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don application information for the 2010-2011 academic year

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RESIDENCE DON <strong>2010</strong>-<strong>2011</strong> APPLICATION PACKAGE<br />

Applications must be submitted by 4:30 pm on Friday, December 4, 2009 <strong>for</strong> full consideration.


DON APPLICATION INFORMATION<br />

FOR THE <strong>2010</strong>‐<strong>2011</strong> ACADEMIC YEAR<br />

SELECTION PROCESS<br />

The selection process is comprised of four stages:<br />

STAGE #1<br />

STAGE #2<br />

STAGE #3<br />

STAGE #4<br />

Application packages are to be submitted to <strong>the</strong> Residence Life Office by Friday,<br />

December 4, 2009 at 4:30pm.<br />

Candidates participate in Don Assessment Day (DAD), a mandatory group carousel<br />

interview (dress <strong>for</strong> this is casual).<br />

Successful candidates will be invited to a personal interview (dress <strong>for</strong> this is businesscasual<br />

attire).<br />

Final decisions will be made following <strong>the</strong> personal interview process.<br />

APPLICATION PROCESS<br />

• Access <strong>the</strong> <strong>application</strong> online by visiting our website at https://housing.queensu.ca/residence/<br />

• Pick up an <strong>application</strong> booklet from one of a number of locations on campus including:<br />

o Residence Life Office (C110, Victoria Hall).<br />

o Jean Royce Hall, Leggett Hall and Victoria Hall Residence Front Desks.<br />

o Please note as most candidates complete <strong>the</strong> electronic <strong>application</strong>, only a limited number<br />

of paper copies will be distributed in order to limit paper waste.<br />

• If you know that you will not be here during <strong>the</strong> January process (Stages 2 to 4), make an<br />

appointment <strong>for</strong> a personal interview during <strong>the</strong> month of December by contacting <strong>the</strong> Residence<br />

Life Office at 613‐533‐6790 or reslife@queensu.ca.<br />

Your <strong>application</strong> package should contain <strong>the</strong> following:<br />

o completed and signed <strong>application</strong> <strong>for</strong>m<br />

o cover letter (1 page maximum)<br />

o current résumé<br />

o 2008‐2009 <strong>academic</strong> <strong>year</strong> unofficial transcript showing a minimum 65% average<br />

o two completed reference <strong>for</strong>ms (available on our web site)


TIMELINES<br />

Don In<strong>for</strong>mation Session Thursday, Nov. 19 th 5:30 – 6:30 p.m. Stauffer Library 121<br />

Don In<strong>for</strong>mation Session Tuesday, Nov. 24 th 7:00 – 8:00 p.m. Stauffer Library 121<br />

Application Deadline<br />

Sign up <strong>for</strong> a Don<br />

Assessment Day session<br />

when you submit your<br />

<strong>application</strong><br />

• In person if you hand<br />

deliver your <strong>application</strong><br />

• Or call 613‐533‐6790 if<br />

you fax or email in your<br />

<strong>application</strong><br />

Friday, Dec. 4 2009<br />

4:30 pm<br />

Residence Life<br />

Office, C110,<br />

Victoria Hall<br />

Don Assessment Day<br />

(mandatory)<br />

Saturday, Jan.16 <strong>2010</strong><br />

10:00am ‐ 12:30pm<br />

or<br />

1:30pm ‐ 4:00pm<br />

Ban Righ Hall<br />

Saturday, Jan.23 <strong>2010</strong><br />

10:00am ‐ 12:30pm<br />

or<br />

1:30pm ‐ 4:00pm<br />

Ban Righ Hall<br />

Interview Notification<br />

If you are selected to proceed<br />

to a personal interview, you<br />

will be contacted by email to<br />

reserve an interview time<br />

Starting<br />

Wednesday, Jan. 27 <strong>2010</strong><br />

Interview Booking<br />

If selected, book your<br />

personal interview as<br />

instructed<br />

Wednesday, Jan. 27<br />

through Friday, Jan.29<br />

<strong>2010</strong><br />

Personal Interviews<br />

Hiring Decisions<br />

All candidates will be<br />

notified of final decisions by<br />

mail and/or email<br />

Feb. 2 ‐ 5, <strong>2010</strong><br />

Feb. 9 – 12, <strong>2010</strong><br />

February, 26 th , <strong>2010</strong><br />

(Target date)<br />

Location will be<br />

confirmed upon<br />

booking


ARE YOU APPLYING FOR A DONSHIP AS A<br />

COUPLE OR AS A FAMILY<br />

Queen’s University Residences support <strong>application</strong>s from couples and those with families.<br />

Our policy is acceptance of <strong>application</strong>s from committed couples, who may be married, or living<br />

toge<strong>the</strong>r in opposite or same sex union, in a stable committed partnership.<br />

By committed partnership, we mean that <strong>the</strong> partners must have lived toge<strong>the</strong>r as a couple<br />

(sharing of resources by 2 people) <strong>for</strong> a continuous period of at least 9 months. This criterion is<br />

applied to all couples, regardless of marital status or gender.<br />

Both individuals need to apply and be accepted into <strong>the</strong> position of Don. Only one person needs<br />

be a full‐time student, faculty or staff member to qualify <strong>for</strong> Donship.<br />

Due to <strong>the</strong> limitations of suitable accommodation available in residence, living space is very<br />

limited <strong>for</strong> this type of Co‐Donship.<br />

Each Don will receive a full meal plan and shall share ResNet, ResTel and <strong>the</strong> value of <strong>the</strong><br />

accommodation.<br />

Be<strong>for</strong>e you apply as partners or as a single parent, we think it is important to point out some<br />

concerns that past Co‐Dons have expressed to us about family or partner‐style <strong>don</strong>ning.<br />

CHILD CARE – You need to consider <strong>the</strong> following: who will pick up and drop off your children;<br />

having someone available if a residence emergency develops (this may happen any time of <strong>the</strong> day<br />

or night); many house and team meetings are held in <strong>the</strong> evenings, so babysitting arrangements<br />

need to be considered; although many resident students are willing to be baby‐sitters, you cannot<br />

expect residents or staff members to assume <strong>the</strong> child care role.<br />

TIME COMMITMENT – Becoming a Co‐Don is a very time‐consuming role. Dependent upon <strong>the</strong><br />

age and needs of your family, it may be, besides <strong>academic</strong> commitments, <strong>the</strong> only role that you can<br />

take on.<br />

DINING HALLS – The dining halls are designed to feed many young adults in a very short period<br />

of time. Many children find <strong>the</strong> cafeterias intimidating, noisy and distracting. It may turn out that<br />

you will be unable to take advantage of <strong>the</strong> meal plan as frequently as you had hoped because of<br />

that environment.<br />

RESIDENCE ENVIRONMENT – Living in residence is different from living in an apartment<br />

building. Housing approximately 200 young adults under <strong>the</strong> age of 19, under one roof, presents<br />

certain challenges to family living. You may find that it is too noisy <strong>for</strong> young children and you<br />

should also consider <strong>the</strong> problems of alcohol abuse, profanity, loud music, and fire alarms during<br />

<strong>the</strong> middle of <strong>the</strong> night, etc.<br />

SUPPORT NETWORK – You need to consider life outside <strong>the</strong> residences when you become a Co‐<br />

Don. If you have a family, you will be viewed differently from 99% of <strong>the</strong> rest of <strong>the</strong> people with<br />

whom you will be living. You should be com<strong>for</strong>table with being viewed “differently” and have a<br />

group of friends or family with whom you can share your concerns and problems, etc.<br />

Most committed couples and families have had positive experiences in <strong>the</strong> past. However, if you<br />

have any questions about taking on <strong>the</strong> role of Co‐Don, please do not hesitate to speak with us.


QUEEN’S UNIVERSITY RESIDENCES<br />

DON JOB DESCRIPTION<br />

<strong>2010</strong> – <strong>2011</strong><br />

JOB SUMMARY<br />

A Don is a member of <strong>the</strong> Queenʹs community appointed by <strong>the</strong> Department of Residence Life staff to<br />

mentor, support and compassionately challenge residents, while serving as a resource to <strong>the</strong>m. This is a livein,<br />

part‐time position and <strong>the</strong> role consists of, but is not limited to:<br />

• advising students on personal and <strong>academic</strong> matters, and making appropriate referrals to University or<br />

community services;<br />

• mediating disputes and maintaining community standards;<br />

• providing a “first response” to emergency or crisis situations;<br />

• facilitating community development;<br />

• supporting house team members; and<br />

• facilitate educational programming that meet <strong>the</strong> needs of resident students<br />

ELIGIBILITY<br />

a) Be a student enrolled full‐time in both <strong>the</strong> fall and winter semesters, in accordance with <strong>the</strong> guidelines<br />

outlined by <strong>the</strong> Registrar’s Office. Meet <strong>the</strong> Registrar’s Office minimum registration fee deadline.<br />

b) Be a full‐time, staff or faculty member of Queen’s University. Staff or faculty members must work a<br />

minimum of thirty (30) hours per week<br />

c) Have no less than two (2) <strong>year</strong>s of post‐secondary experience.<br />

d) Be legally entitled to work in Canada, or possess a valid student visa.<br />

e) Satisfactory submission of a Canadian Police In<strong>for</strong>mation Check (CPIC) if requested.<br />

f) Achieved at least a 65% average in <strong>the</strong> 2008 – 2009 <strong>academic</strong> <strong>year</strong>. In <strong>the</strong> <strong>academic</strong> <strong>year</strong> prior to <strong>the</strong><br />

start of <strong>the</strong> <strong>don</strong> contract (2009 – <strong>2010</strong>) achieve a 65% minimum average, which can be verified by <strong>the</strong><br />

Registrar’s Office minimum registration fee deadline date. Maintain this minimum average during <strong>the</strong><br />

<strong>don</strong> contract.<br />

g) Hold a valid and current certificate <strong>for</strong> Emergency First Aid & Heart Saver “A” CPR. The certificate<br />

must be valid <strong>for</strong> <strong>the</strong> duration of <strong>the</strong> Don contract and a copy must be provided to <strong>the</strong> Residence Life<br />

office prior to July 9th, <strong>2010</strong>.<br />

h) If registered in <strong>the</strong> Faculty of Education and not a Returning Don, cannot be in <strong>the</strong>ir teaching<br />

practicum <strong>year</strong>. This is in accordance with an established agreement between <strong>the</strong> Residence Life<br />

Department and <strong>the</strong> Faculty of Education.<br />

i) Cannot participate as a Faculty Orientation Leader.<br />

j) If involved in extracurricular activities, cannot exceed a maximum of ten (10) hours per week and must<br />

be approved by <strong>the</strong> Residence Life Coordinator.<br />

k) Provide proof of “committed partnership” if wishing to apply as a couple. By “committed<br />

partnership” we mean married or common law marital status (sharing of resources by two (2) people<br />

<strong>for</strong> a period of at least nine (9) months) or living toge<strong>the</strong>r in a “household” arrangement <strong>for</strong> at least (9)<br />

nine months. Applications from couples and candidates with families will be considered, but living<br />

space is limited.


BASIC RESPONSIBILITIES AND DUTIES<br />

Staff Training and Development<br />

a) Attend and participate in mandatory Don Training, from August 25 to September 3, <strong>2010</strong> (tentative<br />

dates). This mandatory program includes weekend and evening sessions and is designed to introduce<br />

Dons to issues that <strong>the</strong>y will be required to handle throughout <strong>the</strong> <strong>year</strong>.<br />

b) Attend mandatory professional development sessions (generally one per month conducted in <strong>the</strong><br />

context of a staff meeting, but may occur outside of a staff meeting, e.g. community service learning<br />

project), and o<strong>the</strong>rs that may from time to time be required to respond to emergent campus issues.<br />

c) Attend one (1) mandatory Don Development Day or equivalent professional development offering(s)<br />

in lieu of a Don Development Day per term.<br />

Community Support<br />

a) Establish positive relationships with residents by being visible and approachable. It is important to be<br />

available <strong>for</strong> as many evenings and weekends as possible, ei<strong>the</strong>r on an “open door” policy, or by<br />

having set hours of availability. Be regularly visible and eat in <strong>the</strong> residence dining halls with<br />

residents throughout <strong>the</strong> <strong>academic</strong> <strong>year</strong>.<br />

b) If going away, arrange <strong>for</strong> coverage and notify <strong>the</strong> Residence Life Coordinator in advance.<br />

c) Provide residents with <strong>in<strong>for</strong>mation</strong> and assistance in dealing with personal, <strong>academic</strong>, and<br />

administrative concerns. Make appropriate referrals.<br />

d) Develop positive working relationships with fellow staff members.<br />

e) Mediate roommate/floormate conflicts, and assist <strong>the</strong> Residence Life Coordinator in <strong>the</strong> completion of<br />

<strong>the</strong> appropriate paperwork <strong>for</strong> room changes.<br />

f) Foster healthy working relationships with <strong>the</strong> organizations and offices that manage <strong>the</strong> residences, to<br />

work within residence policies and to take direction, as necessary, from <strong>the</strong> Director of Residence Life,<br />

Manager of Residence Life and <strong>the</strong> Residence Life Coordinators.<br />

g) Assist with Orientation Week and Move‐In. This involves greeting students and parents, providing<br />

assistance and leading residents through all Residence Orientation events. This requires that Dons be<br />

available <strong>for</strong> <strong>the</strong> entire weekend prior to Labour Day <strong>for</strong> preparation and organization.<br />

Community Development and Educational Programming<br />

a) Facilitate community development amongst residents.<br />

b) Participate in <strong>the</strong> development and execution of a community development plan. The specific<br />

requirements will be based on in part a staff team‐developed plan, which may include planned<br />

dialogues with resident students, events, service projects, and o<strong>the</strong>r activities which promote reflection<br />

and learning.<br />

c) Facilitate educational programming that supports <strong>the</strong> needs of <strong>the</strong> student population.<br />

d) Host one (1) High Table per <strong>year</strong>.<br />

e) A per‐student allowance can be made available as financial support <strong>for</strong> community development and<br />

educational programming. Accurate details of expenditures must be maintained and reconciled each<br />

month and <strong>the</strong>n submitted to <strong>the</strong> Residence Life Coordinator.<br />

Community Standards<br />

a) Educate residents on residence community standards and <strong>the</strong>ir importance.<br />

b) Ensure that community standards are en<strong>for</strong>ced and maintained, which includes conducting front‐line<br />

discipline and reporting incidents to <strong>the</strong> appropriate house team member(s).<br />

c) Assist and support respondents in completing <strong>the</strong>ir educational sanctions (i.e., floor project) as assigned<br />

by <strong>the</strong> Discipline Facilitator and/or <strong>the</strong> Peer Judicial Board.<br />

d) Where possible, and when requested, attend Peer Judicial Board hearings.


Building Management Duties<br />

a) Maintain community standards, and <strong>the</strong> safety and security of <strong>the</strong> building(s).<br />

b) Participate in a rotational, on‐call pager system.<br />

c) Communicate all facility concerns and damages to <strong>the</strong> appropriate front desk or Residence Life<br />

Coordinator.<br />

d) Manage assigned community to ensure appropriate and clean common spaces.<br />

e) Promote building respect and pride.<br />

f) Assist in <strong>the</strong> handling of emergencies, in partnership with o<strong>the</strong>r residence officials, Campus Security<br />

and/or o<strong>the</strong>r campus partners.<br />

Departmental Administration<br />

a) Read and be familiar with <strong>the</strong> <strong>in<strong>for</strong>mation</strong> included in <strong>the</strong> Don’s Manual, Student’s Guide, Community<br />

Standards Guide, and any o<strong>the</strong>r material distributed by <strong>the</strong> Residence Life Department.<br />

b) Keep <strong>the</strong> Residence Life Coordinator updated by submitting reports concerning any incidents or<br />

problems and provide a regular weekly update by submitting a log sheet.<br />

c) Attend weekly Don staff meetings and scheduled one‐on‐one meetings every o<strong>the</strong>r week with <strong>the</strong><br />

Residence Life Coordinator.<br />

d) Attend house council meetings as determined by <strong>the</strong> Residence Life Coordinator.<br />

e) Assist in <strong>the</strong> student staff recruitment and selection process, including participating in Don Assessment<br />

Day and/or Facilitator Assessment Day.<br />

f) Assist in <strong>the</strong> administration of surveys and feedback processes as directed by <strong>the</strong> Residence Life Office.<br />

g) Keep posters and <strong>in<strong>for</strong>mation</strong> updated on residence floors.<br />

h) Per<strong>for</strong>m additional duties as required by <strong>the</strong> Residence Life Coordinator.<br />

TERMS OF EMPLOYMENT<br />

a) Each Donship appointment is <strong>for</strong> one <strong>academic</strong> <strong>year</strong>. Only exceptional candidates will be considered<br />

<strong>for</strong> reappointment.<br />

b) The terms of appointment cover staff training and <strong>the</strong> entire <strong>academic</strong> <strong>year</strong>. During <strong>the</strong> first term,<br />

responsibilities extend from <strong>the</strong> first day of training to twenty‐four (24) hours after <strong>the</strong> last scheduled<br />

exam in December. The second term begins on <strong>the</strong> first Sunday be<strong>for</strong>e classes in January and extends<br />

to <strong>the</strong> last Residences Move‐Out date <strong>for</strong> undergraduates, which occurs twenty‐four (24) hours after<br />

<strong>the</strong> last scheduled exam in late April/early May. This includes all long weekends and Reading Week.<br />

c) Dons are supervised by and report directly to <strong>the</strong> Residence Life Coordinator responsible <strong>for</strong> <strong>the</strong><br />

building.<br />

d) Dons will receive up to eight (8) overnights per term pending approval from <strong>the</strong>ir Residence Life<br />

Coordinator. Overnights typically may not be used during designated dates in December and April.<br />

When a Don is going to be away <strong>for</strong> an evening or a weekend, arrangements must be made with<br />

ano<strong>the</strong>r Don to cover <strong>the</strong>ir area of responsibility. The residents living in <strong>the</strong> area and fellow house<br />

team members must be in<strong>for</strong>med. The absent Don must clearly post instructions on where and how to<br />

contact <strong>the</strong> Don who is providing coverage <strong>for</strong> <strong>the</strong>m.<br />

e) Dons must abide by <strong>the</strong> policies and procedures as outlined by Queen’s University Residences, <strong>the</strong><br />

Community Standards Guide and <strong>the</strong> University Code of Conduct.<br />

f) Sexual, physical or romantic relationships with students in <strong>the</strong> Don’s residence are prohibited and may<br />

result in dismissal. Sexual, physical or romantic relationships with staff members and/or residents of<br />

o<strong>the</strong>r buildings should be avoided.<br />

g) Any inappropriate conduct by a Don is a violation of a position of authority, and will not be tolerated.<br />

If a Don is named as a respondent in a sexual harassment case, <strong>the</strong> situation will be handled through<br />

<strong>the</strong> Queen’s University Harassment Discrimination Complaint Policy, and may result in dismissal.<br />

h) An administrative fee of $325 will apply to any staff member who accepts <strong>the</strong> position and <strong>the</strong>n resigns<br />

or does not meet <strong>the</strong> eligibility requirements prior to July 9, <strong>2010</strong>. Resignations due to <strong>academic</strong><br />

requirements may be exempt, and staff members will be required to submit a copy of <strong>the</strong>ir acceptance<br />

letter.


i) An administrative fee of $525 will apply to any staff member who accepts <strong>the</strong> position and <strong>the</strong>n<br />

resigns or does not meet <strong>the</strong> eligibility requirements after July 9, <strong>2010</strong>. Resignations due to <strong>academic</strong><br />

requirements may be exempt, and staff members will be required to submit a copy of <strong>the</strong>ir acceptance<br />

letter.<br />

j) The Director of Residence Life reserves <strong>the</strong> right to revise <strong>the</strong> terms of employment, <strong>the</strong> eligibility<br />

requirements, and <strong>the</strong> duties and responsibilities of Dons to meet unexpected developments.<br />

HIRING PROCESS<br />

a) During <strong>the</strong> hiring process, if a candidate feels s/he is being treated unfairly, s/he may bring this concern<br />

to <strong>the</strong> Director of Residence Life, and <strong>the</strong>n <strong>the</strong> AVP & Dean of Student Affairs.<br />

b) After <strong>the</strong> AVP & Dean of Student Affairs <strong>the</strong>re is no fur<strong>the</strong>r recourse. However, if <strong>the</strong> candidate feels<br />

that this is an issue of discrimination, <strong>the</strong>n s/he may wish to consult with a staff member in <strong>the</strong> Queen’s<br />

Human Rights Office.<br />

REMUNERATION<br />

a) Remuneration <strong>for</strong> each Donship will be <strong>the</strong> current value of a single room and a meal plan as defined<br />

by Residence Life. In <strong>the</strong> case of couple Dons, each person will receive a meal plan and shall share<br />

ResNet, ResTel and <strong>the</strong> value of <strong>the</strong> accommodation. Accommodation is <strong>for</strong> personal use only and will<br />

not be made available as shared accommodation. Accommodation and meal plan will expire at <strong>the</strong><br />

end of this contract or upon dismissal / resignation from <strong>the</strong> position.<br />

b) Residence Student Government Fees will be provided by <strong>the</strong> Residence Life Department.<br />

c) Telephone service is provided. You are responsible <strong>for</strong> all long‐distance/directory‐assistance charges to<br />

your phone number. Your phone number will be listed in some residence publications.<br />

d) ResNet services will be provided at no charge.<br />

EVALUATION<br />

a) The per<strong>for</strong>mance of Dons will be regularly evaluated. This evaluation process will include a survey<br />

and an assessment of per<strong>for</strong>mance by <strong>the</strong> Residence Life Coordinator.<br />

b) When per<strong>for</strong>mance is perceived to be below standard, <strong>the</strong> matter will be addressed immediately and<br />

confidentially between <strong>the</strong> Don and <strong>the</strong> Residence Life Coordinator.<br />

DISMISSAL PROCESS<br />

a) Should it become necessary to examine <strong>the</strong> possibility of termination or reassignment of a Don, <strong>the</strong><br />

Residence Life Coordinator and <strong>the</strong> Director of Residence Life will make <strong>the</strong> decision.<br />

b) If a Don feels that <strong>the</strong> Residence Life Department is treating him/her unfairly when addressing<br />

standards of work, <strong>the</strong>n a Don may seek out <strong>the</strong> assistance of a University Grievance Advisor. It<br />

should be noted, however, that once a Don has been dismissed, s/he is no longer a Queen’s employee<br />

and has no fur<strong>the</strong>r recourse to appeal.<br />

c) A Don may be dismissed <strong>for</strong> a number of reasons including:<br />

• inappropriate conduct (e.g., sexual harassment, physical assault, drug use, etc.);<br />

• failure to live up to expectations as outlined in a probationary letter;<br />

• being charged with a Level Two or Three Offence of our Community Standards;<br />

• failure to meet <strong>the</strong> eligibility criteria. Queen’s Residences will verify <strong>the</strong> enrolment status and<br />

eligibility of all <strong>don</strong>s prior to <strong>the</strong> start of <strong>the</strong>ir contract and at any time <strong>the</strong>re after until <strong>the</strong><br />

completion of <strong>the</strong> contract.<br />

d) In <strong>the</strong> event that a Don is dismissed, <strong>the</strong> Director of Residence Life will provide assistance in relocating<br />

<strong>the</strong> staff member to new housing by providing immediate short‐term (three (3) to four (4) nights)<br />

accommodation at <strong>the</strong> expense of <strong>the</strong> department. After that time period, accommodation is at <strong>the</strong><br />

expense of <strong>the</strong> Don. If <strong>the</strong> Don finds accommodation on campus <strong>the</strong> meal plan will remain as is. If <strong>the</strong><br />

<strong>don</strong> finds accommodation off campus <strong>the</strong> plan will be converted to an optional meal plan.


QUEEN’S UNIVERSITY RESIDENCES<br />

RESIDENCE DON APPLICATION<br />

<strong>2010</strong> ‐ <strong>2011</strong><br />

Electronic versions of this <strong>application</strong> are available at https://housing.queensu.ca/residence/<br />

CANDIDATE DATA<br />

Legal Name: (Last) (Legal First) (Middle Initial)<br />

Preferred First Name:<br />

Queen’s e‐mail address:<br />

Are you legally eligible to work in Canada No Yes<br />

Are you seeking a joint appointment with ano<strong>the</strong>r candidate No Yes<br />

If yes, partner’s name:<br />

(Persons seeking a joint appointment must each submit a separate <strong>application</strong>)<br />

Current Complete<br />

Mailing Address (if<br />

in residence include<br />

building and room) Postal Code: Telephone:<br />

Permanent<br />

Complete Mailing<br />

Address<br />

Postal Code:<br />

Telephone:<br />

At which address may we reach you during <strong>the</strong> summer<br />

UNIVERSITY/COLLEGE RESIDENCE EXPERIENCE<br />

Please list any College or University Residences in which you have lived.<br />

Name of Residence<br />

Coed/<br />

Single Sex<br />

# Years<br />

Resided<br />

Leadership Experience<br />

If you have not lived in a residence but have comparable experience, please describe it below:


POST‐SECONDARY EDUCATION<br />

Name of Institution Program Number of Years Completed at<br />

<strong>the</strong> End of April <strong>2010</strong><br />

During <strong>the</strong> <strong>2010</strong>‐<strong>2011</strong> <strong>academic</strong> <strong>year</strong>, I will be registered in <strong>the</strong> following:<br />

Faculty:<br />

Major/Discipline:<br />

Year of study effective September <strong>2010</strong>:<br />

Expected <strong>year</strong> of graduation:<br />

If you will not be registered as a full‐time student, please indicate full‐time staff or faculty position and<br />

department in which you are employed at Queen’s University:<br />

EXTRA‐CURRICULAR ACTIVITIES AND COMMITMENTS<br />

(In order of importance to you)<br />

Extracurricular Activities & Commitments Anticipated For <strong>2010</strong>/<strong>2011</strong><br />

Hours Per Week<br />

MISCELLANEOUS INFORMATION<br />

I understand that I need to hold a valid Emergency First Aid certificate and Heart Saver<br />

“A” CPR certificate which must be valid until May <strong>2011</strong> and that I must provide a copy to<br />

<strong>the</strong> Residence Life Office prior to July 9, <strong>2010</strong>.<br />

I understand that I must attend all mandatory training sessions to retain my appointment.<br />

I understand that I must be a student enrolled full‐time in both <strong>the</strong> fall and winter<br />

semesters, in accordance with <strong>the</strong> Registrar’s Office (unless applying as faculty/staff).<br />

Yes<br />

Yes<br />

Yes<br />

I understand that I must meet <strong>the</strong> Registrar’s Office minimum registration fee deadline.<br />

I understand to apply I must have achieved at least a 65% average in <strong>the</strong> 2008 – 2009<br />

<strong>academic</strong> <strong>year</strong>. Also, I understand that in <strong>the</strong> <strong>academic</strong> <strong>year</strong> prior to <strong>the</strong> start of <strong>the</strong> <strong>don</strong><br />

contract (2009 – <strong>2010</strong>) I must achieve a 65% minimum average, which can be verified by<br />

<strong>the</strong> Registrar’s Office minimum registration fee deadline date. I understand that I am to<br />

maintain this minimum average during <strong>the</strong> <strong>don</strong> contract.<br />

Yes<br />

Yes<br />

I understand that <strong>the</strong> role of <strong>the</strong> Don requires me to spend a substantial amount of nonclass<br />

time in residence, interacting with students and creating a respectful community.<br />

Yes


I understand that my term of employment extends from <strong>the</strong> first day of training to twentyfour<br />

(24) hours after <strong>the</strong> last scheduled exam in December and from <strong>the</strong> first Sunday be<strong>for</strong>e<br />

classes in January and extends to <strong>the</strong> last Residences Move‐Out date <strong>for</strong> undergraduates,<br />

which occurs twenty‐four (24) hours after <strong>the</strong> last scheduled exam in late April/early May.<br />

This includes all long weekends and Reading Week.<br />

Yes<br />

Have you ever been convicted of a federal criminal offence <strong>for</strong> which a par<strong>don</strong> has not<br />

been granted<br />

No<br />

Yes<br />

Have you ever been found responsible of inappropriate <strong>academic</strong> or non‐<strong>academic</strong><br />

conduct during your University career (e.g. a violation of <strong>the</strong> University Code of Conduct<br />

or any Residence infraction)<br />

No<br />

Yes<br />

If yes, please provide a brief description of <strong>the</strong> situation, <strong>the</strong> outcome and <strong>the</strong> name of a university official<br />

whom we may consult about <strong>the</strong> situation:<br />

ACCOMMODATION<br />

In order to ensure fairness and equity in our selection process, if you require accommodation <strong>for</strong> a disability<br />

in order to participate (e.g., mobility concerns, large print text), please contact <strong>the</strong> Residence Life Office when<br />

you submit your <strong>application</strong>.<br />

If you are a successful candidate and require accommodation <strong>for</strong> a disability, please approach <strong>the</strong> Residence<br />

Life Office to discuss your requirements. You should also complete <strong>the</strong> ʺSpecial Considerationsʺ section of<br />

our Residence Application Form so that we can address your situation to <strong>the</strong> best of our ability.<br />

REFERENCES<br />

With this <strong>application</strong> package (or available on our web site) are reference <strong>for</strong>ms that you are required to have<br />

completed and returned to <strong>the</strong> Residence Life Office ideally no later than 4:30 pm, Friday December 4 th , 2009.<br />

You must submit two references. Please note that friends, family or <strong>for</strong>mer roommates are not suitable<br />

references. References should be from people who are able to assess your attitude and skills and are able to<br />

comment on your potential to be a Don. Preferably, references should be completed by <strong>the</strong> following<br />

individuals:<br />

1. a faculty member or a Queen’s staff member<br />

2. a professional reference (i.e. past coach, advisor, or employer).<br />

Please list <strong>the</strong> names of your references below.<br />

Name of First Reference:<br />

Name of Second Reference:<br />

Phone Number:<br />

Phone Number:<br />

Please list your <strong>for</strong>mer Don/Facilitator/House Representative who lived on your floor with you in residence<br />

as we may approach <strong>the</strong>m <strong>for</strong> fur<strong>the</strong>r <strong>in<strong>for</strong>mation</strong>.


The personal <strong>in<strong>for</strong>mation</strong> collected on this <strong>for</strong>m is collected under <strong>the</strong> authority of <strong>the</strong> Royal Charter of<br />

1841, as amended. The <strong>in<strong>for</strong>mation</strong> is used <strong>for</strong> <strong>the</strong> following purposes:<br />

‐ to determine eligibility <strong>for</strong> such a position in <strong>the</strong> Queen’s University Residences;<br />

‐ to determine building and room assignment preference;<br />

‐ to provide contact <strong>in<strong>for</strong>mation</strong>;<br />

‐ to assist in meeting individual special needs and considerations during <strong>the</strong> selection process;<br />

‐ to disseminate <strong>in<strong>for</strong>mation</strong><br />

‐ <strong>for</strong> quality assurance purposes; and<br />

‐ to provide <strong>in<strong>for</strong>mation</strong> to government agencies (such as <strong>the</strong> Municipal Property Assessment<br />

Corporation) <strong>for</strong> <strong>the</strong> purpose of municipal, provincial or federal elections.<br />

Queen’s University Residences maintains current and historical applicant data, and takes extensive<br />

measures to ensure its security and confidentiality. It is <strong>the</strong> applicant’s responsibility to ensure that <strong>the</strong><br />

<strong>in<strong>for</strong>mation</strong> submitted is complete and correct.<br />

Please note: <strong>in<strong>for</strong>mation</strong> provided in references will be held in confidence and will not be available to<br />

applicants.<br />

If you have any questions or concerns about <strong>the</strong> <strong>in<strong>for</strong>mation</strong> collected or how it will be used, contact <strong>the</strong><br />

Director of Residence Life by telephone at (613) 533‐6790.<br />

I hereby declare that <strong>the</strong> <strong>in<strong>for</strong>mation</strong> on this <strong>application</strong> <strong>for</strong>m and that, which is attached, is true and<br />

complete. I understand that <strong>the</strong> <strong>in<strong>for</strong>mation</strong> may be verified and a false statement may disqualify me from<br />

employment or cause my dismissal.<br />

Signature<br />

Date<br />

Please submit <strong>the</strong> following by December 4 th , 2009 at 4:30 p.m. to <strong>the</strong> Residence Life Office:<br />

‐ <strong>application</strong> <strong>for</strong>m<br />

‐ 2 completed reference <strong>for</strong>ms (<strong>for</strong>m available on our website)<br />

‐ cover letter<br />

‐ résumé<br />

‐ 2008‐2009 <strong>academic</strong> <strong>year</strong> unofficial transcript showing a minimum 65% average<br />

Residence Life Office, Victoria Hall<br />

Queenʹs University, Kingston, ON K7L 3N8<br />

Phone: (613) 533‐6790 Fax: (613) 533‐2919<br />

Email: reslife@queensu.ca

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