Department Assistant Job Application

Please fill in all fields or submission will not be successful.

Class#(or YEAR):

Name:

Address(During School Year):

Phone Number(During School Year):

Email Address:

Please list below, both facilities and equipment that you are proficient in using and would be able to offer assistance with:

Facilities:

Equipment:

Are you currently (or will be able to) qualify for OSAP?

Yes:No:

If you do not qualify for OSAP, are you willing to VOLUNTEER your service for FREE or receive Supplies in return for your services?

Yes:No:Possibly:

Please specify your availability by selecting the appropriate option from the dropdown boxes below:

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