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Summer Conference Housing

Please Fill out the form below to apply for a summer conference housing position.  Click Here to see job descriptions.

---------------------Personal Information-----------------

Your Name:

Local Address:

Permanent/Home Address:

Local Phone:

Email:

--------------------Fall 2017 Class Status----------------

Class Status:

UMass Student:

YesNo

Major:

---------------------Positions Available------------------

Select all positions you wish to apply for:
(Press Ctrl and click for multiple selections)

--------------------Past Work Experience:-----------------

Position 1:

Company/Organization 1:

Supervisor 1:

Phone Number 1:

Position 2:

Company/Organization 2:

Supervisor 2:

Phone Number 2:

----------------Please provide two references-------------

Name 1:

Phone 1:

Association 1:

Name 2:

Association 2:

Phone 2:

The information provided is true and accurate to the best of my knowledge.

Type your name here to sign: