Campus Recreation Application
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First Name *
Last Name *
Tech Email *
T-Number *
Cell Number *
Are you a citizen of the United States or an alien eligible for employment under the immigration laws of the U.S.? (Student visa requires work permit) *
Hometown *
Emergency Contact Name *
Shirt Size *
What year of school are you? *
Expected graduation Date *
Are you living on campus? *
List current on-campus involvement *
Are you work study eligible? *
Are you CPR/First Aid Certified? *
What experience with sports do you have? *
Have you ever officiated any sports, if so what sport and what level?( Pee-wee, Jr. High, high school, etc.) *
Personal Reference with contact information. *
Personal Reference with contact information. *
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