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) *

Mobile Climbing Tower Assistant/ Operator

Archery Event Staff

Ropes Course Staff

Aerial Silks Assistant / Instructor

Other:

Required

Date *

YYYY

Local Address

Permanent Address

Phone Number *

T-Shirt Size (XS, S, M, L, XL)

UCSB Student? *

Yes

Other:

Expected Graduation (Month/Year) *

Which of the following quarters will you be available to work? *

Summer Session A

Summer Session B

Fall 23

Winter 24

Spring 24

Other:

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? *

Yes

Maybe (I'm really not sure)

Other:

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?

Yes

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Send me a copy of my responses.

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