COMMUNITY SERVICE-LEARNING
2014-2015 Outreach Coordinator Application
Name:
Permanent Address:
Local Address:
P.O. Box:
E-mail:
Current Academic Level:
Major:
Current GPA:
JAC #
Cell Phone:
Expected Graduation Date:
Minor:
Please type answers to all questions. Be Creative!
Short Answers (no more than one page per question):
1. Please tell us about your past leadership or employment experiences and how those experiences
would contribute to your effectiveness in this position. Also include how this position might relate to
your academic and future career goals.
2. Please list any experience you may have with Adobe products, or any courses relevant to design.
Please feel free to share examples as part of your résumé.
3. An important part of service leadership is knowing oneself. Please tell us about your strengths.
4. What are your weaknesses or areas that you would like to develop further? How would you like to do
this? What new skills would you like to develop in this position?
5. What is the difference between service-learning and volunteerism?
Time Management:
If offered this position, how would you balance your time and commitments? In addition to your response to
this question, please create a pie chart representing how you intend to allocate a typical day. Be sure to
include sleep, the CS-L position, personal time, academic commitments, and co-curricular activities.
Identification Information:
Please provide one photograph (head shot) to help our review committee more easily identify you during both
the interview and review processes.
Interview Information:
In the event you are offered an interview, please fill out the following doodle survey to let us know your
availability. Feel free to enter your first name and last initial only. http://doodle.com/hf7szpwe7m6r7bvw
Reference Information:
Please list two references who know of your knowledge, skills, and abilities. At least one must be a JMU
faculty or staff member. The reference forms are attached to this application. Give them to your references
and have them return the completed form to Community Service-Learning as quickly as possible. They can be
sent by mail (MSC 1011), FAX (568-6719) or e-mail (abp@jmu.edu). Instructions are on the reference forms.
Name of Reference
Phone
E-mail
Relationship to Applicant
1.
2.
I certify that the information provided is accurate and complete.
______________________________________________
_____________________________
Signature
Date
Applications are due by 11:59pm on Friday, February 7, 2014. Please return your
completed electronic application and an electronic copy of your résumé to
abp@jmu.edu. If you have any questions, call 540.568.2809 or email abp@jmu.edu.
If you are offered this position (we hope to notify on 3/1/13), there will also be a few hours of shadowing to
be completed by the end of Spring semester. To begin working for the office, the following is necessary:
1. Within one week of accepting the position, make an appointment with Debbie Fox, the CS-L
Administrative Assistant (foxds@jmu.edu or 540.568.2372). Provide the following at your
appointment: copy of social security card and knowledge of tax information (i.e. do your parents
claim you on their taxes, number of exemptions and dependents to claim on your tax forms, and if
you should claim 0 or 1 exemptions).
2. Following your meeting with Debbie, you will be contacted by the Student Work Experience
Center (SWEC). You will have ten days to set up an appointment with SWEC in Warren Hall.
Provide the following at your appointment: passport OR two forms of identification (NO copies
permitted) (i.e. JACard, driver’s license, voter registration card, U.S. military ID card, etc).
3. Shadowing will be scheduled at the convenience of you and the current Outreach Coordinators.
**If you have worked on campus within the past six months (not for an affiliate such as Aramark or Follet),
then you will not need to meet with SWEC again.**
COMMUNITY SERVICE-LEARNING
2014-2015 Outreach Coordinator Reference Form
Applicant’s Name:
Reference’s Name:
Relationship to Applicant:
Reference’s Phone Number:
Date:
Title:
How long have you known the applicant?
Reference’s E-mail Address:
Alternative Break Program, Community Service-Learning
800 S. Main St. MSC 1011
James Madison University
Harrisonburg, VA 22807
abp@jmu.edu FAX 540-568-6719
Dear Friend of Community Service-Learning,
The person above has applied for the position of Outreach Coordinator with Community ServiceLearning and has selected you to evaluate his or her qualifications. Please take a few minutes to
complete this reference form. If you have any questions you may contact the office at
540-568-2809. Thank you!
This position will provide services for the Alternative Break Program, a student led service
program during Thanksgiving, Spring, May, and Weekend Breaks, but also the annual
programming efforts for Active Citizen Week. Strong candidates for the position must be detail
oriented, have good facilitation and interpersonal skills, and have both web and print based
advertising skills.
There are two options for completing this form. Please check one:
____ I will complete this form to the best of my knowledge
____ I prefer to write a letter, which is attached.
Regardless of the option you choose, please return this reference form to Community Service
Learning by 11:59pm, Friday, February 7, 2014. You may drop it off in Wilson 201/204, or
send it by fax (8-6719), mail (MSC 1011), or e-mail (abp@jmu.edu).
Thank you for taking the time to help us make our program great.
Misty J. Newman
Assistant Director for Alternative Break Programs
Community Service-Learning
SECTION I: Autonomy & Teamwork
From your knowledge, please rate the student's ability and motivation to work autonomously and among
others.
SECTION II: Social Sensitivity and Commitment to Service
From your knowledge, please rate the student's commitment to service and sensitivity to the views of
others. If possible please give an example of this service commitment:
SECTION III: Interpersonal & Advertising Skills
From your knowledge, please rate the student's ability to interact and communicate effectively with a wide
variety of people (i.e. students, agency heads, faculty) and utilize a variety of means (i.e. web, facilitate
information sessions, print media) for said communication.
SECTION IV: Organizational Skills
From your knowledge, please rate the student’s ability to organize information and present it to others in a
useful form. This would also include time management skills.
SECTION V: Additional Comments
Please describe any notable abilities, interests, skills or experiences of the applicant:
What is one area of growth that you would like to see the applicant focus on through this experience?
If applicable, please describe any reservations you might have about the applicant:
SECTION VI: Overall Recommendation
Please check one of the following to summarize your overall recommendation of the applicant:




I recommend the applicant without reservation.
I recommend the applicant as a good prospect.
I have some reservations about the applicant's abilities.
I have substantial doubts about the applicant's suitability.
CONFIDENTIALITY STATEMENT
Please indicate below whether you do or do not wish your reference to be revealed to the applicant:
____ I AUTHORIZE a release of this reference, upon request of the applicant.
____ I DO NOT authorize the release of this reference.
_____________________________________________________________________________________________________________________
Signature
Date
Thank you for your time.