Midtown Advisor Application - Summer 2019
Email address *
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Date of Birth *
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Best Email Address To Reach You *
Your answer
Your Cell Phone Number *
Your answer
Home Address (Street Number, Street Name, City, State, Zip Code) *
Your answer
Are You Available from June 17 - August 4, 2019? *
If you answered "No" above, please explain what days you would have to miss and why.
Your answer
Who referred you to the Midtown Summer Advising program? *
Your answer
Did you ever attend Midtown as a student? *
Where did you go to high school? *
Your answer
Where do you go to college? *
Your answer
What is your college GPA? *
Your answer
Current Year in School *
What year do you plan to graduate college? *
Your answer
What is your college major? *
Your answer
What is your college minor, if any?
Your answer
What extracurricular activities are you involved in? *
Your answer
Have you worked a job before? If yes, please provide: the name of your most recent employer, the position you worked, the dates you worked, and your most recent employer's phone number.
Your answer
If you have worked more than one job before, please provide the same information as above for your second most recent employer.
Your answer
What experience do you have working with young people? *
Your answer
What are your favorite hobbies or interests? Are there any particular sports you like to play? *
Your answer
Midtown summer advisors wear Midtown polo shirts. What polo shirt size are you?
Provide the full name of the person we should contact if there is an emergency while you are at Midtown. *
Your answer
What is this emergency contact person's relationship to you? (For example, mother, father, etc.) *
Your answer
Emergency contact phone number *
Your answer
In 2000 characters (approximately 300 words) or less, explain why you want to volunteer at Midtown this summer. *
Your answer
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