* denotes required fields.


*Local Address

*Email Address

*Local/Cell Phone

*k Number


*Current Cumulative GPA

*Anticipated Graduation Date (month/year)

*Do you receive work study as part of your financial aid


*Shirt Size


*List the groups and extracurricular activities you have participated in during college

*List your employment experiences beginning with the most recent

*Briefly explain why you would like to be a part of the orientation staff at Kirkwood

*What are five pieces of advice you would give a new Kirkwood student?

Please submit one reference letter to support your application from a Kirkwood faculty or staff member. Letters may be sent by email or campus mail to Shelley Milks, 108 Iowa Hall, shelley.milks@kirkwood.edu.