LIBRARY AIDE LHS INFORMATION SCIENCES

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STUDENT EMPLOYMENT APPLICATION

FOR OFFICE USE ONLY
Department:
Hiring Manager:

SEPARATE APPLICATIONS SHOULD BE FILLED OUT FOR EACH LIBRARY DEPARTMENT PLEASE PRINT CLEARLY
PRINT Last
First
PATWA
NISHANT
Home Address
City
2215, WEST WAHINGGTON BLVD.
CHICAGO
Telephone Number
E-mail address
(312)-721-2004
npatwa2@uic.edu

Middle

UIN
656155008
State
Zip Code
60612
ILLINOIS
Position & Department applying to:
LIBRARY AIDE, LHS- INFORMATION SCIENCES

GENERAL
U.S. Citizen?

Yes ✔ No

Permanent Resident? ✔ Yes

No

Country of citizenship: INDIA
If no: type of visa: F1
Person to be notified in case of emergency:
FRIEND & ROOMMATE
Name: _________________________________________________________ Relationship: ___________________________
TARUN BANSAL
Address: 2215, WEST WAHINGGTON BLVD.
Does the University now employ any of your relatives?

Telephone: (312)-721-2982

✔ No

Yes

Department

Relationship

If yes: Name

Have you ever been employed at the University of Illinois before?

✔ No

Yes

If yes, when?
Do you currently work on campus?

Where?
West side
East side
Yes ✔ No If yes, name of department: ____________________________________

Do you have Federal Work Study?

Yes

Your current enrollment status?

Freshman

✔ Graduate Student

No
Sophomore

Junior

Senior

MANAGEMENT INFORMATION SYSTEMS
Major? ___________________________________________

Undergraduate Student

EDUCATION
Name and address of institution:
(Include city and state)

Dates attended
From
To

High School
THE EMERALD HGHTS. INT. SCHOOL
College/University
RAJIV GANDHI TECH. UNIV.
College/University
UNIVERSITY OF ILLINOIS, CHICAGO

Hours, Credits,
Degree, or
Certificate

Did you
graduate?
Yes or No

06/07

05/09

COMPLETED HIGHSCHOOL

YES

08/09

05/13

BACHELOR OF ENGINEERING

YES

08/14

12/15

MASTERS OF SCIENCE

NO

Technical, Professional, or Specialized...
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