SC&A is a proud partner of the Division of Student Affairs and is an equal opportunity employer

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Year In School
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Graduation Date
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01 – January 02 – February 03 – March 04 – April 05 – May 06 – June 07 – July 08 – August 09 – September 10 – October 11 – November 12 – December 2006 2007 2008 2009 2010

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Please check all of the following positions for which you applying:
*REQUIRED FIELD*

Student Centers Manager
Campus Concierge
Office Assistant
Web Page Manager
Campus Concierge Manager
Graduate Student Assistantship – Operations Manager
Graduate Student - Greek Life Advising w/ Campus Event Publicity
Graduate Student – Lead Student Centers Manager

How did you find out about this position?
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Have you ever worked for the university's division of student affairs?
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What current or past university student clubs/organizations do you belong to? Any leadership positions in these organizations?
*REQUIRED FIELD*

Primary Address:
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Primary Address:
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Emergency Contact Information:
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I give permission to contact any of the references on this form
*REQUIRED FIELD*

Character Reference #1
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Reference #2
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Please list any current or past work experience:

Work Experience #1

Work Experience #2

Work Experience #3

Please choose only seven of the follow traits that apply to your personality:
*REQUIRED FIELD*

Initiative
Dedicated
Customer service oriented
On-time
Good organization skills
Team player
Good writing skills
Basic accounting skills
Cash register experience
Supervised other employees
Detail oriented
Problem solver
Deals well with difficult people
Personable
Accepts constructive comments well
Flexible
Introvert
Extravert
Good sense of humor
Early riser
Late night person
Leader
Learn new skills
Love to teach
Efficient
Friendly
Comfortable computer skills
Creative
Responsible

List why you want to apply for this position in Student
Centers & Activities and what can you best offer?
*REQUIRED FIELD*

I understand that as part of the application process
my application will need to be approved by the
university's chief judicial officer and that I will need to
remain in good judicial standing during my employment.
*REQUIRED FIELD*

Additional Comments / Questions:

Signature _______________________________

Date ________________________

Print form to sign and submit to the Office of Student
Activities in Gengras Student Union 205. Applicants will be
notified by e-mail of interview status within two weeks.

For Office Use Only:

Interview Date

Hired? YES NO

Why?

References called [comments]:

Judicial Officer Clearance YES NO

Date: