Personal Information

Semester:
 
First Name
 
Last Name
 
Middle Initial

Local Address

Local Address line1
 
Local Address Line 2
City
 
State
 
Zipcode
 
Home Phone
Cell Phone

Permanent Address

Permanent Address Line1
Permanent Address Line 2
City
State
Zipcode
Home Phone
Cell Phone

Student Status

CMU Global ID
@cmich.edu  
CMU Student ID
Major
Class Standing:
 
Anticipated Graduation Date
/
Number of Credit Hours registered for:
Do you have any commitments to another employer that might affect your employment with us?
If yes, How many hours per week?
Have you been previously employed by Central Michigan University?
If yes, please list the department(s):



Certifications

Expiration Date:
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Personal Trainer

ACE Expiration Date:
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ACSM  Expiration Date:
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AFFA  Expiration Date:
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Group Fitness Leader Certification

ACE  Expiration Date:
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ACSM  Expiration Date:
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AFFA  Expiration Date:
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Employment History

May we contact previous Employers listed on your resume?
Referred by:
I hereby certify that all the information on this application is true and complete. I authorize University Recreation to contact all sources necessary to verify this information. I understand that any misstatement or omission is sufficient grounds for immediate discharge.

I also understand that I will be required to work some mornings, evenings, weekends and holidays.
Sign your name here:   
Attach your Cover letter here:
 
Attach your Resume here: