ASB STUDENT LEADER APPLICATION
This application is due May 2, 2014 by 12 PM in the Center for Community
Engagement. ***Please note you must have attended a previous ASB trip
to apply for a leadership position.
Part I: Personal Information
First Name: _____________________________
Last Name: ________________________________________
991 #: _________________________________
E-mail address: _____________________________________
Cell Phone: _____________________________
Birth Date (MM/DD/YY): ____ /____ /____
Languages Spoken: _____________________________________________________________________________
Address:_______________________________________________________________________________________
Street
Box/Apt.
City
State
Zip Code
Are you in good academic standing? _____Yes _____No If no, why? ___________________________________
Do you have a valid passport? _____Yes ______No
Expiration date on passport: _____________________
Major/Program: _______________________________________________________________________________
Class Standing (ex. Senior): ______________________________________________________________________
T-shirt size:
Small
Medium
Large
X-Large
XX-Large
XXX-Large XXXX-Large
Part II: Personal Statements
Please answer the following questions on a separate piece of paper.
1.
2.
3.
4.
5.
6.
7.
8.
Which ASB program have you previously participated with? List the specific program(s) and when they
occurred.
Explain your reason for applying to be a student leader?
What do you hope to gain through dedication to the ASB program?
What previous leadership or volunteer and service experience do you have? Explain their relevance to you as a
future student leader and provide a brief explanation of each experience.
What are your personal qualities that contribute to positive teamwork?
What facilitation experience have you had? How would you describe your facilitation style?
As a student leader, how will you balance academic coursework with pre-trip preparation?
Is there anything else you would like us to know?
Center for Community Engagement
Tirey Hall 134J
Terre Haute, IN 47809
812-237-2334
Part III: Service Trips
1) Please rank trips in order of preference (1 for your 1st choice, 2 for your 2nd choice, etc.). For more
information on trips, please see the CCE website, http://www.indstate.edu/publicservice/. Volunteers will
be selected and placed based on their applications and trip choices.
2) When ranking trips, please keep in mind that you will only be placed on a trip that you rank. If there is a
trip you do not want to participate in, do not rank it. We will not place you on a trip you do not rank!
3) Volunteers will be assigned to trips by the staff of the Center for Community Engagement.
4) While some of the organizations we partner with have a religious foundation, volunteers will not be
engaging in any religious activities and will only be supporting the social services side of the organization.
International (children, poverty):
____
Environment:
____
Animal welfare:
____
International (children, poverty) Fraternity and Sorority Life trip (must be in a social fraternity or sorority to
attend):
____
Diversity:
____
• Be aware that trips and/or activities are subject to change, and may not end up exactly as described
in this application. Our partner organizations do their absolute best to accommodate us, but we are
volunteering to serve their needs. If their needs change, we ask you to be flexible and embrace the
adventurous spirit that drew you to apply for this program. Unfortunately, we cannot provide refunds
due to changes in trip locations, partner organizations or service activities.
Center for Community Engagement
Tirey Hall 134J
Terre Haute, IN 47809
812-237-2334
STUDENT LEADER ROLE
Goal Statement
ASB is a student-driven national movement that creates opportunities for students to reach out to communities
around the nation and beyond. It fosters a lifelong commitment to citizenship and community engagement. While
participating in ASB, students will gain knowledge, learn practical skills, and become more aware of the many
social and environmental issues in the United States and around the globe.
Role of an ASB student leader
Pre-trip
o Participate in all student leader training/orientations.
o Direct involvement with ASB participant application review, interview and team selection process.
o Attend regular meetings with ASB staff.
o Bi-monthly: ASB Student Organization Meetings
o Collaborate with the ASB participants in fundraising, marketing/public relations, trip logistics, curriculum,
and trip development.
o Work with the CCE Graduate Assistant and CCE Program Coordinator in pre-trip preparation and post-trip
experiences.
o Facilitate team meetings, including:
 Educational curriculum.
 Teambuilding activities.
 Personal and group reflection.
Trip
o Fulfill leadership role while on trip.
o Direct involvement with execution of trip logistics.
o Facilitate and coordinate team activities and reflections.
Post-trip
o Work with the CCE staff to create and administer post-trip surveys.
o Coordinate team debriefing activities/meetings.
o Organize the development of post-trip presentation.
General Qualifications for an ASB student leader
o Willing to advance personal level of cultural competency.
o Exudes strong leadership and interpersonal skills.
o Experience working with a team or group.
o Organized, self-motivated and detail-oriented.
o Facilitation skills with group discussion, activities and meetings.
o Willingness to be flexible.
o Good university standing (grades and discipline).
Benefits for an ASB student leader
o Develop marketable skills in program development, marketing, fundraising, project
management, and outreach.
Center for Community Engagement
Tirey Hall 134J
Terre Haute, IN 47809
812-237-2334
In signing this learning agreement you are agreeing to attend mandatory meeting dates:
Dates for Student Leaders:
Meetings will be frequent during the summer and fall semesters
____________________________________________________________________________
Signature
Date
Center for Community Engagement
Tirey Hall 134J
Terre Haute, IN 47809
812-237-2334