San Jose California Student Opportunity and Access Program (Cal-SOAP) Student Employment Application

Please complete all required sections of this employment application if you are interested in the Academic, Lead or Senior Coach, or Office Intern position. Applications will be reviewed as they are received. Applicants will be contacted directly for an interview if selected. Applicants not selected will be notified via email. For complete job descriptions visit our web site at www.sanjosecalsoap.com or request them via email at rboardma@ucsc.edu. **Applicants must be able to demonstrate financial need (qualify for loans, work study, etc.) to be considered for a position.** San Jose Cal-SOAP provides outreach services to K-16 students, in Santa Clara and San Mateo Counties, who are low-income and/or first-generation college attendees. For more information on San Jose Cal-SOAP please visit our web site at www. sanjosecalsoap.com. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

Applicant Data Form COMPLETION OF THIS SECTION IS VOLUNTARY. The purpose of the requested information is to meet the University's legal obligations as a Federal contractor. (See Privacy Notification Statement in certification paragraph at the end of the application.) Name Last:   First:   Middle:   Job Number and Position Title Job Number: Position Title: Gender MALE FEMALE DEFINITIONS OF CATEGORIES APPEARING BELOW All questions regarding ethnic identification or disability status should be directed to the EEO/Affirmative Action Office at (831) 459-2349. WHITE (not of Hispanic Origin) White, not of Hispanic Origin -- Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East. BLACK (not of Hispanic Origin) Black/African-American -- Persons having origins in any of the Black racial groups of Africa. HISPANIC Chicano/Mexican-American/Mexican -- Persons of Mexican culture or origin, regardless of race. Latin American/Latino -- Persons of Latin American (e.g., Central American, South American, Cuban, Puerto Rican) culture or origin, regardless of race. Other Spanish/Spanish-American -- Persons of Hispanic culture or origin, not included in any of the Hispanic categories listed above. AMERICAN INDIAN OR ALASKAN NATIVE American Indian or Alaskan Native -- Persons having origins in any of the original American Indian peoples of North America, including Eskimos and Aleuts, and who maintain cultural identification through tribal affiliation or community recognition. ASIAN OR PACIFIC ISLANDER Chinese/Chinese-American -- Persons having origins in any of the original peoples of China. Japanese/Japanese-American -- Persons having origins in any of the original peoples of Japan. Filipino/Pilipino -- Persons having origins in any of the original peoples of the Philippine Islands. Pakistani and East Indian -- Persons having origins in any of the original peoples of the Indian subcontinent (e.g., India and Pakistan). Other Asian -- Persons having origins in any of the original peoples of the Far East (including Korea), Southeast Asia, or Pacific Islands (including Samoa), not included in any of the Asian categories listed above. PLEASE CHECK ONE BOX ONLY. (Refer to above definitions for explanation of categories.) WHITE (not of Hispanic Origin) - White BLACK (not of Hispanic Origin) - Black/African-American Chicano/Mexican-American/Mexican Latino/Latin-American Other Spanish/Spanish-American American Indian or Alaskan Native Chinese/Chinese-American Japanese/Japanese-American Filipino/Pilipino Pakistani/East Indian Other Asian

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