Center for Civic Engagement

UR Downtown Student Employment Application

A. General Information

* Indicates a required field
*First Name *Last Name *Email
UR Box Number *Campus Phone (###)- ###-#### Cell

* Campus Address
*Major Minor *Expected Graduation Year

* Have you received a Federal-Work Study award for the 2009-2010 academic year?
Yes
No

If yes, for how much? ($ . )

* Are you a Bonner Scholar?
Yes
No

* Are you a varsity student athlete?
Yes
No

If yes, note that student athletes who secure on campus employment must notify
the Director of Compliance in the Athletic Dept.

B. Previous Employment
*Job Title:
*Department:
*Supervisor:
*Dates Employed:

* Primary Job Responsibilities:
*Reason for Leaving
Job Title:
Department:
Supervisor:
Dates Employed:

Primary Job Responsibilities
Reason for Leaving

C. Short Answer Questions

Please list the activities and organizations you are involved in on campus.
Organization:
Position/Role:
Dates Active:
Primary Responsibilities:
Organization:
Position/Role:
Dates Active:
Primary Responsibilities:
Organization:
Position/Role:
Dates Active:
Primary Responsibilities:
Organization:
Position/Role:
Dates Active:
Primary Responsibilities:
Organization:
Position/Role:
Dates Active:
Primary Responsibilities:

*Describe your community service experiences.

List any courses you have taken related to social justice and/or civic engagement.
Course Name:
Professor:
Date Taken (semiester/year) :
Course Name:
Professor:
Date Taken (semester/year):
Course Name:
Professor:
Date Taken (semester/year):
Course Name:
Professor:
Date Taken (semester/year):
Course Name:
Professor:
Date Taken (semester/year):

*Which position are you applying for?:

  1. Student Coordinator-III, UR Downtown 
  2. Marketing & PR Coordinator, Center for Pro Bono Service
  3. Night Operations Manager, UR Downtown

Explain why you are interested in becoming a UR Downtown student employee, and what skills and special interests you bring to the position.

D. References

Please list two faculty or staff references (Name, Phone Number, Relationship).
Name:
Phone Number:
Relationship:
Name:
Phone Number:
Relationship:

E. Work Availability

*Please list the days and times that you are available to work.
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Please note that the following roles will be expected as part of the Student Coordinator-III position:
  • General Office Support
  • Special events support (Note: Occasional evening and weekend hours may be required.)
  • Legal clinic support (Note: Must SIGN a confidentiality statement. Junior/Senior preferred)
  • Communications and Web support
   

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