University of Vermont


Facility Specialist Employment Application

First Name:
Last Name:

What semester are you applying for?

UVM Classification for the upcoming academic year:

Primary Telephone:

Did you receive work study for the upcoming academic year? Yes No
If yes, amount/year:

Please mark ALL the certifications you may currently have:
First Aid

Please list any experience you may have working with tools, repairing machines/equipment, and how this experience will help you as a current student and/or when you graduate.

Problems with submission? Contact Blake Simpfenderfer.

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