Application Form

HIRE! Supervisory Certificate for students

1. Preference will be given to applicants in 2nd year and above of undergraduate studies or students
enrolled in a graduate program.
2. Preference will be given to applicants currently in a supervisory role, or who have had such a position in
the past.
3. All students are encouraged to apply.
4. Attach a resume, e.portfolio or CCR if applicable.
5. The deadline for all applications is November 27th, 2015
6. The program runs from January, 2016 March, 2016.
7. Email application and attachments to HIRE! Selection Committee at: hire@mun.ca

Name:

Phone:

Program of Study:

Email:
Year of Study:

Student Number:

Undergraduate

Graduate

Contact Information (Current)

Street Address:

Postal Code:

City:

State your most current/relevant paid or volunteer position and describe how it relates to the HIRE!
Program.

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Please Attach:

Resume

e.portfolio

CCR

For Selection Committee use only:

Approved:
Committee Signature:

Not Approved:
Date:

Access to Information and Protection of Privacy

The information given on this form is collected under the authority of the Memorial University Act (RSNL 1990 c M-7). The information is used for
administrative purposes of the University, including maintaining records. This form may be used as a permanent record and stored electronically for
future reference. Questions regarding the collection or use of this personal information should be directed to the Deputy Provost (Students) and
Associate Vice-President (Academic) Undergraduate Studies, University Center, Memorial University of Newfoundland, 709-864-2985.