Want to Work with UB?

Personal Information

Name*

First Middle Last

Birthdate*

Current Address*

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

Phone*

Email*

T-Shirt Size*

Primary Positions applying for*

Program Counselor
Residential Counselor
Resident Hall Manager
Nurse
Afternoon Services Coordinator
Math Instructor/Mentor
STEM Instructor
Science Instructor

Secondary Positions applying for*

Program Counselor
Residential Counselor
Resident Hall Manager
Nurse
Afternoon Services Coordinator
Math Instructor/Mentor
STEM Instructor
Science Instructor

Returning Summer Staff?*

Are you Life Guard Certified?*

Are you First Aid Certified?*

Reference 1

Name*

First Last

Title*

Email*

Phone*

Reference 2

Name*

First Last

Title*

Email*

Phone*

Personal Statements

What are your career goals?*

Describe the type of supervision with which you are comfortable working:*

Explain in a personal manner why you feel you would be an asset to Upward Bound. Include any personal, youth, and education oriented experiences as well as special talents, interests, etc...*

Please upload current resume*

Max. file size: 3 MB.

Upward Bound

STAFF FORMS

Summer Application

Personal Information

Reference 1

Reference 2

Personal Statements