SI Leader Application

Thank you for your interest in becoming an SI Leader. The application process has three steps:
  • Step 1: Fill out this initial application. All applicants meeting the minimum eligibility requirements will go on to step two.
  • Step 2: After submitting your application, you will be contacted by email and asked to answer some additional questions. Based on your responses in step one and step two, you may be invited to interview.
  • Step 3: If you are invited to interview, we will work with you to arrange a time for the interview. Hiring decisions will then be made.

Applications will be accepted until all positions are filled.

Qualifications:

  • 3.0 cumulative GPR at time of employment.
  • Earned a grade of A or B in the class.

Notice: State law requires that you be informed of the following: (1) you are entitled to request to be informed about the information about yourself collected by use of this form (with a few exceptions as provided by law); (2) you are entitled to receive and review that information; and (3) you are entitled to have the information corrected at no charge to you.

Complete the following information:

Your Name (First, Middle Initial, Last):

Your Phone Number:

Your Email:

Your Major:

Please list the courses for which you would like to be an SI leader in order of preference. Your indicated preferences will not exclude you from consideration for other openings:
1.

2.

3.

4.

Describe how you studied for the class for which you are interested in being a leader. Include how you read, how you took notes, and how you studied for exams.

For each SI that you attended, please list the semester, the class, the name of your SI Leader, and how often you attended.

What is your understanding of the purpose of SI?

Please list any previous formal or informal experience which you think would help you as an SI leader.

STATEMENT OF PURPOSE

Please write a brief essay indicating why you are interested in being an SI leader. Include how you believe this program would fit into your goals, and why you believe you would be an asset to the SI program.

REFERENCES (Please include one academic reference)

1. Name:

Nature of Relationship:

Phone:

Email:

2. Name:

Nature of Relationship:

Phone:

Email:

3. Name:

Nature of Relationship:

Phone:

Email:

By sending this email, you certify that the facts contained in this application are true and complete to the best of your knowledge, and understand that, if employed, falsified statements shall be grounds for dismissal.

You further authorize investigation of all statements contained herein and the references and employers listed above to give us any and all information concerning previous employment and any pertinent information they may have, personal or otherwise, and release this department from all liability for any damage that may result from utilization of such information.

If you have any questions about completing this form call 845-2724 or come to room 118 Hotard Hall.