Study Hall Leader for Student Athletes Application 2012-13

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Home > Study Hall Leader for Student Athletes Application 2012-13

The Learning Assistance Program uses different proactive approaches that provide structured one-on-one sessions with at-risk college students. This program provides individualized, supportive, and engaging opportunities for interaction between the graduate mentor and freshmen students. Position Type / 10-20 hour Graduate Student Mentor. Please print two copies of the Reference Form (Attached as PDF at Bottom) and have two professional references complete and return to the address indicated.

If you have questions, please contact John Sevier at (828) 262-2808 or sevierjn@appstate.edu

Fname: *

Lname: *

Email Address: *

Please double check to make sure your email address is correct!

Preferred Phone: *

(please provide your mobile phone number if possible)

Local Address (Street): *

Please enter your local address (Boone area) or ASU Box Number

Local Address (City): *

Please enter a local address (Boone area) town or city

Local Address (State): *

Please enter a local address (state) if different from NC

Permanent Address (Street): *

Please enter a permanent address if different from local address

Permanent Address (City): *

Please enter your permanent address town or city if different from local

Permanent Address (State): *

Please enter permanent address (state) if other than NC

Your Major: *

example: HPC Student Development concentration, etc.

Cumulative GPA: *

example: 3.40

Expected Graduation Date: *

Are you currently employed?: *

Yes

If yes, where?: *

Which Assistantship are you most interested in?: *

20 hour per week

9-12 hour per week

Will Consider Either One

Please indicate permission for us to view your electronic transcript (if currently enrolled as a graduate student): *

Yes, you may view my academic transcript

No, I prefer that you not view my academic transcript

Professional Reference 1: *

Please provide a professional reference contact person, indicating the nature of your relationship with them and a contact email and/or phone number where we may reach them.

Professional Reference 2 : *

Please provide a professional reference contact person, indicating the nature of your relationship with them and a contact email and/or phone number where we may reach them.

What experiences have contributed to your knowledge and capabilities of working with students in a group or individual setting?: *

What skills do you think are instrumental for promoting academic success?: *

How might you attempt to accommodate individual or diverse needs?: *

As a study hall leader, you would be expected to handle discipline issues when necessary. You are also expected to be intrusive with participants on occasion. What will ensure us that you are capable of handling these types of experiences effectively?: *

How would both you and the Learning Assistance Program benefit from you being in the role of a graduate student mentor?: *

What specific qualities, talents and abilities do you possess that would also contribute to the program?: *

What are some of your goals, both short and long term?: *

How will the Study Hall Leader experience impact your short term goals (what do you feel this experience could offer you)?: *

How will the Study Hall Leader experience impact your long term goals (what do you feel this experience could offer you)?: *

As a Study Hall Leader, you will be in charge of compiling a weekly report on student attendance and participation. Do you have any experience using Excel Spreadsheet functions (i.e. inserting data and using basic calculation formulas)?: *

Please indicate: I understand that if selected to be a Study Hall Leader, I will be required to attend and initial training session and all bi-monthly meetings and training sessions.: *

Yes, I can commit to training requirements if selected

I would need more information prior to committing to training requirements

No, I am unable to commit to training requirements

(The initial training session will be around 6 hours and will be scheduled at least one week prior to classes beginning in the fall)

Attachment	Type	File size
SSA_StudyHallLeader_Reference.pdf	PDF	31.39 KB
SSA_Your_Academic_Schedule.pdf	PDF	158.39 KB