| * Required Fields |
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| *First Name: |
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| *Last Name: |
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| Gender: |
M F |
| *Augustana ID: |
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| *College Address: |
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| *Box #: |
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| *Cell Phone: |
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| *Email: |
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| *High School Name: |
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| *High School City: |
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| *Hometown |
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| *Date of Admission to Augustana College: |
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| *Transfer Student: |
Yes No |
| *Current Classification: |
FY SO JR SR |
| *Majors: |
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| *Minors: |
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| *Number of Completed Terms at Augustana: |
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| *GPA: |
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*Are you planning to be away from the campus during the upcoming academic year? (Foreign term, student teaching, internship, not registered, etc.)
Yes No
If yes, which term:
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| *Do you plan to work off campus during the upcoming academic year? Yes No |
| If yes, how many hours per week? |
*List any leadership positions you have held, currently hold, or plan to hold in the future.
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*List activities in which you plan to participate next year
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*Based on your own experiences at Augustana, are there changes which should be made to improve the quality of the college experience?
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*Describe any experiences you have had with minority groups or organizations.
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*Indicate information or factors which especially qualify you as a candidate or which you feel would be important in considering your application.
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| *Check the positions for which you are applying and give your preference for each. It IS possible to work in more than one program. |
| AMBASSADOR |
High Interest Acceptable No Interest |
| AUGIECONNECT CALLER |
High Interest Acceptable No Interest |
| CAREER CONSULTANT |
High Interest Acceptable No Interest |
| PEER MENTOR |
High Interest Acceptable No Interest |
| *Augustana Factuly/Staff References |
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Name: Phone:
Name: Phone:
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ADMISSIONS AMBASSADOR
Answer only if applying for this position. |
Why do you want to be an Ambassador?
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What factors influenced you to attend Augustana?
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What aspects of campus life would you share with prospective students?
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| Have you volunteered at an Admissions sponsored event this school year? (visit day, overnight host, etc.) |
| Were you contacted by an Ambassador as a prospective student? Yes No |
If yes, what were your impressions of the Ambassador program?
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AUGIECONNECT CALLER
Answer only if applying for this position. |
Why does the AugieConnect Caller position interest you?
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Do you have any experience as a telemarketer and if so, in what capacity?
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Why do you feel that you would make a good caller and what skills do you hope to acquire through your work as an AugieConnect Caller?
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Why do you feel it is important for alumni, and friends to support Augustana with yearly monetary gifts to The Augustana Fund? Explain
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CAREER CONSULTANT
Answer only if applying for this position. |
Why does the Career Consultant position appeal to you?
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What special skills or experiences do you hope to acquire or improve through your work as a Career Consultant?
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What customer service and/or office experience do you have?
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What special skills or contributions can you bring to the Career Center?
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| How many hours per week can you commit to this position? |
| Are you willing to work at 8:00 a.m. if classes allow? Yes No |
PEER MENTOR
Answer only if applying for this position. |
Why do you want to be a Peer Mentor?
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Identify one characteristic that you feel is important for a Peer Mentor to have. Explain.
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Describe your experience as a new student in the connections program.
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Do you have any suggestions for improving the connections program?
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Identify specific needs that you feel should be addressed in the training of Peer Mentors.
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| Would you be interested in working with: |
| International Students: |
Yes No |
| Transfer Students: |
Yes No |
| Summer Connection Events: |
Yes No |
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