Roanoke College Phonathon Application Fall 2011

Submit this application via email to Laura Rawlings by

4:30 p.m. on Wednesday, August 31

NO PHONE CALLS

Name: RC ID #:

Email: Birthday (mm/dd/year):

Campus Box #: Off Campus Address:

Cell Phone #: Class of:

Major: Minor:

Advisor: Total GPA:

Why are you interested in the Phonathon caller position? If selected, you must be available to work at least two shifts per week (Monday, Tuesday, Wednesday, Thursday and Sunday from 6:00 p.m. – 8:30 p.m.).

Have you ever worked as a student worker at Roanoke College? If yes, please list the Department and your supervisor’s name.

Have you pleaded “no contest” to, or been convicted of, a first-degree misdemeanor or a felony? If yes, explain fully.

Please list any extracurricular activities in which you are involved (on and/or off campus).

Employment History - Please list your employment information starting with the most recent.


1). Employer & Job Title:
Supervisor Name & Title:

Supervisor Phone Number and Email:

Reason for leaving:

2). Employer & Job Title:
Supervisor Name & Title:

Supervisor Phone Number and Email:

Reason for leaving:

References
Please list two (2) persons who are not related to you and who are not college students, who have knowledge of your work qualifications. Please include their name, relation to you, phone number, and email.


1). Name: Relation to you:

Phone Number: Email:

2). Name: Relation to you:

Phone Number: Email:


Note: Federal law requires proof of your authorization to work in the U.S. You will be required to provide proof of your identity and employment eligibility by the first day of employment/work. Remember if you are hired as a Phonathon student caller you must complete all tax forms with proper identification before any payroll timesheets can be submitted/processed.

Authorization & Certification
I hereby authorize Roanoke College to verify all information contained in this application and any supplement hereto. I certify that these statements are true and complete to the best of my knowledge. I further understand that any false statements made by me on this application, or any supplement hereto, may be grounds for immediate discharge or rejection from consideration for further employment, along with pursuit of academic integrity violations of the student conduct board.

I also understand that completion of this application does not guarantee that I will receive an interview for the position of Phonathon student caller. Should I receive an interview, I understand that I am not guaranteed a position as a Phonathon student caller.

Electronic Signature: ______Date: ______

Signature: ______Date: ______

(You will sign your application by hand if invited in for an interview. Otherwise, your electronic signature constitutes authorization and certification.)

*****Remember to submit this application via email (no phone calls please) to

Laura Rawlings on or before Wednesday, August 31 at 4:30 p.m.

If selected, interviews will take place on Thursday and Friday, September 1 &2.

Phonathon callers will start Monday, September 12.