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Telefund

Note: Please do not fill out this application until after you've spoken to someone in the Telefund office: (865) 974-3118.

Name (Last, First, Middle Initial): Name:

Local Address (include street, apartment or dorm box #, city, state and ZIPCode): Address:

Phone Number (include area code): Phone Number:

Email: Email:

Permanent Address (parent or at-home): Permanent Address:

Class Standing (Fr, So, Jr, Sr, Grad): Class Standing (Fr, So, Jr, Sr, Grad):

Major/College Affiliation: Major/College Affiliation:

What are some of your strengths that you feel would benefit the program? What are some of your strengths that you feel would benefit the program?

What are some positive UT experiences you have had that you could share with alumni during
your phone conversations? What are some positive UT experiences you have had that you could share with alumni during your phone conversations?

How many hours are you interested in working this semester, and which evenings
(Sunday through Thursday) are you available for work? How many hours are you interested in working this semester, and which evenings (Sunday through Thursday) are you available for work?

With all of the demands you have on your time, how will you balance your class work, work,
schedule and other commitments? (Our attendance policy is strict. You will be required to be at
work on time for the shifts you commit to working.) With all of the demands you have on your time, how will you balance your class work, work,
schedule and other commitments? (Our attendance policy is strict. You will be required to be at
work on time for the shifts you commit to working.)

Have you ever been employed by the University of Tennessee (yes/no)? Have you ever been employed by the University of Tennessee (yes/no)?

Are you currenty under active work study status (yes/no)? Are you currenty under active work study status (yes/no)?

Previous Employment 1: Name of Employer Previous Employment 1: Name of Employer

Previous Employment 1: Name of Supervisor Previous Employment 1: Name of Supervisor

Previous Employment 1: Address Previous Employment 1: Address

Previous Employment 1: Telephone Number Previous Employment 1: Telephone Number

Previous Employment 1: Dates of Employment Previous Employment 1: Dates of Employment

Previous Employment 1: Job Duties Previous Employment 1: Job Duties

Previous Employment 1: Reason for Leaving Previous Employment 1: Reason for Leaving

Previous Employment 2: Name of Employer Previous Employment 2: Name of Employer

Previous Employment 2: Name of Supervisor Previous Employment 2: Name of Supervisor

Previous Employment 2: Address Previous Employment 2: Address

Previous Employment 2: Telephone Number Previous Employment 2: Telephone Number

Previous Employment 2: Dates of Employment Previous Employment 2: Dates of Employment

Previous Employment 2: Job Duties Previous Employment 2: Job Duties

Previous Employment 2: Reason for Leaving Previous Employment 2: Reason for Leaving

List current campus activities with which you are involved: List current campus activities with which you are involved:

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