First-Year Placement Program: Supervisor Request Form

*Required fields

*Supervisor:
*Email:
*Department:
*First-Year Job Title:
(Please submit a separate form for each different job title.)

*Number of available positions with this job title:

Please indicate which shift(s) are likely to be available to a student in this job:
Early Mornings
Afternoons
Evenings
Weekend
Late-night

Under which one or two categories would this job best be classified?
Academic, Library or Museum
Community & Alumni Relations
Customer Service and Retail
Food Service and Preparation
Office and Administrative
Security and Shuttle Driving
Technical and Computer

Please provide a brief description of the available positions

Previous experience required or preferred?
Yes
No

If yes, please indicate the required qualifications:
*Completed by:
*Date completed: