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RESIDENTIAL SAFETY PROGRAM APPLICATION from SUNY- Stony Brook

 
 
 

RETURN VIA CAMPUS MAIL TO:   RSP MAILBOX, CAMPUS RESIDENCES CENTRAL OFFICE, ZIP = 4444
RETURN IN PERSON TO:  RESIDENTIAL SAFETY PROGRAM OFFICE, MENDELSOHN QUAD

RESIDENTIAL SAFETY PROGRAM
APPLICATION
Join the Division of Campus Residences’ Team!
 

Name:_________________________________________    University ID#: _  _  _  -  _  _  -  _  _  _  _
               First          Middle Initial        Last

Campus Address:________________________________________ Campus Phone: _____________
            Building      Room Number

Permanent Address:_________________________________________________________________
(where you can be reached
over the summer)                ________________________________________________________________________________________________

Home Phone: (           )______________________
(where you can be
reached over the summer)

Have you previously worked for RSP?  _____ NO
(not a requirement)     _____ YES  (DATES:  From ________________ to ________________)

Are you eligible for Work-Study?   _____ NO
(not a requirement)     _____ YES

Have you ever been found responsible for   _____ NO
a violation of the Student Conduct Code?  _____ YES

Employment History (list your three most recent jobs)

Position Held Name of Employer Start Date End Date



 
 

References (please provide the names of 3 professional references
who can speak about your potential as a member of the RSP team)

Name Title Phone Number




Please indicate ALL positions in which you are interested (you may circle “yes” for more than one).

POSITIONTITLE NIGHTLYHOURS WAGE GENERAL POSITION DESCRIPTION INTERESTED??? NIGHTS AVAILABLE TO WORK(circle a minimum of 3)
Desk Monitor 11:00 p.m.   – 3:00 a.m. $5.40/hr  - checks student IDs while sitting at building entrance desk YES   /    NO M    T    W   Th    F    S    Su
Walk Unit 8:00 p.m.    – 3:30 a.m. $6.50/hr  - provides escorted walks to students & staff YES    /   NO M    T    W   Th    F    S    Su
ShiftLeader 8:00 p.m.    – 3:30 a.m. $7.50/hr  - Manages RSP Office on nightly basis- responsible for radio dispatching, nightly equipment inventory, and all nightly logs and administrative records - conducts on-going training of desk monitor & walk unit staff in the field- supplements walk units in the field, as needed  YES**  /   NO Shift Leadersmust be availableto work any night
Assistant Coordinator Variable, though mostly evenings and nights with rotating on-call duty. $8.00/hr  - hires, trains, supervises and evaluates 30-60 desk  monitors, walk units, or shift leaders- rotating duty and on-call responsibilities with other Assistant Coordinators- 20 hrs / wk  required during academic year- must return 1-2 weeks prior to the opening of school for training- other administrative duties, as assigned YES**  /   NO Assistant Coordinators must be available to work any night

** Applications for Shift Leader and Assistant Coordinator positions require submission of a resume and cover letter.
 

Please respond to the question below in the space provided.

What experiences, skills, or qualities do you possess that would make you a valuable member of the RSP team?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

I hereby attest that the information provided in this application is accurate to the best of my knowledge.

____________________________________________________________ _________________
  Applicant Signature     Date

                  U:/RSP/RSP Application
                  Revised 9-1-99
 
 






Brian C. Steinberg
Ammann College RHD
SUNY-Stony Brook
100 North Loop Road
Stony Brook, New York 11790

E-mail: [email removed]







The content on these pages was originally provided by Brian C. Steinberg, the founder of http://www.theallygroup.org and http://www.safezoneforall.com (Creater of the previous: http://www.residencehalldirector.com)

Disclaimer. 

More in “Academic Intervention Report Forms” 19

From the original 1998–2005 site. Details, prices and links may be out of date, so check them against your own campus policies.

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