I have read the job description and requirements and agree to them Yes No
Student's name:
Student ID number:
Local Address
Home Town and State
Email Address
Class Status (current) Senior Junior Sophomore Freshman
Current Cumulative GPA
Major
Have you had any discipline history at Calvin? No Yes
If yes please explain:
Please describe your understanding of the importance of new student orientation:
What personal characteristics will define or enhance your contribution to the success of the Orientation Board and the entire orientation program?
Please describe how any relevant activities in which you have participated will impact your role as an orientation intern:
Please list below the names of three non-related references (e.g., professor, RD, Calvin staff, pastor, and employer) from whom you have requested references. Please do not use RAs as references, and make an effort to obtain references from different categories as well (e.g., 1 professor, 1 RD).
Name Position Phone Name Position Phone Name Position Phone
