Project Contemporary Competitiveness
Advanced Studies Program
Desk Proctor Application 2009
PCC/ASP
At Bridgewater State College

 

 
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Desk Proctor Application 2009

 
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Print out this form and mail it to the address listed below.  The form is aligned to the left for easier printing.
You can also access the application in Microsoft Word format and Adobe PDF by clicking on the links below.


Application in MS Word format

 

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Project Contemporary Competitiveness, Inc.

Advanced Studies Program

P.O. Box 27

Bridgewater, MA 02324

(508) 279-3404 - (508)857-7424

Fax: 508-697-1027

Email:  rgerhart@bridgew.edu

 Desk Proctor Application

 

   Name ________________________________________________________

   Address ______________________________________________________

               ______________________________________________________

   Telephone __________________

   Date of Birth ________________

   Social Security#______________

   High School ___________________________________________________

   Current Grade Level  __________________

   Did you attend PCC?  _____________   Years?  ___________

   Work Experience  ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

  Do you have a driver’s license? ___________________________________

  Will transportation to and from PCC be available? ____________________

  Briefly explain your interest in the Desk Proctor Position.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

 

 

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