Employment Application - Adams State Adventure Programs

What is your name? *

What is your email address? *

What is your phone number? *

What is your address? *

What is your student ID number? *

Do you qualify for Work Study funding? *

What year in school will you be in the Fall? *

Please select your year in school according to what you will be this coming Fall based on your number of credits.

Mark only one oval.

Freshman
Sophomore
Junior
Senior

What is your degree and major? *

If Undecided, please write Undecided.

Employment history #1:

Please address the following: Employer, Address, Dates of employment/ Supervisor, phone number, email address/ a brief description of your experience.

Employment history #2:

Please address the following: Employer, Address, Dates of employment/ Supervisor, phone number, email address/ a brief description of your experience.

Technical Skills:

If you have any PROFESSIONAL experience with any of the above mentioned technical skills, please explain:

Educational Skills:

If you checked any of the boxes to the previous question or have an experience in which you were the INSTRUCTOR, please describe at least one experience. (What did you teach? How did you teach it? What was your rationale or reason for teaching the way you did? What was the outcome?)

Human Skills:

What is your greatest strength? Why?

Human Skills:

What is your greatest weakness? And how are you working to improve this attribute?

Human Skills:

When working in groups, how clearly do you express ideas, feelings and reactions to that group.

Mark only one oval.

	1	2	3	4	5
I don't express my ideas, feelings, and reactions to others. Select a value from a range of 1,I don't express my ideas, feelings, and reactions to others., to 5,The members of my group can clearly process and understand exactly how I am feeling and what I am thinking.,.						The members of my group can clearly process and understand exactly how I am feeling and what I am thinking.

Human Skills:

How would you create 4 equilateral triangles if I gave you only 6 Popsicle sticks? (If you can't quite figure it out, please write down your problem-solving processes.)

Medical Skills:

Please check if you have any of the following medical training:

Check all that apply.

Application for Adventure Leadership & Programming Minor

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