Application for Summer Camp/Conference Assistant - SDSU
(Please Print or Type)
Personal Information
Name ( )
Last First Middle Preferred Name
Student ID Number Male Female T-Shirt Size
Current Address: Permanent Address:
Street and Number Street and Number
City City
State Zip Code State Zip Code
Telephone/Cell: () Telephone/Cell: ()
e-mail:
Educational Background
1. Will you be taking classes this summer? Yes No (If yes, please ATTACH a tentative class schedule.)
2. Will you be available daily and nightly from May 14, 2014 to August 22, 2014? Yes No
3. If not, which dates will you NOT be available and why?
Campus Work Experience
Please list any Residence Halls or SDSU Departments where you have worked at and the position:
1. Hall/Dept: / Position: / Date:2. Hall/Dept: / Position: / Date:
3. Hall/Dept: / Position: / Date:
*Please attach your resume to your application highlighting your previous work experience. Previous customer service experience preferred, but not necessary to be eligible.
References
Please list three (3) people who know you well and are willing to serve as references for you other than relatives and personal friends. At least one (1) of these persons must be a former supervisor.
Do you give us permission to contact your former employers/supervisors regarding your employment? Yes No
1. Name/Title: / Address: / Phone: ()2. Name/Title: / Address: / Phone: ()
3. Name/Title: / Address: / Phone: ()
Additional Personal Information
Could you verify that you are eligible for employment to legally work in the United States? Yes No
Have you ever been terminated from a position, or resigned in lieu of termination? Yes No
If yes, please describe the circumstances.
Have you ever been convicted, or currently under investigation for a sex related crime? Yes No
Have you ever been convicted, or currently under investigation of a felony? Yes No
If so, please provide details of the circumstances. Attach additional sheets as necessary.
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*Offers are contingent on the University’s verification of credentials and other information required by law and/or University policies, including, but not limited to, a criminal background check.
Certification of Information
I declare that the statements made in the application process are true and complete to the best of my knowledge. This includes, but is not limited to, all personal information, educational and occupational qualifications and credentials, and criminal history. I further understand that any false statements made in the application process may be grounds for immediate dismissal or for removal from consideration of employment.
Signature Print full name
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Date
Please Note: All application materials are due to the Department of University Housing and Residential Life, located in Caldwell Hall 167, by 5:00 p.m., Monday, April 14, 2014. If you have any questions regarding the application process please contact Harriet Dyer, Camps/Conferences Operations Manager or Matt Diischer, Camps/Conferences Operations Manager at 688-5148 by phone or by email at or .
*Please inform the Department of University Housing and Residential Life at 688-5148 of any changes in the status of your application such as your telephone and address changes.