2015 -2016
DSA Leadership Ambassador Application
(Deadline: Monday, April 27, 2015)
Purpose
The Southeastern Leadership Ambassadors are volunteers who assist the Division for Student Affairs
(DSA) with recruitment events, the leadership development of students, and the education of students
on the rules, regulations, and traditions of university life. DSA Leadership Ambassadors also promote
spirit and unity among Southeastern students and provide diligent service to the Southeastern
community.
DSA Leadership Ambassadors volunteer their time and talents to many programs including, but not
limited to:
 Traditions
 Emerging Leaders’ Retreat
 Family Day
Committee Structure
All DSA Leadership Ambassador service and involvement is organized and implemented through a
committee system. Each DSA Leadership Ambassador is assigned to a committee that meets
throughout the semester to plan events and fulfill the committee’s purpose. Committees are led by a
chair and one or more associate chairs.
Qualifications
A Leadership Ambassador must possess the following qualifications:
 Be a full time undergraduate student.
 Possess a Cumulative G.P.A. of 2.75 or higher.
 Be enthusiastic and ready to make an impact at Southeastern Louisiana University.
 Have a proven commitment and passion for Southeastern Louisiana University.
 Submit a complete application including a letter of reference from a university faculty or staff
member.
 Must attend one group interview either on: Tuesday, May 5th from 5 pm to 6:30 pm, Thursday, May
7th from 3:00 pm to pm to 4:30 pm, Friday, May 8th from 10 am to 11:30 am
 Applicants must be free of any disciplinary actions, defined here as having an open or unresolved
case with the Office of Student Conduct, as well as being free from any pending disciplinary
sanctions administered by the Office of Student Conduct.
Required Events
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Leadership Ambassador Day Retreat - May 18th, 2015
Traditions events – August 16-19th, 2015
Family Day – Saturday, September 12, 2015
Emerging Leaders’ Retreat – Spring 2016 TBA
DSA Convocation – April 2016
Bimonthly Meetings with the Director of Student Engagement
Assist with various Division Events and Initiatives based on your availability.
(If you have questions or concerns about any of the above dates, please contact Dr. Pam Rault at
pam.rault@selu.edu to discuss.)
2015 -2016
DSA Leadership Ambassador Application
(Please print clearly)
First Name: __________________________ Last Name:___________________________
Address:___________________________________________________________________
Street Address
City
E-mail Address:_____________________________
W Number: ____________________
Zip
Cell Phone Number:_______________
Major:________________________
Current Classification:__________
Classification beginning Spring 2015:__________
Semesters at Southeastern: ____________
New Leadership Ambassador Applicant
State

Cumulative GPA: _____________
Returning Leadership Ambassador Applicant 
List the clubs/organizations (both on and off campus) that you have been involved with while at
Southeastern. If you are a transfer student, please include all clubs/organizations you were involve in at
your previous school.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
How will you get new students involved when they first arrive on campus?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
During Emerging Leaders Retreat, groups will be led by pairs of students. What type of person do you
need to be paired with to make you the most effective team leader?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
What qualities do you possess that will make you an outstanding DSA Leadership Ambassador?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Give us an example of a leadership role you have held and what you learned from that experience.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
New Leadership Ambassador Applicants: A recommendation letter must be included with your
application. This must come from a Southeastern faculty or staff member and should address your
character, academic commitment, and university involvement. Please indicate who will be completing
the recommendation for you:
____________________________________________________________________________
Returning Leadership Ambassador Applicants: Please tell us why you would like to return as a
Leadership Ambassador for a second year.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Please indicate the times you are available and we will be in contact with you to schedule your
interview.
Interview Dates & Times
Tuesday, May 5th from 5 pm to 6:30 pm
Thursday, May 7th from 3:00 pm 4:30 pm
Friday, May 8th from 10 am to 11:30 am
Available
Not Available
Applications are due to the Office for Student Engagement either in Mims Hall room 123 by 5:00 pm on
Monday, April 27, 2015. If we have moved to our new offices by that date, you can find us in the second
floor of the Student Union, Suite 2307 (across from the new Bookstore.) Please direct questions about
this application process to Dr. Pam Rault at pam.rault@selu.edu.
I give permission to the Office for Student Engagement and the Office of Student Conduct to check into
my records for the purpose of qualifications.
__________________________________
__________________________
Signature
Date