Office of Financial Aid 620 George Street · New Brunswick · New Jersey 08901-1175

Online Services: http://studentaid.rutgers.edu · Phone:  732.932.7057 · FAX:  732.932.7385

 

 

PEER COUNSELING PROGRAM APPLICATION

 

 

Please print legibly or type.

 

 

 

Name _____________________________________ Social Security #___________________________ School Code _______

 

Permanent Address _____________________________________________________________________________________

                                                   Street                     Apt.  #                                                           City                              State            Zip code

 

 

 

Email Address  __________________________________________________Major _________________________________

 

   Campus                                                      Home                                  Campus

Class ___________ Address (P.O.#)____________________ Phone ________________ Phone________________________

 

 

 

Circle the academic period(s) that you are available for work:         SUMMER       FALL        SPRING     

 

Are you taking summer classes? [   ] Yes  [   ] No   If yes, give the days and times ______________________________________

 

 ____________________________________________________________________________________________________

 

Please list your previous work experience:    __________________________________________________________________

 

 

 

 

____________________________________________________________________________________________________

 

 

Signature    _____________________________________________________ Date__________________________________

 

When completing the work schedule below, please keep in mind that our office hours are from 8:30am – 5:00pm, Monday through Friday.

 

 

WORK SCHEDULE [Place an X in the area(s) that you are available for work.]

 

Monday

Tuesday

Wednesday

Thursday

Friday

First Period

8:30 – 9:30am

 

 

 

 

 

Second Period

9:50-11:10am

 

 

 

 

 

Third Period

11:30am-12:50pm

 

 

 

 

 

Fourth Period

1-2:30pm

 

 

 

 

 

Fifth Period

2:50-4:10pm

 

 

 

 

 

 

 

 

 

This completed application must be returned to the Office of Financial Aid at the address listed above.  If dropping the application off, our campus address is Room 140 Records Hall, College Avenue Campus.

 

 

§         A financial aid representative will contact qualified applicants to schedule an interview.

 

§         Qualified applicants must submit a resume at the time of interview for the position.