University of San Diego: United Front Multicultural Center
STUDENT INTERN APPLICATION 2016-17

Please rank the top three positions you are interested in:
[ ]Link [ ] Programmer
[ ]Student Org Liaison [ ] Web Master/Graphic Designer
[ ]Newsletter/Communications [ ] Outreach
[ ] Social Media [ ] Special Projects

PLEASE PRINT OR TYPE
Name ______USD ID # 00 ______
Mailing Address______
Permanent Address ______
Cell Phone #: ______Email Address: ______Year: ______
Currently working at USD? [ ] Yes [ ] No If not, have you worked at USD within the last year?[ ] Yes [ ] No
Would you accept another UFMC position from your top choices if offered? [ ] Yes [ ] No
Do you have work-study? [ ] Yes [ ] No If yes, how much? ______
VOLUNTEER AND LEADERSHIP

Please list current and prior experiences in community and campus activities, student organizations, student government or other student programs that may be relevant to this position:
______

REFERENCES

Please list (2) references (i.e., supervisor, advisor, professor, etc.) who can comment on your skills and abilities.
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NAME POSITION/TITLE TELEPHONE #

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NAME POSITION/TITLE TELEPHONE #

EMPLOYMENT HISTORY

List your work experience below, beginning with your present or most recent position. Describe each position separately, giving special attention to experience relating to the position for which you are applying. Attach additional sheets and/or a recent résumé, if necessary.
#1) Employer’s Name and Address: ______

Supervisor’s Name and Telephone #: ______

Position/title: ______From ______to ______Hrs/wk ______

Duties (be specific): ______

______

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#2) Employer’s Name and Address: ______

Supervisor’s Name and Telephone #: ______

Position/title: ______From ______to ______Hrs/wk ______

Duties (be specific): ______

______

______

REQUIREMENTS FOR A COMPLETE APPLICATION
[ ] Include a one to two page statement detailing why you are interested in a position with the United Front Multicultural Center and elaborate on what skills you would bring to the Center. Please be as detailed as possible.
[ ] A conciserésumé.
[ ] All fields on application completed.

CONDITIONS OF EMPLOYMENT & REQUIRED DATES

Conditions / 2016-17 Dates / Initial to Confirm Availability
Complete New Hire Paperwork / TBA
Participate in Fall Staff Training / September 10, 2016
Participate in the GTY Retreat* / September 23-25, 2016
Attend All Bi-weekly Staff Meetings / TBA
Attend 3 Staff Development Events Per Semester / TBA
Participate in Spring Staff Training / February 4, 2017

* Only required once for new and/or returning staff that has not attended GTY previously.

I certify that all applicable fields and statements on this application are true to the best of my knowledge.
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SIGNATURE DATE