Maryland Summer Center for the Arts at Salisbury University
Student Life Leader Application
Application Deadline:
Interviews:
Contract base pay:
Center location:
Residential contract dates:
April 30, 2015
You will be contacted May 3, 2015
$1,100 plus room and board
Salisbury University, Salisbury, Maryland
Friday, July 3, through Saturday, July 18, 2015
Mr. or Ms.
First: ______________ Middle: _______________ Last: ___________________
Date of Birth: ____ /____ /____
Email address: ____________________________________
Present Address (Valid from present through date: _______________)
Address:
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City:
______________ ______ State: _______ Zip: _________ Phone: _____________________
Additional Address if applicable (Valid from present through date: _______________)
Address:
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City:
______________ ______ State: _______ Zip: _________ Phone: _____________________
Undergraduate College (if applicable): _______________________________________________________
Major/minor: ______________________________________
GPA out of 4.0: ____________________
Semesters completed on campus: _________________
Date of Graduation: ________________
Graduate School (if applicable): _______________________________________________________ ______
Major/minor: ______________________________________
GPA out of 4.0: ____________________
Semesters completed on campus: _________________
Date of Graduation: ________________
Present employer and phone number (if applicable): ___________________________________
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Describe your experience supervising large groups of children.
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Describe your current involvement with the arts.
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Describe your experience supervising residential life: camps, dormitories, etc.
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What unique qualities and/or experiences can you bring to MSCA?
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Why do you want to be an MSCA counselor?
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How did you learn about MSCA? If you attended as a student, please list year(s) and course(s).
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Have you previously applied to be a counselor? If yes, please list years: ___________________
Do you currently have Red Cross or American Heart First Aid certification? Yes or No
If no, will you get this First Aid certification as a condition of employment? Yes or No
Are you willing to drive a fifteen-passenger van? Yes or No
Will you refrain from smoking while on duty? Yes or No
Have you ever been convicted of a misdemeanor or felony? Yes or No
If yes, please attach more information.
Are you willing to submit to a criminal record background check? Yes or No
Please provide two non-family references such as an employer or teacher:
Name: ____________________
Title/Business: ___________________________________
Phone: ____________________
Relationship: ___________________________________
Email: ____________________
Years of acquaintance: _____________________________
Name: ____________________
Phone: ____________________
Email: ____________________
Title/Business: ___________________________________
Relationship: ___________________________________
Years of acquaintance: _____________________________
READ AND SIGN:
I have reviewed the dates and times listed above and I understand that if hired I am needed for all
listed dates. I have personally completed this application and everything I have written is, to the
best of my knowledge, true. I understand that applying does NOT guarantee me an interview or a
position with the Maryland Summer Center for the Arts at Salisbury University.
Signature (email response may serve as the signature until a contract is received):
________________________________________________
Date: ___________________
Please do NOT send resumes or letters of reference. Please email this application to both:
Robert Smith, Director of the Maryland Summer Center for the Arts, msca@salisbury.edu
Wendy Whitford, MSCA Director of Student Life, whitfowl@shentel.net