Volunteer/Work Study Application Form

Program:
Name:
Address:
City:     State :     Zip :
Phone:
Campus Address:
City:     State :     Zip :
Campus Phone:
Email:
What City are you from:
If Chicago, What High School:
No. of Years in attendance at IIT:    GPA:
Foreign Language (Specify):
Work-Study Student:       If Yes, view your Job-Listings here
First Aid:
CPR:
Drivers's License
Are you a member of any IIT Student Organization? (if yes, please specify):
Reason(s) for wanting to Volunteer
Would you like to be involved in other volunteer programs? (if yes, please specify):
Please list any relevant Volunteer or Work experience:   (Please include references, address & phone)
Do you have your own transportation?
Hours/day you are available to work/volunteer :
Any Physical or Health Restrictions? (Specify):

Make sure to check your form before you submit it.