Form

Student Leadership Application
About You:
Name*
First Name Last Name
ID #*
Gender*

Male Female
Cell Phone #*
- Area Code Phone Number
Summer Phone # (If different than cell)
- Area Code Phone Number
Current Living Area/Commuter*
AU Box #

Summer Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

AU Email*
T-Shirt Size*

S M L XL XXL
Do you have any experience with the following?

Graphic Design Film/Video Editing Leading Worship Acting Photography
Academic Standing:
Class Standing (Fall 2013)*

Freshman Sophomore Junior Senior
Major*
Anticipated Graduation*
Fall 2012 GPA*
Cumulative GPA*
Anticipated 2013 Fall Credits*
Anticipated 2014 Spring Credits*
Please attach an unofficial self-service transcript (PDF or Doc)
Time Commitments & Involvement
Are you applying for multiple leadership positions?*

Yes No
First Choice*

Second Leadership Choice
Second Choice

End Collapse
Are there any activities (sports, clubs, music groups, organizations, outreach ministries, etc.) that you anticipate being involved in during Fall 2013 or Spring 2014? Please specify what activities and provide details such as name of group, number of hours involved per week, and length of involvement during the fall and spring semesters.*
Supplemental Questions
Briefly describe your journey of faith and what God has been teaching you in the last 3 months.*

Alpha Leader
Alpha Leader
Briefly explain why you are applying to be an Alpha Leader and how you envision yourself serving in this leadership role.
What would you do to improve the New Student Orientation Experience at Anderson University?
How do you hope to grow, and what do you desire to learn through this experience?
I understand my application is not complete until I submit a reference from a current Alpha Leader and a Faculty/Staff member.*

Yes No
I understand that I am required to be on-campus for the following dates: June 17-22, June 27-29, and July 11-13 for training and Base Camp.*

Yes No, I have conflict(s)
I understand that I am required to move back to campus on August 14 for the fall semester.*

Yes No

On Campus Requirements
Please explain any conflict(s) you have on those dates, if any.

End On Campus Requirements

End Alpha Leader

Returning Alpha Leader
Returning Alpha Leader
What did you enjoy most about being an Alpha Leader?*
How did you grow as a result of your experience as an Alpha Leader?*
What would you do differently with your group of students if you are reselected as an Alpha Leader?*
I understand my application is not complete until I submit a reference from a student in my Alpha Group or a current Alpha Leader and a Faculty/Staff member.*

Yes No
I understand that I am required to be on-campus for the following dates: June 17-22, June 27-29, and July 11-13 for training and Base Camp.*

Yes No, I have conflict(s)
I understand that I am required to move back to campus on August 14 for the fall semester.*

Yes No

On Campus Requirements
Please explain any conflict(s) you have on those dates, if any.

End On Campus Requirements

End Returning Alpha Leader

CAT
Campus Activity Team (CAT)

The Office of Student Activities offers several intern opportunities that form the Student Activities Staff. Please read the abbreviated job descriptions (http://bit.ly/UqPKAw) and determine which internships you are most interested in. Please rank the top two intern positions that you are interested in. Please be aware that if selected to be a part of the Student Activities staff you may be placed in either one of those two preferred positions. If you are only interested in one position, do not rank any other positions as possible preferences.
1st Choice
2nd Choice
Briefly explain why you are applying to be a Campus Activity Team Intern and how you envision yourself serving in this leadership role.
How do you hope to grow, and what do you desire to learn through this experience?
I understand my application is not complete until I submit a reference from a Faculty/Staff member and another student leader.*

Yes No
I understand that I am required to move back to campus on August 11 for the fall semester.*

Yes No

End CAT

Returning CAT
1st Choice
2nd Choice
What did you enjoy most about being a CAT Intern?*
How did you grow as a result of your experience as a CAT Intern?*
What would you do differently if you are reselected as a CAT Intern?*
I understand my application is not complete until I submit a reference from a Faculty/Staff member and another student leader.*

Yes No
I understand that I am required to move back to campus on August 11 for the fall semester.*

Yes No

End Returning CAT

RA
Resident Advisor (RA)
Do you have any summer plans such as internships, summer camps, family vacations, jobs, etc. that would prevent you from returning early to participate in the mandatory RA training beginning Wednesday, August 7th through Saturday, August 17th? If yes, please indicate what activity and the anticipated earliest date you would be available to return.*
Briefly explain why you are applying to be an RA and how you envision yourself serving in this role.*
How do you hope to grow, and what do you desire to learn through the RA experience?*
In what ways do you believe the RA position can positively impact the campus community?*
How do you plan to cultivate deep and meaningful relationships with the residents on your assigned hall or floor? Why do you think this is important?*
I understand that my application is not complete until my current RA has submitted my reference form. (The online reference form is located at the top of the Residence Life homepage.)*

Yes No
I understand that I must return early for mandatory RA Training on Wednesday, August 7th.*

Yes No
I understand that I am required to attend every session of RA Training as well as participate in required Welcome Week events.*

Yes No

End RA

Returning RA
Returning Resident Advisor
Do you have any summer plans such as internships, summer camps, family vacations, jobs, etc. that would prevent you from returning early to participate in the mandatory RA training beginning Wednesday, August 7th through Saturday, August 17th? If yes, please indicate what activity and the anticipated earliest date you would be available to return.*
Briefly explain why you are applying to be a RA again and how you envision yourself continuing to serve meaningfully in this role.*
How do you hope to grow further and what new learning do you anticipate through another year?*
What have been some of your successes and some of your challenges or failures this past year?*
Describe how your personal walk with Christ has been impacted through the RA experience this year.*
How do you plan to cultivate deep and meaningful relationships with the residents on your assigned hall or floor? What have you learned about why this is important?*
I understand that I must return early for mandatory RA Training on Wednesday, August 7th.*

Yes No
I understand that I am required to attend every session of RA Training as well as participate in required Welcome Week events.*

Yes No

End Returning RA

SRA
Senior Resident Advisor (SRA)
Do you have any summer plans such as internships, summer camps, family vacations, jobs, etc. that would prevent you from returning early to participate in the mandatory RA training beginning Wednesday, August 7th through Saturday, August 17th? If yes, please indicate what activity and the anticipated earliest date you would be available to return.*
How has the RA experience impacted your decision to consider the SRA position? What specific skills and strengths will you bring to the SRA role?*
Describe the role you would strive to play within a living area staff if selected to serve as the SRA.*
What are some specfic ways you would be a catalyst for community among your RA staff as well as your living area?*
How do you plan to cultivate deep and meaningful relationships with the residents on your assigned hall or floor? What have you learned about why this is important?*
In your opinion, what are some specific ways the SRA should support his/her Residence Director? Fellow RAs?*
I understand that I must return early for mandatory RA Training on Wednesday, August 7th.*

Yes No
I understand that I am required to attend every session of RA Training as well as participate in required Welcome Week events.*

Yes No

End SRA
I understand that the Group Process Interview is required and I am planning on attending on Saturday, February 9*

Yes No, I have a conflict

Group Process
Reason you cannot attend Group Process Interview:

End Group Process
Should be Empty:

Student Leadership Application

About You:

Academic Standing:

Time Commitments & Involvement

Supplemental Questions

Alpha Leader

Returning Alpha Leader

Campus Activity Team (CAT)

Resident Advisor (RA)

Returning Resident Advisor

Senior Resident Advisor (SRA)