Student Involvement & Leadership Development

Common Leadership Application

Contact Information

Office of Student Involvement and Leadership Development
Phone: 508-626-4615
Fax: 508-626-4939
e-mail: sild@framingham.edu

Questions about Student Transportation:
Phone: 508-215-5920
e-mail: transportation@framingham.edu

» Collegiate Link

» McCarthy Center Electronic Sign Board Submission Form

The Common Leadership Application is designed to collect basic applicant information for paid leadership positions on campus. Applicants are responsible for submitting the required supplemental materials for each position he/she wishes to apply. Applicants wishing to apply for multiple positions only need to submit one Common Leadership Application. This application is not for the returning employment process.

* Indicates a required field.

Positions applying for (check all that apply): * First Year Foundations Peer Mentor
Student Admissions Representative (SAR)

FSU ID: *

Full Name: *

Email Address: *

I. Demographic Information

Campus/Local Address:

Street Address *

Address continued

City *

State *

Zip *

Summer Address:

Street Address *

Address continued

City *

State *

Zip *

Contact Numbers

Primary Phone:

( )

Secondary Phone:

( )

II. Academic Information

Anticipated Date of Graduation (Semester and Year): *

Major:

Concentration:

Minor(s):

2011-2012 Residence Type: * ResidentCommuter

Will you be involved in a student teaching, internship, or study abroad experience next year? * YesNo

If yes, please explain:

Please list any extracurricular activities you have participated in while a student at FSU, including clubs, organizations, jobs, and/or activities.

III. Employment History

List employers, beginning with your present or last job (on- and off-campus). Include military service and verified work performed on a volunteer basis. Please account for lapses in work.

If none, please enter NA below.

Employer #1

Name and Address of Employer:

Supervisor’s Name:

Start Date:

End Date:

Job Title and Duties:

Reason for leaving:

Employer #2

Name and Address of Employer:

Supervisor’s Name:

Start Date:

End Date:

Job Title and Duties:

Reason for leaving:

Employer #3

Name and Address of Employer:

Supervisor’s Name:

Start Date:

End Date:

Job Title and Duties:

Reason for leaving:

IV. Applicant Statement and Signature

I certify that all answers given herein are true and complete to the best of my knowledge. I authorize Framingham State University to seek references and investigate all statements contained in this application for employment as it may be necessary in arriving at an employment decision. I release from liability any persons, companies, institutions, organizations and schools supplying such information. I understand that false or misleading information given or significant omissions made by me in this application or during any interview(s) may be sufficient for denial of employment or discharge if discovered after employment begins. I understand that the receipt of this application does not imply that I will be employed.

By typing my full name I am agreeing to the above statement. *

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