| First Name: |
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| Last Name: |
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| Preferred Name: |
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| Date of Birth: |
(MM/DD/YYYY) |
| Student ID#: |
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| Preferred Email: |
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| Cell Phone: |
(XXX-XXX-XXXX) |
| Address: |
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| MSC # |
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| Select year in school: |
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| Major: |
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| Ethnicity (optional): |
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| GPA: |
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| T-Shirt Size: |
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| 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), and when were you involved? |
List all commitments you anticipate having next year: |
Extra-curricular: write in, leader or participant, hours committed per week
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Leadership: write in hours committed per week
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Jobs: write in, leader or participant, hours committed per week
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Other:
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Please answer the following questions in no more than 250 words. |
Summarize your previous volunteer/leadership experience.
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How do you stay organized and set priorities?
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Depending on the program for which you are applying, please describe a thirty
minute, age appropriate activity that you would facilitate for a group of 20 students.
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It can be challenging to get student members to show up to their program each
week and to actively engage with the youth. What ideas do you have to address this challenge?
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Please rank the following staff positions in order of your preference (1 being most preferred, 7 being least) |
| Campus Kids |
| SMILE |
| Zag Study Buddies |
| Earthbound |
| Eye-to-Eye |
| Connections |
| GAME |
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| Do you have a school preference? Yes No - If YES, which school? |
| Will you have a car? Yes No |
| Do you have proof of car insurance? Yes No |
If selected as a leader for this program do you agree to attend: |
| Yes No - CCASL Retreat (September) |
| Yes No - Programmatic Planning/Staff Meetings |
| Yes No - Training and Reflection Activities |
| Yes No - Other events as assigned |
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| If you'd like to include a resume, please email it to Bailley at wootton@gonzaga.edu. Thank you. |
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