UCSB Adventure Programs Staff Application
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Email *
First Name - for legal docs *
Preferred Name
Last Name
 *
Pronouns
Position Desired (Please be specific) *
Required
Date *
MM
/
DD
/
YYYY
Local Address
Permanent Address
Phone Number *
T-Shirt Size (XS, S, M, L, XL)
UCSB Student? *
Expected Graduation (Month/Year) *
Which of the following quarters will you be available to work? *
Required
Are you available over the Summer? If so, when? *
Emergency Contact Name and Relationship? *
Emergency Contact Phone *
What experience and training do you have that qualifies you for this position? No experience DOES NOT disqualify you as a staff candidate. We provide training on top of any previous experience. 
Please list current certifications with expiration dates.
Why do you want this position? *
How will your time commitment with Adventure Programs fit with your current academic, work, extracurricular, etc. schedule? *
Are you eligible for UCSB Work Study? *
How did you find out about the position?
Please include two references: (Name, Position, Company or School, phone number, and email for each)
Do we have permission to contact these references?
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