First Name:

Last Name:

Email Address:

Current Mailing Address

     Address Line 1:

     Address Line 2:

     City:

     State:

     Zip:

     Phone Number:

Permanent Mailing Address

     Address Line 1:

     Address Line 2:

     City:

     State:

     Zip:

     Phone Number:

Year at Wake:

- Freshman
- Sophomore
- Junior
- Senior

Major/Intended Major:

GPA:

Class Schedule (to arrange interview):

Are you a full time student?

- Yes
- No

Scholastic Distinctions or Honors:

Extracurricular/Personal Activities

If applying for an RTA position, please list your first 7 preferences of residence hall assignment (1=first, 2=second,...). Please remember that while we attempt to place staff in the residence dorm of choice, we cannot guarantee that this will occur in all cases.

Underclass Residence Halls:

     Bostwick

     Babcock

     Collins

     Johnson

     Luter

     Palmer/Piccolo

Upperclass Residence Halls:

     Davis

     Kitchin

     Poteat/Huffman

     Taylor/Efird

     Tech Quarters/Polo

Work Experience

     Current/Most Recent Employer

     Employer Name:

     Street:

     City:

     State/Country:

     Zip:

     Telephone Number:

     Position/Title:

     Date of Employment - mm/yyyy to mm/yyyy:

     Previous Employer

     Employer_Name:

     Street:

     City:

     State/Country:

     Zip:

     Telephone Number:

     Position/Title:

     Date of Employment - mm/yyyy to mm/yyyy:

May we contact these employers?

- Yes
- No

Which ISSP programs interest you? (select however many you want)

- Administrative Assistant worker
- Asset Management Assistant
International Computer Assistant
      - London
      - Salamanca
      - Venice
      - Vienna
- Knowledge2Work
- Multimedia Assistant
- Resident Technology Advisor (RTA)
- Student Support Consultant (Help Desk)
- Student Technician (Tech Shop)
- Student Technology Advisor (STAR)
- Technology Quarters
- The Student
- WIN/Research and Development Assistant

How did you hear about ISSP and why are you interested?

What do you feel you would bring to the program(s)?

Briefly describe any skills that may qualify you for ISSP:

Is there any additional information that you would like us to know about you?