Name
Local Address
Phone
Email
Novell Z-ID
Date of Birth
What position are you applying for? Student Staff Assistant Intern Volunteer
Are you applying for Work Study for the upcoming year? Yes No Uncertain
If Yes, what is your Work Study award amount?

University Status

Year in School 1st yr 2nd yr 3rd yr 4th yr Grad
Major/Minor
Cumulative GPA

Background Information

How did you learn about the WRC position?
Are you volunteering for a class or student organization requirement? Yes No
If yes, what is the name of the class or organization?
Please list all organizations or activities which you are involved in.
Please list any full or part time work experience that you may have had while at NIU or in high school.
Please list any honors or awards which you received during your college or high school career.

Employment/Volunteer Interests

Please list your hours of availability for each day between 8:00 a.m. – 4:30 p.m., Monday – Saturday, to establish a regular working schedule.
Why do you want to be a team member at the WRC?
List the leadership skills that you have which will assist you in being an effective, contributive team member of the WRC?
Based on your current experience, explain why you feel you should be selected as a team member?
Discuss some of the most memorable programs you have attended that were presented by the WRC?
WRC Teams: The center operates on the philosophy of working together as a team. We require that you indicate which team you are interested in working in depth with. Please check as many boxes as applicable. Marketing/Social Media
Workshops/Presentations
Office Administration
Program Research and Development
Resource/Referral
Advocacy