Residential Advisor Application

Applications accepted until all four positions are filled.
Materials required to apply:

NCMC Application for Employment (included within this form)
Enrichment Class Descriptions and Scenario Questions (included within this form)
Official or Unofficial Transcript(s) (Applicant provides)
Signed Employment Agreement(included within this form)

Personal

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

School Email(Required)

Personal Email(Required)

Position applied for:(Required)

Where did you learn of this opening?

Can you provide legal proof of eligibility to work in the United States?(Required)

Yes

List any other experience, skills, or qualifications that should be considered in evaluating you for employment opportunities.(Required)

Education

High School/G.E.D.(Required)

Name and Location of School(Required)

Course of Study(Required)

Did you Graduate?(Required)

Yes

Degree or Diploma(Required)

College(Required)

Name and Location of School(Required)

Course of Study(Required)

Did you Graduate?(Required)

Yes

Degree or Diploma(Required)

Upload your Official or Unofficial Transcript(s)(Required)

Drop files here or

Accepted file types: docx, doc, pdf, , Max. file size: 98 MB, Max. files: 3.

Have you ever been convicted of a crime?(Required)

Yes

State names of relatives working for NCMC and their relationship to you:

Are you able to work a night/weekend schedule?(Required)

Yes

T-Shirt Size(Required)

Math(Required)

Course Completed

Grade Received

College or High School Level

Science(Required)

Course Completed

Grade Received

College or High School Level

Spanish(Required)

Course Completed

Grade Received

College or High School Level

English(Required)

Course Completed

Grade Received

College or High School Level

Name(Required)

First Last

Address, phone, e-mail(Required)

Company(Required)

Years known(Required)

Name(Required)

First Last

Address, phone, e-mail(Required)

Company(Required)

Years known(Required)

Name(Required)

First Last

Address, phone, e-mail(Required)

Company(Required)

Years known(Required)

Employment History

Company(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Supervisor(Required)

State Job Title and Describe Your Work:(Required)

Phone(Required)

Employed from (State month and year)(Required)

Employed to (State month and year)(Required)

Reason for leaving(Required)

Ending Salary $(Required)

Company(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Supervisor(Required)

State Job Title and Describe Your Work:(Required)

Phone(Required)

Employed from (State month and year)(Required)

Employed to (State month and year)(Required)

Reason for leaving(Required)

Ending Salary $(Required)

Company(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Supervisor(Required)

State Job Title and Describe Your Work:(Required)

Phone(Required)

Employed from (State month and year)(Required)

Employed to (State month and year)(Required)

Reason for leaving(Required)

Ending Salary $(Required)

Company(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Supervisor(Required)

State Job Title and Describe Your Work:(Required)

Phone(Required)

Employed from (State month and year)(Required)

Employed to (State month and year)(Required)

Reason for leaving(Required)

Ending Salary $(Required)

Conduct assigned classes and keep an accurate record of attendance.
Prepare instruction in an area of personal interest appealing to the Upward Bound students
Previous areas offered: Fitness, Arts & Crafts, Outdoors, Cooking, Computers, Problem Solving, etc.

ENRICHMENT CLASS DESCRIPTION
Please write below TWO brief course descriptions of classes you would like to teach and give them each a name.

Class 1(Required)

Class 2(Required)

Two of the students in your class would rather be in another class but had to take your class because the others were full by the time they signed up. Neither one of them really wants to participate and it is bringing the morale of the class down. What do you do?(Required)

You notice that a few students have taken to like you as an RA. They begin to want to come to your classes and be a part of your group for off campus trips and activities even though they’re in another group. They also wish to confide with you but only when no other TLs or staff are present, as well as wanting your phone number or snapchat so they can reach you while off campus. What do you do in this scenario?(Required)