Davidson County Community College


		A-Z Index \| Contact Us \| Campus Safety \| Directions

Part-Time Staff Interest Form

Directions: Please complete and click on SUBMIT

Important: Completion of this form does not substitute for completion of the Davidson County Community College Employment Application. Completing and submitting this Part-Time Staff Interest Form will help us know in what areas you are interested in working. We will contact you for follow-up if it is determined that your employment goals match the College’s needs. The information collected on this form will be kept confidential and used only to identify and follow up on your interests for part-time staff employment with DCCC.

All contact fields are required

First Name:

Last Name:

Address:

City:

State:

Zip:

Phone Number (Day): (Example: 3361239999)

Phone Number (Evening): (Example: 3361239999)

Phone Number (cell): (Example: 3361239999)

E-mail Address:

List all Degrees, Certifications, Licensure, or subject matter expertise/experience you have:

In what areas are you interested in working?

	Clerical/Office		Food Services (Davidson campus only)
	Lab Assistant		Other:

Briefly describe your related work experience:

Describe any computer or technology skills you have:

Are you fluent in any foreign languages? yes no

Indicate languages:

In which location are you interested in working?
Davidson County Davie County Either location

When are you available to work? (check all that apply)
morning afternoon evening