| First Name: |
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| Last Name: |
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| Sex |
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| Home Address: |
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| City: |
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| State: |
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| Zip Code: |
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| AU Box #: |
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| Residence Hall |
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| AU ID #: |
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| Cell Phone: |
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| Email Address: |
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| Academic Information |
| Class Standing (Freshman, etc.) |
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| Anticipated Date of Graduation |
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| GPA |
Fall 2011 Cumulative |
| Academic and Co-curricular Commitments |
| Anticipated Class Load |
Fall 2012 units Spring 2013 Units |
Are there any activities (sports, clubs, music groups, organizations, outreach ministries, etc.) that you anticipate being involved in during Fall/Spring 2012/13? Please specify what activities and provide details such as name of group, number of hours involved per week, and length of involvement during the school year.
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| Do you have experience in any of the following? |
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| Position Applying For |
Please list the top two Student Leadership positions that you are interested in. If you are only interested in one position, do not list any other positions.
Positions include: Resident Advisor, Senior Resident Advisor (Must be returning RA), Campus Activities Team, Alpha Leader, Alpha Guide (Must be returning Alpha Leader).
Position 1:
Position 2:
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If you chose RA please list in order your living area preference. Choices include:
Village, Kingsley, Lawton, Rouse, Pratt, Denmark, Stringer, Boulevard.
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If you chose Campus Activities Team, please rank the positions available with #1 being your top choice. If you only want to be considered for one position, please list only that position. Positions include: Cultural Arts, Campus Life, Graphic Design, Special Events, Outdoor Adventure.
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Reference Information
Please provide the contact information for the people that will be filling out your reference forms. These individuals should be able to assess your leadership potential as it applies to the Student Leader position you are applying for and be able to speak on behalf of your character, skills and abilities. Reference forms are available on the Student Leader Website.
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Personal Reference (ALL Student Leader applicants must provide a personal reference. Examples include any non-relative pastor, youth pastor, friend, or past employer)
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| Name: |
Relationship: |
| Phone: |
E-mail: |
| Faculty/Staff/Administrator (Students applying to be an Alpha Leader, Alpha Guide, Student Activities Intern, SRA, or returning RA.) |
| Name: |
Title/Position: |
| E-mail: |
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| Current RA (First Time RA Applicants Only) |
| Name: |
E-mail: |
Additional Questions
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Briefly explain why you are applying to be a Student Leader and how you envision yourself serving in this role.
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How do you hope to grow and what do you desire to learn through this experience?
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How do you envision this leadership position positively impacting the campus community as a whole?
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Briefly describe what God has been teaching you in the last 3 months.
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The following documentation must be turned in to the Student Activities or Residence Life Office or be emailed to studentlife@andersonuniversity.edu by Friday, February 11, 2011 at 4:30 p.m. in order for your application packet to be complete and for you to be considered as a candidate for a leadership position.
- Completed Application
- Self Service Unofficial Transcript
- Two References (Use Form located on Student Leader Website)
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Selection Process Timeline
- Applications are due: Friday, February 11, 2011 by 4:30 pm
- Group Process Day: Tuesday – Thursday, February 15-17 *(Choose one. Required for all 1st year applicants. )*
- Interviews: Monday, February 21 – Friday, March 4
- Candidates Notified: Friday, March 11, 2011
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