Service-Learning Fellows Application

 
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Don't Edit This Field:
First Name:
Last Name:
Preferred Name:
Student ID#:
Preferred Email:
Cell Phone: (XXX-XXX-XXXX)
Select year in school:
Expected Graduation Date: (example: 5/2014)
Major(s):
GPA:
Next year will you qualify for: Federal Work Study
State Work Study
NA
Have you participated in a CCASL program(s): No Yes - If yes, which program(s)

It is important to CCASL that student leaders achieve a healthy balance between the various demands of college life. For this reason, all student leaders are limited to 2 leadership positions within CCASL (with the exception of Reality Camp, because it happens before the school year) and we ask you to list all commitments that you anticipate having next year. Please fill this section out completely:
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 taken a Service-Learning Course? Yes No - If yes, which?

Please elaborate on all categories in which you have experience:
Public Speaking:
Event Organizing:
Leadership Experience:
Working with college students:
Working with faculty:
Working with community partners:
Data Entry:
Filing:
 
Reference Name:
Reference Phone:
Reference Email:
Relationship to Reference:

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
 
If you would like to turn in a resume, please submit it to wheatley@gonzaga.edu