Name: S.S. or Student I.D:

Address: City:

State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Phone: Email:

IIT Information:

Years at IIT: GPA: Foreign Language(s) Spoken:

Work Study Student: Yes: No:

Volunteer Information

First Aid: Yes: No:

CPR: Yes: No:

Drivers License: Yes No

Own Transportation: Yes No

Are you a member of and IIT Student Organization? (if so please specify)

Hours/days you are available to work?

Copy and paste resume here