Student Life Intern – Respect Application Form PLEASE PRINT CLEARLY! Name: Student ID#: Home Phone: Cell Phone: E-mail: Address: City: Postal Code: Campus: Doon Cambridge Waterloo Guelph School: Business and Hospitality Engineering and Information Technology Health & Life Sciences and Community Services Liberal Studies Media & Design Trades and Apprenticeship Program: Program Year/Semester: / Age (not mandatory, for statistical data collection only): under 19 19-20 21-25 26-30 31-39 Are you registered as an International Student? 40-49 Yes Are you returning to full-time studies for 2015-2016? 50+ No Yes No How did you hear about this job opportunity? (Please select all that apply)  Faculty  LCD Screen Ad  Connect Leadership Workshop  Staff  Student Life Website  Info Desk  Other Students  Student Life Bulletin Board  Respect Campaign Workshop  Poster  Student Life Display Booth  My Career Other______________________ Have you been involved with Student Life? If so, how?  Information Desk Staff  Student Life Office Assistant Campus Service Learning:  Student Life Leader  Student Life Intern  Cultural Diversity Week  Orientation Leader  Connect Leadership Workshop  Health & Wellness Week  English Conversation Partner  Academic Placement  Other________________________ Application Process Please submit the following by midnight on Sunday April 5, 2015 In Person: Doon - Student Life Department (Room 2A101-2) Waterloo - Campus Administration Office  Application Form Guelph – Welcome Centre  Cover Letter and Resume Cambridge – Atrium Front Desk E-mail: [email protected] Fax: 519-748-3573 Please note: Only candidates selected for personal interviews will be contacted. Selected candidates will be invited by e-mail to sign-up for an interview. Please ensure that your current e-mail address is included on the application form. Thank you for your interest in this paid leadership opportunity with the Student Life Department! Please contact us if you have any questions about this position: [email protected]