Updward Bound - Ohio Wesleyan University

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Employment Application (Summer)

If you are interested in working at Upward Bound during the summer, please fill out the online application below.

All fields marked in red * are required.

* Position(s) Desired:

Tutor

Office Assistant

Food Monitor

Residential Coordinator

* Name

* Present Address

* City

* State

* ZipCode

* Telephone No.

* Work Telephone No.
Social Security Number

* Permanent Address

* City

* State

* ZipCode

* Telephone Number

* E-mail Address

Experience

Please provide (if available) the following information about three previous working experiences you have had.

1. Employers Information

* Name

* Address

* City

* State

* ZipCode

Length of Employment:

* From:

* To:

* Position (Job Title and Classification):

* Duties Performed

* Reason for Leaving

2. Employers Information

Name

Address

City

State

ZipCode

 Length of Employment:

From:

To:

Position (Job Title and Classification)

Duties Performed

Reason for Leaving

3. Employers Information

Name

Address

City

State

ZipCode

 Length of Employment:

From:

To:

Position (Job Title and Classification)

Duties Performed

Reason for Leaving

Education

List all schools attended, most recent first.
School Name and Address Major/GPA Dates Attended Degree Received or Expected
1.*
*
*
*
2. *
*
*
*
3.



References

Please list three (3) people (not related to you) who can give reference to your abilities and skills. Two must be academic references.

* Name

*Address
* City

* State

* ZipCode
* Work Phone
* Home Phone
* Position 		* Name

* Address
* City

* State

* ZipCode
* Work Phone
* Home Phone
* Position 		* Name

* Address

* City

* State

* ZipCode

* Work Phone
* Home Phone
* Position
* Do You have prior Upward Bound experience?
yes no

If yes, please explain

* Write a brief statement about your strengths and weaknesses as they relate to working with the Upward Bound Program

* What unique experiences or qualifications will you bring to this Upward Bound experience?

* Do you have a valid drivers license?
Yes No

* Will you be available for a face-to-face interview on Ohio Wesleyan University's campus?
Yes No

* Prefered Data and Time for interview.

* I could tutor on Monday Evening Tuesday Evening Both Days

If you have any other comments or requests, please write them here (optional) :

* I hereby attest that all the information that is submitted here is true and is accurate to the best of my knowledge.

The Ohio Wesleyan University Upward Bound Program is committed to equal opportunity and does not discriminate on the basis of race, color, age, national origin, handicap, or other prohibited matters.

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