PEER ACADEMIC COACH

Complete and submit the following application. Completion of this form does not guarantee employment.

Upon hiring, you will need to complete Employment Eligibility and tax forms in the HR office and provide the following identification BEFORE you may begin working on campus. You will need:

U.S. Passport or work eligible foreign passport or visa OR
Social Security card and Driver's License (or other state issued photo ID) OR
Birth Certificate and Driver's License (or other state issued photo ID)

All documents MUST be originals and cannot be photocopies.

*Some positions may be subject to a background check.

Name*

First Name

Last Name

Student ID#*

Cell Phone #

Summer Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

Year in School *

Sophomore Junior Senior

Major*

Minor

Cumulative GPA*

Have you ever been convicted of a felony?*

Yes No

If yes, please provide date and nature of conviction

Note: A conviction is not an automatic bar to employment

Were you previously employed by Bethel University?*

Yes No

If yes, which department and when?

Are you legally eligible for employment in the United States?*

Yes No

Why would you like to be a Peer Academic Coach?

What strengths and experiences do you bring to the position?

What extra-curricular time commitments (including work) are you involved in?

Describe your Christian experience, including your current state of spiritual development. Are you currently in an accountability relationship? What role does God's Word play in your life?

As a freshman, what was your biggest struggle academically? How do you think you could help others, based on your own experience?

Please give an example of how you handle discouraging situations.

What else would be helpful for us to know about you that was not asked on this form?

Are you willing to commit yourself to attending all of the required events related to Peer Academic Coaching? This includes a half day training in August around the start of school and monthly meetings with other Peer Coaches to troubleshoot*

Yes May have a conflict - let's talk it over

References

List below four reference in the Bethel community that we may contact, who support your application (please print the job description to show them what they are endorsing, as this is a new program).

Faculty member*

Staff (or 2nd Faculty member)*

Student*

Bethel University does not discriminate on the basis of age, color, ethnic/national origin, disability, race or gender in its education programs, admissions or employment policies.

Employment is on an "at will" basis and for no definite period and may, regardless of the time and manner of payment of wages, be terminated at any time with or without cause by the University or the employee.

I intend that the information on this application is true and accurate. I understand that lying on an employment application is grounds for immediate dismissal.

Student Signature

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Use your mouse or finger to draw your signature above

Questions? rachel.kennedy@betheluniversity.edu (AC-033)