CLiA Community Outreach Associate

Name*

First Last

Class Year*

Williams/PeopleSoft ID#*

Please include only the 7 numerical digits without the preceding W.

Unix ID*

Preferred Email*

Enter Email Confirm Email

Phone*

Schedule & Availability

How many hours per week would you like to work?*

Please indicate your schedule of availability, including days of the week (Mon-Fri) and ranges of time during the business day (9am-6pm).*

Please provide your best estimates based on your current schedule. We realize this may change during the add/drop period or as you confirm other activities, but it will be helpful to have an initial sense of your availability.

Indicate if you would like to work during the Fall, Winter Study and/or Spring semester.*

Check all that apply.

Fall
Winter Study
Spring

Transportation

Driving is not a prerequisite for the position, but it is helpful information for us to have available.

Do you have a car?*

Yes
No

Do you have a valid driver's license?*

Yes
No

Are you already an approved student driver of college vehicles?**

Yes
No

If not, are you willing to become certified to drive a college vehicle and/or Zipcar?

Yes
No

Interests & Experience

Why are you interested in this position?*

What aspects of the Center for Learning in Action's work most interest you?*

Indicate any relevant experience you have.*

About

Academics

Admission & Aid

Life at Williams

CLiA Community Outreach Associate