IMPACT Peer Leaders integrated mentoring program and core training APPLICATION INSTRUCTIONS We invite you to apply to become an IMPACT Peer Leader. Peer leader responsibilities and requirements are described for various leadership opportunities at the end of this document. Mandatory training dates for IMPACT Peer Leaders are listed on page 3. Before beginning your application review the training dates and be sure that you are able to attend these trainings. Complete applications include 5 parts, as outlined below, and are due on April 8th, 2015. Incomplete or late applications will not be considered. Part 1 – IMPACT Peer Leader Job Application (page 4 of this packet) Part 2 –Interest Statement Submit a one-page interest statement addressing the following questions: Why are you interested in becoming an IMPACT Peer Leader? What skills (qualifications/experiences) would you contribute as an IMPACT Peer Leader? What do you hope to gain from serving as an IMPACT Peer Leader? Part 3 –Resume For assistance in writing your resume, visit the Writing Center or your college’s Career Services office. Part 4 –Transcript You may either print and submit an unofficial transcript OR request the Office of the Registrar, located at 333 East Campus Mall #10101, send an official transcript. Part 5 – Recommender Release Form Complete the Recommender Release Form on page 5 of this packet. All applicants must have two recommenders, including at least one current UW-Madison employee who is familiar with your academic or extracurricular work. Appropriate recommenders include: faculty or staff instructors, academic advisors, research mentors, assistants and student teaching assistants, program staff, student organization advisors, student work supervisors. Submit COMPLETE application packets to the below address or email [email protected] : WISCIENCE Room 118 445 Henry Mall Madison, WI 53706 2|Page IMPACT Peer Leaders are mentors and role models who possess leadership qualities and are dedicated to helping fellow UW-Madison students succeed. Peer Leaders help less experienced students navigate and get connected to the university PROGRAM POSITIONS MadBiology Boot Camp Counselors Provide support for all components of the Boot Camp program, including check-in and check-out Lead small group discussions with camp participants Actively engage with the curriculum of Boot Camp RESPONSIBILITIES AND DUTIES Help students become independent learners. Model good student behavior – take notes, be on time, etc. Publicize and support the academic policies and standards of UW-Madison. Support and participate in the evaluation process of the Program/Class. Attend ALL required WISCIENCE training activities and meeting. COURSE POSITIONS RESPONSIBILITIES AND DUTIES Exploring Biology Peer Mentors *same as program positions responsibilities and duties* Peer Mentor for Biology 100: Exploring Biology Must enroll in two 1-credit courses. o Biology 399: Education Internship o Biology 375: Exploring Biology Peer Leadership Exploring Service in Science Mentors Peer Mentor for Biology 375, Section 3: Exploring Service in Science Must enroll in one-credit course. o Biology 399: Education Internship Collaborate with the course instructor to provide instructional leadership for course. Meet weekly with the assigned course instructor to assist her/him in planning the curriculum and instructional activities, both before the course starts and throughout the semester. Attend all classroom sessions. Coordinate with the course instructor to meet with each student outside of class at least twice during the semester. This time period should be used to monitor the students’ academic progress and to intervene with appropriate recommendations that could assist with the students’ retention and success at UW-Madison. Hold 1 to 3 office hours per week (to be arranged in cooperation with the course instructor). 3|Page ADVANCED LEADERSHIP OPPORTUNITIES Peer Leader for Biology 375: Engage Children in Science Must have successfully completed Biology 375 course prior to Fall 2015. Must enroll in a one-credit course. o Biology 399: Service Learning Bio Commons Assistant Must have participated in a program or course mentoring position prior to Fall 2015. Afternoon and evening desk hours at the BioCommons in Steenbock Library. Paid position: 6-10hrs per week Entering Research Mentor Peer Mentor for Biology 260 & 261: Entering Research Parts 1 & 2. Must have competed Bio 262. Must enroll in a one-credit course. o Biology 660: Entering Mentoring Undergraduate Research Peer Mentors Must have participated as an Entering Research Peer Mentor prior to Fall 2015 Evening drop-in research peer mentoring at the BioCommons in Steenbock Library Must enroll in a one-credit course. Paid position: 2-4hrs per week. Tues/Wed evening hours. A more detailed description of each program can be found online at www.biology.wisc.edu MANDATORY IMPACT PEER LEADER TRAINING DATES: APRIL 24, 25, 26 TIMES TBA All new Peer Leaders must attend a mandatory Peer Leader Retreat scheduled on the following days and times: April 24, 25, 26 – Times TBA Peer Leaders may be subject to a monthly in service training or meeting to be held during the semester. The dates will be announced at least two weeks in advance. 4|Page IMPACT Peer Leaders APPLICATION REQUIREMENTS: Have at least a 3.0 cumulative GPA Have completed a minimum of 24 college-level credit hours at an institution of higher education by Fall 2015 Be enrolled full-time at UW-Madison (12 or more undergraduate hours) each semester Available to attend all training sessions Have completed one semester of Chemistry Last Name: Click here to enter text. First Name: Click here to enter text. M.I.: Click here to enter text. Address: Click here to enter text. City, State: Click here to enter text. Zip: Click here to enter text. Primary Phone #: Click here to enter text. Email: Click here to enter text. Major: Click here to enter text. Minor: Click here to enter text. Number of credit hours completed: Click here to enter text. Cumulative GPA: Click here to enter text. WISCARD ID#: Click here to enter text. Are you currently employed on campus? Click here to enter text. If yes, which department and how many hours do you work? Click here to enter text. How did you hear about this position? Click here to enter text. Please check the positions you would like to be considered for. You make check more than one. Program Positions Course Positions Advanced Leadership MadBiology Boot Entering Research Mentor Co-Instructor for Engage Children Camp Counselor (fall & spring) Science (fall & spring) (pre-fall) Exploring Service in BioHouse Assistant (fall & spring) Science Mentor (spring) Entering Research Mentor (fall & spring) Undergraduate Research Peer Mentors (fall & spring) 5|Page Recommender Release Form Click here to enter text. Click here to enter text. Name of Applicant Date Click here to enter text. Click here to enter text. Name of 1st Recommender Email Address Click here to enter text. Click here to enter text. Name of 2nd Recommender Email Address Click here to enter text. Signature (provide your full name if electronic signature) By signing the form above, I authorize WISCIENCE to request information from references concerning my work performance and general character. I further authorize the faculty or staff member receiving this form to give complete information as requested by WISCIENCE. I understand that the information requested will not become part of my student file at UW-Madison and that such information will be treated as confidential.