2012 Orientation Summer Staff Application
New Student Programs Phone: (607) 777-4986 Fax: (607) 777-2918 E-mail:
Local Address/Residence Hall
Binghamton University E-Mail address
How do you prefer to be contacted?
Local or Cell Phone
How did you hear about the Summer Staff position?
Past Staff Member
Why are you interested in the Summer Staff position?
Please describe your qualifications relevant to this position.
What activities, organizations, or clubs have you been involved with that would help you prepare for this position?
Do you plan on taking courses this summer?
If you are planning on taking courses during the summer, what session and at what time do you plan on taking courses?
Do you need the housing incentive this summer?
Please provide the names and contact information (e-mail or phone #) of two references. At least one of the references should be a Binghamton University faculty or staff member.
I, the applicant, understand that by signing this form, I authorize the Office of Student Conduct to release my disciplinary record to Elizabeth Staff and Pete Nardone and to verify any information regarding my judicial record that may be included in my Summer Staff application.
Please include an electronic signature (print your name), your b-number, and the date in the text box below.
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