Campus Kitchens Leadership Team Application

First Name:
Last Name:
Preferred Name:
Date of Birth:	(MM/DD/YYYY)
Student ID#:
Preferred Email:
Cell Phone:	(XXX-XXX-XXXX)
Address:
MSC #
Select year in school:
Major:
Ethnicity (optional):
GPA:
T-Shirt Size:
Next year will you qualify for:	Federal Work Study State Work Study NA
Have you participated in a CCASL program(s): Yes No - If yes, which program(s)
List all commitments you anticipate having next year:
Extra-curricular: write in, leader or participant, hours committed per week
Leadership: write in hours committed per week
Jobs: write in, leader or participant, hours committed per week
Other:
Please answer the following questions in no more than 250 words.
Summarize your previous volunteer/leadership experience.
Why do you want to be a leader in this program?
What qualities would you bring to this program?
How do you stay organized and set priorities?
Have you volunteered with the Campus Kitchen before? Yes No - Explain:
Which Campus Kitchens projects are you the most interested in being involved with?
Running meal shifts
Organizing deliveries
Community Garden
Community Dinner
Other:
If selected as a leader for this program do you agree to attend:
Yes No - CCASL Retreat
Yes No - Programmatic Planning/Staff Meetings
Yes No - Reflection Activities
Yes No - Other events as assigned