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Application for Production Assistant
Name:
Email:
Net ID:
Campus Address:
Best way to contact you:
Major:
Permanent Address:
Graduation Year:
Cell Phone:
Why are you interested in the Conference and Event Services Production Assistant position?
Please list your previous job experience (on and off campus):
Please describe the most significant contribution you have made to your community—extracurricular activities, previous
employment, volunteer experience etc.
Describe qualities, interests, and experiences you have that would contribute to your success as a Production Assistant.
Please tell us about your previous customer service experience. Describe your approach to customer service.
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Application for Production Assistant
Describe your communication style. Specifically address how you would communicate with our campus partners in
custodial services, catering, campus faculty and staff, guests, and with our local business partners.
Give an example of a situation that required you to pay attention to detail.
Judicial Record:
□ I have
□ I have not
been found responsible for a UVM policy violation resulting in a sanction of or greater than probation that would still be in
effect at the start date for employment.
I grant to the Department of Conference and Event Services the right to obtain information from the Dean of Students Office
and from the Center for Student Ethics and Standards information related to whether I have a judicial record and, if I do, the
conduct violation(s) for which I have been found responsible. Accordingly I authorized the Dean of Students Office and the
Center for Student Ethics and Standards to release such information to Conference and Event Services.
Signature:
Date:
Criminal Record:
Have you ever been convicted of a crime or moving vehicle violation?
Date of Conviction:
Offense:
Disposition of Case:
Driving Record:
All Conference and Event Services production crew must have a valid driver's license, good driving record, take University
vehicle training, and be able to operate University vehicles. In order to become certified, you must have a valid driver’s
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Application for Production Assistant
license and complete the UVM Motor Vehicle Record Review Authorization Form. Please review the information located
here.
Emergency Contact:
Name: ______________________________________________________ Phone: (____) _________________
Address: __________________________________________________________________________________
Relationship to Candidate: ______________________________________________________________________
Application Certification Statement:
I certify that the information given on this application is true and correct.
I understand that any false information, willful or negligent misrepresentation, or failure to disclose any requested
information relating to the contents of this application will constitute sufficient grounds for the University of Vermont to
terminate my employment. I further understand that the University will adhere to the provisions of all applicable laws,
including whenever applicable, the Fair Credit Reporting Act concerning securing, documentation, handling and release of
information obtained in the pre and post-employment investigation. Employment is contingent upon completion of
successful background check and position specific pre-employment screening.
By confirming below, I certify that I have read and agree with these statements.
Signature: __________________________________________________ Date: _________________________
Print Name: _______________________________________________________________________________
If you have questions, please contact Conference and Event Services at 656-5665
Please e-mail this application to Chris Sanford at Christopher.Sanford@uvm.edu or deliver paper application to
Conference and Event Services | The Villa, 220 Colchester Avenue | Burlington, VT 05405-0306