitments will you have during the next academic year?:

Do you have regular access to an automobile?:

Yes

Reference Name:

Relationship:

Phone Number:

Reference Name:

Relationship:

Phone Number:

Reference Name:

Relationship:

Phone Number:

By checking the box below, I indicate that I understand that the position for which I am applying is a year-long commitment, requires daily office hour(s), and work outside of the office. All of the information on this application is truthful, and my references verifiable.

I understand:

Yes

Your contribution to the Student Media Excellence Fund will help offset the cost of training and equipping Student Media students in their new home in the Student Experience Center scheduled to open in 2015. Thank you for supporting Student Media. See photos left:

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melissa.knowles@oregonstate.edu

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susan.coates@oregonstate.edu

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