STUDENT TECHNICIAN PROGRAM

Student Technician Program

Apply Online

Fields marked * are required.

First Name *
Last Name
Address *
Address Cont.
City *
State *
Zip *
Telephone (Primary) *
Telephone (Other)
Email *
How did you hear about us?
By whom were you referred?

Which Student Technician Program Area(s) interest you? (Select up to 3)

Self-Instructional Computer LabsTNS Switchboard
Student Technology Support CenterAssistive Computing Resource Center
Media Services/Coyote One CardCoyote Radio Marketing
Professional DevelopmentCoyote Radio
ACM Administrative OfficeVideo Production
Campus PhotographyCoyote Radio Promotions
Graphics and MultimediaCoyote Radio Programming
Web Development
Other position:

General Information (Check all that apply)

Have you been granted work study? *	YesNo
Will you be living on campus? *	YesNo
Are you an international student? *	YesNo

Class Standing (Check all that apply)

FreshmanGraduate
SophomoreOther
JuniorJust applied to attend CSUSB
Senior

Current Major
Expected date of Graduation

Do you have any prior experience in the area(s) of interest? If so, please describe.

Please attach a copy of your resume.