UB Summer Employment Application - Form Builder

Full Legal Name*

Preferred Name (if different than above)

Local Mailing Address (Including street, city, state, zip code)*

Preferred Email Address*

Telephone Number*

Date of Birth*

Social Security Number (information is encrypted for security)

Truman Banner ID

Which summer position(s) would you like to be considered for?

Check all that apply.*

Summer Course Instructor

Residence Hall Mentor

Interest Group Leader

Publications Advisor (Photography, Yearbook, Videographer)

Night Supervisor

Career Internship Coordinator

Variety Show Director

Bridge to College Mentor

RESIDENCE HALL APPLICANTS: Indicate the areas in which you would be comfortable assisting high school students. Remember that, for these academic subjects, the tutoring would be in high school level coursework.

INSTRUCTOR APPLICANTS: Indicate the class section(s) you are interested in teaching.

OTHER applicants: Proceed to the next question.

Tutoring and/or Teaching Areas

Mathematics: Geometry

Mathematics: Algebra II

Mathematics: College Algebra, Trigonometry

Mathematics: Calculus

Mathematics: Statistics

Language Arts: Critical Reading

Language Arts: Literary Analysis

Language Arts: Writing

Science: Biology, Anatomy, Physiology

Science: Chemistry

Science: Physics

History

Social Sciences: Psychology, Economics, Sociology, Political Science

College & Career Planning

Journalism/Yearbook

Time Management & Goal-setting

Study Strategies and Note-taking

Foreign Language: Spanish

Foreign Language: French

Please provide Upward Bound with a copy of your RESUME that details your educational background, employment history, and relevant skills. You can either upload your resume now or send it via email to ubub@truman.edu.

Please provide Upward Bound with a copy of your COLLEGE TRANSCRIPTS. Unofficial transcripts are sufficient. You may upload a copy of your transcripts or email a copy to ubub@truman.edu.

INTEREST GROUPS are elective classes students select to particpate in that offer the opportunity for exploration of interests and hobbies in an interactive environment. Interest groups meet twice per week during summer session.

Residence Hall staff are required to lead interest groups, other staff may elect to lead an interest group if schedules and interest align (but it is optional).

In which areas do you have an interest, as well as skills that would make you a good candidate to lead an interest group?

Possible Interest Groups*

I am not available to lead an interest group.

Photography

Cooking

Outdoor Experiences

Organized Team Sports

Fitness/Weights

Dance/Group Fitness

Team-building activites, challenge courses

Arts/Crafts

Painting and/or Drawing

Anime

Yearbook, Desktop Editing

Computer Programming

Drama/Theatre

Vocal Music

Instrumental Music

World Experiences/Culture

Book Club - Reading & Discussion

Relationship Discussion

REFERENCES

List the name of two full-time professionals who are willing to submit a recommendation on your behalf. Upon submission of this application, your recommenders will be sent a link to complete a reference form on your behalf. Therefore, it is very important that you provide an accurate email address and let your recommenders know to expect the link via email.

Waiver of Access to View Letters of Recommendation

The Family Educational and Privacy Act of 1974 (FERPA) allows applicants the option to retain access to forms and letters of recommendation submitted on their behalf. Do you wish to waive your right to access this information in the future?*

YES - I waive access to view this form and any attached letter of recommendation.

NO - I do not waive access to this form and any attached letter of recommendation.

Reference #1: Include Name, Job Title, and Email Address.*

Reference #2: Include Name, Job Title, and Email Address.*

Please describe which skills, qualifications and experiences you possess that would enable you to effectively work and interact with students and parents served by the Upward Bound Project. Detail any experience you have supervising and/or leading high school students.

List any other hobbies, interests or organization involvement relevant to this position. If there is other information (experiences, background, accomplishments) you feel is imporant to consider when reviewing your application for employment with Upward Bound, include it here.

What experience do you have using learning management systems/platforms for hybrid learning and remote instruction? List specific technology tools you are comfortable using for virtual instruction and communication.

Note: For Publication position applicants (photographer, videographer, yearbook editor): Please detail your expertise and experience with relevant software, equipment and techniques. Submit a sample of previous work.

Are you certified to teach in the State of Missouri?*

Yes

No

I am in the process of obtaining certification.

Are you authorized to transport under-age students in University vans?

Please do not answer 'yes' unless you have a driver's license, a safe driving record, and are willing (with training) to operate a 14-passenger van with minor passengers.*

Yes - already certified to drive University vans

Not now, but would be willing to complete training to become certified

No - am not certified to drive University vans and am not interested in getting trained

Have you ever been arrested or charged with any violation including traffic, but excluding parking tickets? (Yes or No)*

Yes

No

If yes, please list all such matters even if not formally charged or no court appearance, or found not guilty, or matter settled by payment of fine or forfeiture of collateral.

Have you ever been fingerprinted for employment purposes and, if so, when?*

If you are applying for a residential position, please confirm below that you are aware that you cannot take University classes during a summer position with Upward Bound.*

Yes - I understand that residence hall staff cannot enroll in summer coursework.

N/A - I am not applying for an in-residence summer position.

Do you have interest in the possibility of a part-time job for the next academic year?

Yes

No

Unsure

Please type your full legal name below to indicate that you have read and agreed to the following:

I understand that falsification or omission of information can lead to refusal to hire or to immediate discharge. I hereby give Upward Bound my consent to check references. I agree that I will not hold Upward Bound personally responsible for any result of the reference checks. I understand that employment is subject to a background check and may be subject to passing a drug test. If employed, I give Upward Bound permission to publish pictures, press releases, video footage or use other media to highlight my involvement with the program.*

For an application to be complete, Upward Bound must be in receipt of:

a completed application form
two reference forms
unoffiicial college transcripts and
a resume

Feel free to call UB (660.785.4244) to assure all application materials have been received.

Upward Bound is an affirmative action program which seeks employment applications from those groups which are traditionally underrepresented in higher education and professional careers.