Please select
one of the following: Spring
2010 Fall 2010
Both
Personal
Information:
First Name:
Last Name:
Middle Initial:
Name You Prefer:
Colleague ID Number:
Email Address:
Local
Address:
If you have
lived in University housing, please list where:
Educational
Background
Academic Major:
Minor:
Current class standing:
Freshman
Sophomore
Junior
Senior
Graduate
When do you anticipate graduating?
(Semester/Year):
Number of semesters enrolled at
SDSU (including current semester):
References
List the names
and email addresses of two individuals who can serve as a reference. We prefer
one be a staff member of the Department of Residential Life. We will send the
reference form to them.
Hall Preference
Please select
your hall preference below. We do our best to place you in the building that we
feel you will work best in, but we do try to consider your preferences. If you
do not have a preference, just select no preference for each box.
|
First Choice |
Second Choice |
Third Choice |
|
|
|
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Interested in an LCC or AA position?
If you are
not hired to be a Community Assistant, would you like to be considered for an
LCC (Learning Community Coordinator) or an AA (Academic Assistant) position?
|
Yes/No |
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Self-Evaluation
Please answer
the following question:
1.
What do you hope to accomplish with the CA Position?
Additional Personal Information
If you mark
yes to either of the questions below you will be contacted for further
information:
Have you
ever been convicted of, pled nolo contendere to, or received a deferred or
suspended sentence for a felony in this or any other state, territory or
country?
Yes
No
Have you
been found responsible for a violation of SDSU Judicial Code?
Yes
No
Certification of Information
By
submitting this application, I declare that the statements made in the
application process are true and complete to the best of my knowledge. I
understand that false statements may be grounds for immediate dismissal or for
removal from consideration.
For
positions starting in January of 2010, applications must be received by November
4, 2009. Interviews for positions starting in January will take place on
November 9-10, 2009.
For
positions starting in Fall 2010, applications must be received by February 5,
2010. Interviews for positions starting in Fall 2010 will take place on
February 9-11, 2010.
After your
application is received, a Residential Life staff member will call you to
schedule an interview time.
Note:
Please inform the Department of Residential Life at 688-5148 of any changes in
the status of your application, particularly telephone and address changes.
South Dakota
State University is an Affirmative Action/Equal Opportunity Employer
(Female/Male) and offers all benefits, services, educational and employment
opportunities without regard for age, race, color, religion, sex, disability,
national origin, sexual preference or Vietnam Era veteran status. Women and
minorities are encouraged to apply. Proof of eligibility for employment status
is required by the Immigration Reform and Control Act of 1986. Disabled
applicants requesting reasonable accommodations during the application process
should contact Disability Services at (605) 688-4493 (TT/Voice (605) 688-4394).