ASPCC SYLVANIA STUDENT LEADER APPLICATION 2016 – 2017
Please turn in completed application to CC 101
For best consideration, please turn in completed application by April 29th at 4:00pm
Fill out the following application (please print clearly):
First Name
Middle Name
Last Name
Student G Number
Street Address
City
State
Zip Code
Phone
Email (MyPCC e-mail address only)
Please fill in the bubble(s) of the positions you are interested in that are listed below. All positions are
paid $9.75 per hour.
EXECUTIVE COUNCIL
 Student Body President
 Events & Programs Director
 Legislative Director
 Administrative Director
(20hrs/wk)
(20hrs/wk)
STUDENT REPRESENTATIVES
 Clubs Assistant
(15hrs/wk)
 International Student Ambassador
 Student Organizers
(15hrs/wk)
ADMINISTRATIVE SUPPORT
 Graphic Designers*
 Marketing Specialist
 Executive Assistant
(15hrs/wk)
(20hrs/wk)
(20hrs/wk)
(15hrs/wk)
(15hrs/wk)
Letter of Intent
Applicants are required to write a letter stating their intent to apply for a position(s) at ASPCC. Applicants
should state the position(s) they are applying for, experiences that have prepared them for those positions and
what they would like to achieve by participating in the ASPCC Sylvania Leadership Program.
Letters of Recommendation
Each applicant is required to provide 2 letters of recommendation written on their behalf by a PCC
Administrator, Staff or Faculty Member. If not included in the application packet, recommendations can be
brought to CC 101 or sent to Stephen Arthur (stephen.arthur@pcc.edu) or Colleen Pittinger (cpitting@pcc.edu)
via email from the recommender’s MyPCC email account by May1st.
Note: Applicants who have never attended PCC may have references from high school or college faculty or
staff from another college, previous employers, or personal references (not family or friends).
Recommender #1
Recommender #2
Name:______________________________________
Name:___________________________________
Position:____________________________________
Position:__________________________________
Email:______________________________________
Email:____________________________________
Phone:______________________________________
Phone:___________________________________
ASPCC Sylvania
971-722-4361
Supplemental Questions
Please provide answers to the questions below. Answers must be typed and limited to no more than one page
per question, for a total of up to 3 pages maximum to answer all questions.
1) Describe a situation where you worked on a team. What was challenging about this experience? How
did the team overcome these challenges? What would you have done differently?
2) What is the role of student leader and in encouraging an inclusive space students?
3) What is one challenge that students face and how would you resolve it with you position in student
government?
APPLICATION CHECKLIST - Please answer the following questions:
☐Y
☐N
I will be enrolled for six or more credits at PCC in Fall, Winter and Spring term at the Sylvania
Campus during the 2015-2016 Academic Year. (At least 4 credits must be at the Sylvania
campus).
☐Y
☐N
My cumulative GPA is 2.5 or above and I am in good standing per the PCC Satisfactory
Academic Progress Policy and in good standing with the Sylvania Deans of Students Office.
☐Y
☐N
I will attend all mandatory ASPCC trainings for the 2016–2017 school year are as follows:
June 10, June 16, Aug 9, Aug 24–26, Aug 29 – Sept 1*, Sep 6–9, Sept 12 – 15, Sep 21, Oct
26, Dec 16, March 24, April 25, and June 16
(*Aug 30 – Sept 1 training will be held overnight at Silver Falls Retreat Center).
☐Y
☐N
I commit to being available every Monday from 3:00pm – 4:30pm to attend ASPCC-SY
General Council meetings.
☐Y
☐N
I have requested two letters of recommendation and included the contact information for my
recommenders on this application.
☐Y
☐N
I have attached my Letter of Intent.
☐Y
☐N
I have attached a copy of my current resume.
☐Y
☐N
I have attached my typed answers to the supplemental questions to this application.
☐Y
☐N
Graphic Designers only: submit example(s) of your work using Adobe InDesign, Illustrator,
Photoshop. This may be done in a single design or multiple pieces and should include an
accompanying document describing which programs were used and in what manner.
Submissions can be printed or sent to stephen.arthur@pcc.edu or cpitting@pcc.edu as pdf or
jpg files.
☐Y
☐N
Have you completed a FASFA and requested workstudy for the 2016 – 2017 academic year
(this question is optional)
☐Y
☐N
I have authorized ASPCC to access my academic records to verify my GPA.
The undersigned hereby authorizes full investigation of all statements contained on this application. The
undersigned also understands that any misrepresentation or omission of facts or attempts to influence the
hiring committee outside of the interview may cause the applicant to be disqualified from the hiring pool.
Signature of Applicant _________________________________________ Date __________________
ASPCC Sylvania
971-722-4361