OSU

IM SPORTS

Student Employment Application

Intramural Referee

Date Submitted: ___/___/_____ Sport/s Interested In: ________________________________________ Name: _____________________________________ E-mail: _______________________ @____________ Date of Birth: ____ / _____ / ________ CWID: ____________________________ Contact Phone: (_____) _____-________ OKEY Username: ___________________

Local Address: ________________________________________________________________________ Major: __________________________ Academic Status: Fresh / Soph / Junior / Senior / Grad Current GPA: ______

Expected Graduation (Month/Year): _______ / ________ Do you qualify for work study? Yes / No If yes, what amount? $ ________ / semester

Attach Work Study Award Letter

Please mark with an X the times when you are unavailable to work, include class time, Greek commitments, clubs, and other routine meetings that occur on a regular weekly basis. ***Being an Intramural Referee is flexible and you can change your availability with at least a weeks notice.
NOON 1P 2P 3P 4P 5P 6P 7P 8P 9P 10P 11P 12A

Mon Tues Wed Thur Fri Sat Sun

Number of credit hours enrolled at OSU for upcoming semester: ________

Explain the times you marked

unavailable:_____________________________________________________________________________

Provide us with a personal or professional reference: Name:___________________________ Title: ____________________________ Years known: ______ Contact number: (____) _____-_________ E-mail: __________________________ @_______________

Please answer the following: 1. Briefly, tell us about yourself:

2. Do you have any previous playing experience? Do you have any officiating experience?

3. Why would you like this position?

4. Explain any experiences, especially within Intramurals/Campus Recreation that would prepare you for this position.

5.

How did you hear about this Intramural position?

Please Read and Sign: I affirm that I will be an enrolled student for the semester which I am applying. I understand that this is an application for employment with Oklahoma State University Intramural Sports. I agree to attend ALL mandatory training sessions and work as scheduled. I also attest that all the information provided in the application above is accurate and truthful. Signature: ____________________ Date: ___/____/______

FALL 2012 TRAINING DATES: -Flag Football* / Rules Training 8-27 or 8-28 at 7pm in Wellness Center Auditorium -Floor Hockey / Training 9-6 at 8pm in MAC Gym -Soccer* / Rules Training 9-19 at 7pm in Wellness Center Auditorium -Volleyball* / Rules Training at 7pm in Wellness Center Auditorium * = Other training dates are associated with this sport and will be discussed at this first meeting