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College of Alameda Safety Aide Application
Welcome! Thank you for showing interest in applying to be a safety aide for College of Alameda in the 2016-2017 academic school year.

Email your resume to the student activities email.

All applications are due on July 11,2016.

For any questions, comments or concerns, you could email us at coa.activities@gmail.com.

Full (Legal) Name: *
Please print your name as it is registered with the Peralta Community College District.
Your answer
Peralta Student ID#: *
Your answer
Street Address, City, State, Zip Code: *
Your answer
Primary Phone: *
Your answer
Mobile Phone: *
(if not Primary Phone)
Your answer
Email Address: *
Your answer
Current Overall GPA: *
Your answer
Current Major/Minor/Certificate Program: *
Your answer
Number of Semesters enrolled in the Peralta Community College District: *
Planning to Transfer? *
Expected Graduation Date: *
Your answer
Are you eligible for work-study grant? *
If yes, how much is your work-study award?
Your answer
Preferred Gender Pronoun: *
(They/Them, She/Her, He/Him)
Your answer
Sexual Orientation:
(optional)
Your answer
Race/Ethnicity:
(optional)
Your answer
Do you speak more than one language? If so, what language(s)?
Your answer
Have you submitted your resume by emailing coa.activities@gmail.com?
What best qualifies you to be in the Safety Aide position? *
Minimum 50 word response
Your answer
Why are you interested in being a Safety Aide? *
Minimum 50 word response
Your answer
Will you have other on or off-campus responsibilities during the 2016-2017 academic year in addition to this position? If yes, please list below, including work, volunteer work, internships, and involvement in student organizations, hours, and locations. (Example: Employer/Organization; Position Title; Hours Per Week; Duties) *
Your answer
Applicant Signature: *
I certify that all answers and statements on this application are true and complete to the best of my knowledge.  I understand that, should this application contain any false or misleading information, my application may be rejected or my employment with this department terminated. (Please print full name.)
Your answer
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