UB Academic-Year Employment Application - Form Builder

Full Legal Name*

Local Mailing Street Address (Including house or apartment number)*

Local Mailing Address (City, State, Zip)*

Preferred Email Address*

Telephone Number*

Date of Birth*

Social Security Number (information is encrypted for security)

Truman Banner ID

Which academic-year position(s) would you like to be considered for?

Check all that apply.*

Academic Coach/Tutor

Student Services Coordinator

Remote/Virtual Tutor

How many hours a week are you available to work (up to 20)?*

Please indicate below the times that you are available and interested in working for Upward Bound. We travel to high schools Tuesday, Wednesday, and Thursday afternoons. Exact departure and return times vary based on travel distances, but ideal availability would be 1:30-7pm; however, some small alterations might work such as 2:30-6:45pm. We also provide remote tutoring most nights from 6:30-8:30pm.

So, let us know what afternoons (and specific times) you are available Tuesdays, Wednesdays, and Thursdays. And if you are interested in serving as a remote tutor, which evenings from 6:30-8:30pm Sundays - Thursdays you expect to be available.*

Indicate below 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.*

Mathematics: Geometry

Mathematics: Algebra II

Mathematics: College Algebra, Trigonometry

Mathematics: Calculus

Mathematics: Statistics

Language Arts: Writing and Grammar

Language Arts: Literary Analysis

Science: Biology, Anatomy, Physiology

Science: Chemistry, Physics

Social Studies: History, Government

Social Sciences: Psychology, Economics, Sociology, Political Science

Post-Secondary Enrollment (College Applications & Career Planning)

Financial aid assistance

Time management & goal-setting

Study strategies & note-taking

Foreign Language: Spanish

Foreign Language: French

Please describe specific qualifications or skills you possess that would enable you to effectively work and interact with students and parents served by the TRIO Upward Bound Project [rural students who will be first-generation college students and are from income-eligible backgrounds]. Detail any experience you have supervising 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 important to consider when reviewing your application for employment with Upward Bound, include it here.

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, send it via email to ubub@truman.edu or deliver a paper copy to Adair Building 300.

Please provide Upward Bound with a copy of your COLLEGE TRANSCRIPTS. Unoffical transcripts are sufficient. You may upload a copy of your transcripts here, email a copy to ubub@truman.edu or deliver a paper copy to Adair Building 300.

REFERENCES

List the name of two full-time professionals who you have asked 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.

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

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

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.

Are you interested in summer employment with Upward Bound?

Yes

No

Unsure

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?*

Are you certified (or willing to become certified) 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

Yes - would be willing to complete training to become certified

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

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 or review of driving record (if responsible for driving a University van). 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

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