Student Community Warden Application Form Name: Male / Female Oxford Address: Home Address: Phone: Phone: Student Number: D.O.B: Brookes Email Address: National Insurance No. or Proof of Eligibility to work in U.K Course Title: Course Level: Foundation Bachelor Yes / No Own a car: Year of study: Full driving License: Yes/No Educational Background What Pre-16 qualifications do you have? GCSE Other (please state): Name and Address of the School: What Post-16 qualifications do you have? A level: Access: European Baccalaureate: AVCE: BTEC: NVQ/GNVQ: International Baccalaureate: HND/HNC: Scottish Highers: Others (please state): Name and Address of the Institution: Page 1 of 3 Work Experience Please give any example of paid or unpaid work you have undertaken. (For the role of a Student Community Warden, we are particularly interested in any customer service experience.) Continue on a separate sheet if necessary. What skills did you gain from this work? Continue on a separate sheet if necessary. Why do you want to be a Student Community Warden? What attracted you to the job? Have you ever held a position of responsibility? If yes, what qualities do you feel were required for the role? Continue on a separate sheet if necessary. Page 2 of 3 Personal Interests Please state hobbies, sports or interests including any past or current club or society memberships you have including those at Oxford Brookes. Continue on a separate sheet if necessary Referees Please provide contact details for two referees: Name: Name: Address: Address: Phone: Phone: Email: Email: Relationship: Relationship: Please return completed forms to Andrea Siret in Gibbs G.224, Gipsy Lane Site, Headington Campus, or email [email protected] before Friday 11/04/2014. Rate of Pay: £9.39 per hour Hours of Work: Student Community Wardens are expected to work an average of up to a maximum of 5 hours a week during each semester. Page 3 of 3
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