Student Technology Assistance Center Application - Western Carolina University

Information Technology at Western Carolina University

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Technology Assistance Center Application

(Please be sure to fill the application out in its entirety.)

Last

First

Middle

Nickname

Permanent Address
City
State
Zip
Permanent Phone

Campus Address
City
State
Zip
Campus Phone

E-Mail Address

FR

SO

JR

SR

Grad

Year in School (Select One)

Student ID Number
Birthday
Grade Point Average

Do you have Work Study hours?
Yes No Number of hours per week requested

Monday

Tuesday

Wednesday

Thursday

Friday

Sunday

9 - 10 am
10 - 11 am
11 - 12 pm
12 - 1 pm
1 - 2 pm
2 - 3 pm
3 - 4 pm
4 - 5 pm
5 - 6 pm
6 - 7 pm
7 - 8 pm
8 - 9 pm

Do you have any particular qualifications that suit you to work at the TAC? If so, please list below: (this may include courses, workshops or seminars that you have taught or taken, software that you use frequently, etc.)

Have you previously worked on campus? Yes No
If so, where?

Please list three faculty members who could evaluate your performance.

1.
2.
3.

I attest that all the information supplied on this application is true to the best of my knowledge.

Yes