* 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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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)?
No
Yes
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)?
No
Yes
If yes, please explain:
* Are you a local resident?
No
Yes
If yes, would you like to start working prior to the fall semester?
No
Yes
* Have you visited the Miami Commitment website and reviewed the program requirements and expectations?
No
Yes
* 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)