APPLICATION PROCESS: The complete application form along with the following must be submitted to the UGA Residential Center Office (room 210 International Building, 1324 S. Lumpkin St.) by the specified RCWork application deadline; contact the office for deadline information (706-542-2244).

1. Resume 2. List of 3 references 3. 1 Recommendation letter in sealed, signed envelope, addressed to the below address or sent via e-mail to oxford@uga.edu, ugacr@uga.edu, or cortona@uga.edu. If it is sent via e-mail, please send it to the e-mail address of the program you participated in.

If your recommender prefers to mail the letter directly, please mail to:

UGA Residential Centers Attn: Margaret Faz-Perry

Room 210, International Building University of Georgia

Athens, GA 30602

RCWORKUGA Residential Center Alum Student Worker

The position requires employment in the Office of International Education working for the UGA Residential Centers (UGA at Oxford, UGA Costa Rica, and UGA Cortona) during the term you are hired.

Please note: All applications are considered only subject to available funding.

Program Attended: Please list here the Program for which you have applied; i.e. Franklin Fall 2013; or the Program you have attended.

WORK COMMITMENT:

Hours: This position requires employment in the Residential Center office at a rate of $8.00/hour. The typical semester commitment depends on student availability and the needs of the office. Please list the hours you will be available to work on Monday through Friday between 8 a.m. and 5 p.m. in the spaces provided below (blocks of time are appreciated - 3 or more hours at a time). Remember that hours must be worked for the term for which you are hired.

MONDAY-

TUESDAY-

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THURSDAY-

FRIDAY-Page One of Two.

Name (Print) Date

e-mail Cell Phone

VIOLATION RECORD: If any of your answers to the following questions is 'yes', you must submit a full statement of relevant facts. * required answer 1. Disciplinary Record (*) Are you currently, or have you ever been, charged with, subject to, disciplinary action including probation, suspension or expulsion for disciplinary misconduct at any high school, college, or university? If yes, please describe. 2. Academic Honesty Record (*) Are you currently, or have you ever been, charged with, subject to, disciplinary action including probation, suspension or expulsion for academic misconduct at any high school, college, or university? If yes, please describe. 3. Criminal Record (*) Have you been charged with, convicted of, or pled guilty or nolo contendere to a crime other than a minor traffic offense, or do you currently have any criminal charges pending against you? [Convictions shall include: A finding of guilty by a judge or jury, a plea of guilty, a plea of nolo contendere, a plea of no contest, an Alford plea to a criminal charge or a plea under the first offender act, irrespective of the pendency or availability of any appeal or application for collateral relief. If 'yes', explain fully, specifying the nature of the offense(s),the date(s) it/they occurred, the name and location of the court(s) and sentence(s) imposed. Please have the appropriateauthority submit official court documentation directly to the UGA study abroad program to which you are applying.] Records Release I hereby authorize officials at any educational institution that I have attended to release my disciplinary and academic records (including but not limited to records maintained by the Office of Student Conduct, the Registrar, the Department of University Housing, and/or the Office of the Vice President for Instruction) to the study abroad program leader of the program to which I am applying [or the office to which an am applying to be employed in]. I fully understand that my disciplinary records may be a factor in evaluating my application. I further acknowledge that the information provided on this application is true and accurate to the best of my knowledge. I fully understand that providing false information during the application process may be grounds for rejecting my application or grounds for dismissal from the study abroad program [dismissal from my employment]. STUDENT SIGNATURE ___________________________________________ DATE _______________________

Mail or submit in person: this application form; list of 3 references; recommendation letter in sealed, signed envelope, or via e-mail.

UGA Residential Centers Attn: Margaret Faz-Perry

Room 210, International Building University of Georgia

Athens, GA 30602 Page Two of Two.11/21/2016

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SKILLS: Please indicate any skills you possess and evaluate your skill accordingly. Select from the menu or print: No Experience, Beginner, Intermediate, or Advanced. Adobe Design Suite

Microsoft Excel

Marketing

Microsoft Word

Other relevant skills? Example: social media, publishing skills, etc.

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