Office of Residence Life - University Housing



2015-16 COMMUNITY ADVISOR APPLICATIONPlease complete the following application and attach a resume to assist the staff in your candidacy for the Community Advisor position in Buckeye Village. Applications are due no later than Wednesday October 14th 2015 to Heather Dwyer, dwyer.82@osu.edu or Buckeye Village Office 2724 Defiance Dr, Columbus Ohio 43210.PERSONAL INFORMATIONName (last, first, middle) : FORMTEXT ?????Email Address: Cell Phone: FORMTEXT ?????Mailing Address: FORMTEXT ?????STUDENT STATUSField of Study, Enrolled College or Major: FORMTEXT FORMTEXT ?????Undergraduate degree (if received):Expected OSU Graduation Date: FORMTEXT ?????Current Status (Undergrad, Graduate, Professional):Cumulative GPA:Are you legally eligible to work in the United States? Yes FORMCHECKBOX No FORMCHECKBOX Will you now or in the future need Visa sponsorship for employment? Yes FORMCHECKBOX No FORMCHECKBOX Employment History(please list your two most recent jobs)Employer: FORMTEXT Dates Employed: FORMTEXT ?????Position/Title: FORMTEXT ?????Address: FORMTEXT ?????Job Responsibilities:Employer: FORMTEXT Dates Employed: FORMTEXT ?????Position/Title: FORMTEXT ?????Address: FORMTEXT ?????Job Responsibilities:Relevant ExperienceList any experience or other organizational work that you consider to be relevant to your ability to perform this job:References(Please provide at least two references that we may contact.)Name: FORMTEXT Position: FORMTEXT ?????Phone number: FORMTEXT ?????email: FORMTEXT ?????Name: FORMTEXT Position: FORMTEXT ?????Phone number: FORMTEXT ?????email: FORMTEXT ?????Name: FORMTEXT Position: FORMTEXT ?????Phone number: FORMTEXT ?????email: FORMTEXT ?????Additional Questions(please attach your answers and a resume)What is your understanding of the Community Advisor role? Describe any personal or professional experience and/or qualities, such as event planning, community development or crisis response, which you feel qualify you for this position. How will these experiences aid you in the Community Advisor position?Based upon the position description and additional information posted on the Housing website (), please tell us why you would like to work in Buckeye Village. I certify the answers on this document are true, to the best of my knowledge. I realize all the information furnished about myself will be verified by The Ohio State University and that any misrepresentation of facts may constitute cause for discontinuance in the selection process, a non-appointment or dismissal. I authorize all previous employers to cooperate with the University and to release, on a confidential basis any information concerning my employment, and further authorize University Housing access to my academic and/or student conduct records. I have read and am familiar with the position description and the terms of employment. I agree to abide by all University and University Housing regulations. __________________________________________ FORMTEXT ?????_____________Signature of Applicant Date The Ohio State University is an Equal Opportunity/Affirmative Action Employer.Qualified women, minorities, Vietnam-era veterans, disabled veterans and individuals with disabilities are encouraged to apply. ................
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