Eastern Michigan University Date Turned in______
Department of Diversity and Community Involvement 2009-2010 Student Staff Job Application
Instructions: There are four (4) parts to this application. Be sure to READ and complete ALL FOUR sections THOROUGHLY. Incomplete applications may not be considered. Please print or type.
PART I – General Information
LAST NAME FIRST NAME M.I.
EMU Student # E-mail Address
Local Address Permanent Address
City/State/Zip City/State/Zip
Phone ( ) Phone ( )
Class Status (Fall 2007) Please circle one.
Fr So Jr Sr Grad Cumulative GPA
Anticipated Graduation Date Major Minor
Were you eligible for College Work Study this year (2009-2010)? ____Yes ____No
Have you applied (or will you apply) for financial aid for next year (2009-2010)? ____Yes ____No
Please check the position(s) or program area for which you are applying. For Job Descriptions and more information contact Diversity Programs, 346 EMU Student Center, 487•3118.
_____ LGBT Resource Center Student Coordinator _____ America Reads Tutor
_____ LGBT Resource Center Programmer _____ Jumpstart AmeriCorps Member
_____ Center for Multicultural Affairs Student Coordinator _____ VISION Office Assistant
_____ Center for Multicultural Affairs Programmer _____ VISION Center Student Coordinator
_____ Women’s Center Student Programmer _____ VISION Center Student Programmer
_____ Women’s Center Student Coordinator ( Alternative Breaks, Best Buddies, GREEN,
_____ DCI Student Web Master Habitat for Humanity, Kid Konnection, One-Day
Events, SAHAH, VOICE)
Check which semesters you are available to work:
Spring term 2009 ____ Summer term 2009 ____ Fall term 2009 ____ Winter term 2010 ____
Under the Family Educational Rights and Privacy Act of 1974, the student has the right either to review his or her records or file in the University or waive access to them. If you wish to waive access to them, please sign below. This means, I authorize the release of information regarding my EMU academic and/or discipline records to Diversity and Community Involvement staff.
Signature of Applicant: ______________________________________________________
Part II – References:List two references that we may contact, not family or friends (EMU reference preferred):
Name Name
Title/Dept Title/Dept
Phone Phone
PART III – Skills l Experience l Commitments: attach an additional sheet if necessary
v Describe previous experience and/or employment relevant to the position(s) for which you are applying:
v Describe your personal characteristics and skills that are relevant to the position(s):
v What is your available work schedule for Spring-Fall (2009) and Winter-Summer 2010? Tell us about activities, employment, class load, and personal commitments that might impact your availability.
v What kinds of skills, abilities, knowledge and/or other attributes do you hope to develop through this position?
PART IV – Brief Statement
v On a separate sheet of paper, please complete a brief statement explaining why and how life and involvement outside of the classroom is important for college students. If applicable, you may also use this opportunity to expand on the personal impact campus programs have had on you.
For questions or to return completed applications please contact
Diversity and Community Involvement, 346 EMU Student Center, 734.487.3118
