Office of Student Employment
 
Thank you for your interest in the Miami Commitment program. Please complete Part I of the application process by
answering the following questions.
 
Please review our privacy statement relating to information we collect, choice/opt-out, and correction/updating of personal information before proceeding.
 
Required questions are in bold and marked with an asterisk. Form will not be processed if the required questions
are not completed. (
*). You will receive a confirmation email after successful completion of this form.
 
 
* First, Middle and Last Name
 
 
* UM ID Number (This is the "Student Number" assigned to you by the University)
 
 
* E-mail Address
 
 
* Permanent Address (Your Miami Commitment notification letter will be sent to this address)
 
 
* City
 
 
State
 
 
Zip Code
 
 
* Home Phone Number
 
 
Cell Phone Number
 
 
* Current GPA (Please type your current GPA and specify if it is weighted or unweighted)
 
 
* Describe your most significant courses and extracurricular activities:
 
 
* Describe any employment or volunteer work experience you may have had:
  If none, please write in "none"
 
 
* Please list any certifications or special skills you possess:
  If none, please write in "none"
 
 
* What is your anticipated major?
 
 
Will you have a second major? If yes, please indicate your second major:
 
 
* At this time, what are your career goals?
 
 
* Have you been accepted to an academic enhancement program at UM (e.g. PRISM, Honors and/or a Fellowship program)?
 
 

If yes, please specify::

         
 
* Will you be involved in any extracurricular activities at UM that may affect the time commitment you can make to a job (band practice, sports, clubs, etc)?
 
 

If yes, please explain:

         
 
* Are you a local resident?
 
 

If yes, would you like to start working prior to the fall semester?

         
 
* Have you visited the Miami Commitment website and reviewed the program requirements and expectations?
 
 
Job characteristics:
For each statement below, select the option that best describes your preferences.
 
 Prefer most
Prefer least
* I want a job that is challenging and demands independent thinking
and self-direction on my part.

     
* I want a job that has less responsibility, may not require much training,
and may include routine activities.

     
* At this time, learning transferable, career-related skills is the most
important factor in my job placement.

 
Program Expectations:
For each statement below, select the option that best describes your preferences.
 
True
 False
* I expect to have a work schedule of less than 10 hours a week.

     
* I expect the Miami Commitment program to provide me with a job that is directly related to my major.

     
* I expect my employer to accommodate changes in my academic, social, and/or personal schedule during the semester.

 
 

* Why are you applying to the Miami Commitment program?
 
 
* What are some of the personal characteristics that you would use to describe yourself?
 
 
* In your opinion, what would make you an outstanding student employee?
 
 
Do you have a particular job or department of interest in mind for your first year job placement? If yes, please list:
 
 
* Is there any other information you would like us to consider in processing this application?
 
 

*
I certify that all of the information I have provided herein was completed by me and is accurate to the best of my knowledge. I understand that if accepted into the Miami Commitment program, I will receive a job referral. Employers/supervisors make the final employment decision after an interview and work/class schedule agreement. As a student in the Miami Commitment program I will abide by the Student Employment Policies and Procedures as established by the Office of Student Employment and adhere to student conduct policies and guidelines as established in the Student Rights & Responsibilities Handbook.
 
Please write your complete name and today's date below. (You must type in a response)