Fields marked with a * are required. Applicant Information First Name * Preferred First Name * Last Name * Dartmouth ID Number * Dartmouth Email Address * If Student Graduate Program/Affiliation - None -GeiselGeisel/TuckGeisel/TDIGraduate SchoolThayerThayer/TuckTuckOther Explain Other Graduate Program/Affiliation * Degree - None -MAMALSMBAMDMD/MBAMD/MPHMD/PhDMMEMPHMSPhDOther Explain Other Degree * Department/Area of Focus Date started in program Projected graduation date If Faculty, Staff, or Post-Doc Department/Office Area of Focus Date started End date (write "n/a" if not applicable) Application Questions Dates you expect to be away from campus during the upcoming academic year * This question is for application purposes only. Absences still have to be requested from supervisor once hired. Specific position to which you are applying * - Select -Global Village Graduate Student Program CoordinatorLa Casa Resident AdvisorLALAC House FellowNative American House FellowShabazz Center for Intellectual Inquiry FellowTriangle House Fellow Please select one per form submission. Statement of Interest * What made you a successful LLC Live-In Advisor this year and how can you take your performance to the next level next year? (up to 300 words) Endorsement Please ask your primary advisor, supervisor, or chair to submit a statement endorsing your candidacy for this role. It is your responsibility to point your endorser to the correct form and to follow up with them to ensure that they have submitted the required information by the deadline. Full name of endorser * Email address of endorser * Certify It is your responsibility to ensure that all parts of your application, including the endorsement, are completed by the deadline. By submitting this form, you are certifying that you have read and understood the information provided about the position, including the important information regarding laws and policies. Applicant Signature * Typing your full name in this text box will serve as a digital signature. You will receive an email confirmation after your submission is received. If you do not see it right away, please check your spam or junk folder. Submit