Clemson University Online Forms

2018 Housing Summer Programs Staff Application

* Denotes a required field

Section 1: Student Information

Name *

First NameMiddle NameLast Name

Clemson Email Address *

name@example.com

XID Number *

Cell Phone Number *

-- Ext.

Home/Permanent Address *

Line 1
Line 2
, City, State, Zip

Local Address *

Line 1
Line 2
, City, State, Zip

Emergency Contact *

First NameLast Name

Emergency Contact Relationship *

Emergency Contact Phone Number *

-- Ext.

Academic Class *

Expected Graduation Date *

/ / (mm/dd/yyyy)

Cumulative GPA *

Section 2: Work Experience

Are you currently employed by a University Department? *

Yes
No

If you are currently employed by a University department, which department?

Are you currently working or have you ever worked for University Housing and Dinning? *

Yes
No

If you are currently working or have worked for the University Housing and Dinning, please include your position, dates of employment, supervisor's name, and reason for leaving this position.

Do you have any current or previous job experience other than at Clemson University? *

Yes
No

If you are currently working or have worked at other places than Clemson University, please list all previous employers, supervisors names, work dates, and reasons for leaving the position.

References

Please list two references that we may contact to discuss your potential for being an effective employee.


If you are currently or previously employed, one other reference listed must be a current or previous supervisor.


Reference #1 *

First NameLast Name

Reference #1 Relationship to Applicant *

Other:

Reference #1 Phone Number *

-- Ext.

Reference #1 Email Address *

name@example.com

Reference #2 Name *

First NameLast Name

Reference #2 Relationship to Applicant *

Other:

Reference #2 Phone Number *

-- Ext.

Reference #2 Email Address *

name@example.com

Positions & Availability

What position are you interested in applying for? *

Other:

If you are not selected for your first choice position, which position would be your second choice?

Will you need on campus housing for the summer? **Summer Assistants and Conference Aids are required to live on campus due to on call duties. *

Yes
No

Are you planning to take Summer school classes? *

Yes
No

If you are planning to take Summer School classes, which session(S) are you planning to schedule classes?

Other:

Are you planning to work or be involved in other activities that may affect your available, please list the activities and times you will be unavailable below. *

If you plan on taking summer school classes which session will they be taken?

Please list any restrictions that would keep you from preforming these task listed in the position descriptions for the job.

Have you been hired as and RA for the Fall 2018 semester? *

Yes
No

I agree that the above information is true and accurate to the best of my knowledge. I am fully aware that the applications process includes ad general check of my Clemson University academic and disciplinary records I hereby authorize Clemson University Housing and Dinning officials to check both my cumulative GPA and disciplinary record as a component of the Housing Summer Programs Staff selections process. I also understand that I must possess a 2.25 cumulative GPA and a positive evaluation during my appointment as a Housing Summer Programs Staff Member. *

Yes
No