Student Leader Positions
Mentoring Leader Application

Mentoring Leader Application

Apply to be a leader with one of CCASL's award-winning mentoring programs!

Student Leader Job Descriptions
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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)
Next year will you qualify for: Federal Work Study
State Work Study
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: please include your role and the number of hours you estimate per week
Leadership: please include your role and the number of hours you estimate per week
Jobs: please include your role and the number of hours you estimate per week


Please check all categories in which you have had experience:
Organizing Events Explain:
Leadership Experience Explain:
Working w/College Students Explain:
Working w/Youth Explain:
Working w/Schools Explain:
Why do you want to be a leader in this program?
What qualities would you bring to this program? How do you set priorities and stay organized?
Summarize any previous experience that is relevant to the leadership position.
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 youth. In addition to the activity, please describe an icebreaker or group energizer and a reflection.
In detail, please describe how you would work with a mentor that is struggling to keep his/her commitment to your mentoring program. Explain what strategies you would use and any advice or information you would provide to the mentor.
Please rank the following staff positions in order of your preference (1 being most preferred, 5 being least):
Campus Kids
Zag Study Buddies
Do you have a preference for which school you would like to be at? Yes No
If YES, which school?
Will you have a car, insurance, and are you willing to drive to programming? Yes No

PLEASE NOTE: If selected as a leader for this program do you agree to attend:
Yes No - CCASL Retreat (Aug 19-20, will require early return to campus)
Yes No - Mentoring Student Retreat (TBD, will likely occur before new student orientation and will require early return to campus)
Yes No - Mentor Training and Reflection Activities
Yes No - Programmatic Planning/Staff Meetings
Yes No - Weekly Programming
If you would like to turn in a resume for review, please submit it to