Eastern Washington University
Application Checklist
Note: Make a copy of all paperwork for your records before submitting.
Please submit all application paperwork including this checklist as a complete package.
Member name: _____________________________________ Major: _______________________________
Program: (please circle preference): 300 450 900
How to Apply?
1. Go to the SIS website http://studentsinservice.org/ to learn more about the program. Go through the
pre-service orientation here: http://studentsinservice.org/pso/slide01.shtml (disregard the last section of
instructions on slide 25)
2. Complete and read through application packet
3. Print and bring these documents to Showalter 114 by October 12, 2009. Documents will only be
accepted in-person.
4. Those students selected must attend the In-Person Orientation/Re-Orientation – this is a compulsory
meeting for returning students and new students, a chance to build community and go over guidelines for
service. Students must attend one of the following orientations:
 Cheney campus: October 20 from 3:00-4:30 pm
 Riverpoint campus: October 21 from 3:00-4:30 pm
Required Paperwork
□ Read Students in Service Information Form
□ Application Form (applicant signature required)
□ Pre-Service Reflection Questionnaire (not the online version)
□ EWU Contract of Member Agreements: Office (applicant signature required)
Evaluation Rubric
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Prefer service that extends beyond the Eastern community
Federal Students in Service is committed to a focus on service with at-risk and vulnerable youth. Special
attention is given to these applicants
Specific Departments may have award slots allocated for students in their programs (see Information
Form)
Will take into consideration quality of service demonstrated in previous AmeriCorps participation, if any
Service related goals will be taken into consideration during application review
Students in Service Application 08-09’
- FOR YOUR FILES-
STUDENTS IN SERVICE INFORMATION FORM
2008 – 2009
What is Students in Service?
The Students in Service program is a part-time AmeriCorps program that encourages and supports college and university
students to enroll as part-time AmeriCorps members who provide valuable service in their communities. Student
members serve in partnership with schools and community-based organizations in the areas of education, human services,
the environment, public safety, and community development.
What are the benefits?
 Education award that can be used for Education Expenses or Loan Payments upon completion of term
 Improve workforce skills
 Develop civic skills, attitudes, and habits
 Make a difference in your community
 Be part of the AmeriCorps national service network that improves lives and strengthens communities
throughout the United States
Who is eligible?
 Any student enrolled at Eastern Washington University who is a U.S. citizen
 Students with legitimate service sites whose service is for the public good and with the public (see contract)
 Students committed to successfully completing a full term of service
How many slots are available?
We have a limited number of slots available to begin in winter and spring quarters. Applications are
competitive and considered on an on-going basis.
What term can I sign up for?
The Students in Service program offers each student member the opportunity to choose one of three terms of
service (essentially, the number of hours s/he agrees to serve). The Education Award amount varies,
depending on the term of service:
 300 Hour Term of Service = $ 1,000.00 Education Award (scholarship) 1 yr to complete
 450 Hour Term of Service = $ 1,250.00 Education Award (scholarship) 1 yr to complete
 900 Hour Term of Service = $ 2,362.50 Education Award (scholarship) 2 yrs to complet
EWU Career Services
Students in Service
114 Showalter Hall
Cheney, WA 99004-2431
(509)359-6364
kbenson@ewu.edu
Students in Service Application 08-09’
Eastern Washington University Students in Service
2009 – 2010 Application Form
Name:
LAST
FIRST
EWU ID Number:
MIDDLE
Phone #:
Permanent Address:
STREET
CITY
STATE
ZIP
Email Address:
Intended academic interest(s) or department of study:
I am a student at Eastern Washington University:
 Yes  No
Have you volunteered with this program before?  Yes
If yes, please provide the dates you served
 No
Area of focus in regards to your intended Service with the SIS program
 Environment  Public Safety  Education  Health  Children and Youth  Human Services
 Community Development  Other
Proposed service site (you do not need to commit to this site at this time)
How did you hear about the SIS Program?
 Guidance councilor/teacher  Parent/relative  Current/former AmeriCorps member  Friend  Internet
 AmeriCorps recruiter/representative  AmeriCorps Program  Poster/flyer  Other _________________
Program: (please circle term preference):
300 hour term
450 hour term
900 hour term
Applicant Certification
I certify the information provided in this application packet is true and accurate. I further understand that my
application may be randomly selected for verification and false information may result in disqualification.
Applicant Signature
Students in Service Application 08-09’
Date
Eastern Washington University
Pre-Service Questionnaire
Student: ________________________College/University: __________________
What motivates you to pursue a term of service with the Students in Service program?
___________________________________________________________________
___________________________________________________________________
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How does your participation in the Students in Service program relate to your professional/personal
goals?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
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___________________________________________________________________
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___________________________________________________________________
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Students in Service Application 08-09’
In what ways do your professional/personal goals support lifelong involvement in your community?
___________________________________________________________________
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Can you make the commitment to completing either the 300, 450, or 900 hour term of service?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
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How do you plan to balance out your time between school, work, family, social and service related
activities?
___________________________________________________________________
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Students in Service Application 08-09’
Explain what you have done to make your community a better place to live. Give examples of specific
projects in which you have been involved over time.
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
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Articulate the goals you have established for yourself and your efforts to accomplish these. Give at least
one specific example that demonstrates your work ethic/diligence.
___________________________________________________________________
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Used with permission of Oregon State University. OSU Insight Resume copyrighted, trademark pending. July 2007.
Students in Service Application 08-09’
-FOR YOUR FILES-
EWU Contract of Member Agreements: Student
All students enrolled in the EWU Students in Service Program
must adhere to the following requirements.
General Requirements






Must turn in application, enrollment paperwork and exit paperwork in-person Showalter
Hall, Room 114
All members must attend an In-Person Orientation
Members are strongly encouraged to attend quarterly SIS meetings throughout the
academic year
Complete time logs must be turned in by the 10th of the following month
If members miss two
months in time logs, they will receive a warning
Be in good communication with the SIS Coordinator and provide updated contact information
Record honest and genuine service hours
Service Requirements (what qualifies as service)








Non-paid academic internships with a service focus
Practicum hours such as nursing, firefighter, counseling, EMT, many others
Student teaching hours spent teaching at a Title 1 institution, Special Education,
ESL/Bilingual Education, or Math and Science Education
Academic and co-curricular service learning
Any community service in the areas of education, the environment, human services,
public safety, and community development
Federal or state funded community service work study positions with a service focus (the
only eligible paid positions)
Most volunteer work including mentoring, tutoring, stream restoration, volunteer
recruitment, etc.
Any service done for a non-profit organization or government agency whose mission is to
serve their community
Students in Service Application 08-09’
Additional Requirements
New participants will have a compulsory service and reflection requirement – we will not consider
them exited and successfully completing the program until these requirements have been met.

Participate in one Students in Service group community service project of your choice
during your term of service (outside of service site)
o Examples:
 Make a Difference Day (October 25)
 Represent your agency at the Winter Service Fair on campus (early
January)
 Martin Luther King Jr. Day (January 5)
 Poster Session (Spring)
 NE Youth Center- “Kids-Helping-Kids” Fundraisers
 Clothing Drives (Winter and Spring)
 Serve a meal at the homeless shelter
 Assist with SIS recruitment and classroom presentations

Complete one reflection activity of your choice during your term of service
 Reflection meeting
 Reflection journal
 Reflection project: make something that represents their term of service
and showcase that project at a reflection meeting (poster, slide show,
poem, essay, video)
 Submit an online SIS “Great Story” at the end of their term
By signing below you are agreeing to meet all of the requirements above as a Students in Service Member
at Eastern Washington University
Applicant signature
Students in Service Application 08-09’
Date
-TURN IN WITH APPLICATION-
EWU Contract of Member Agreements: Office
All students enrolled in the EWU Students in Service Program
must adhere to the following requirements.
General Requirements






Must turn in application, enrollment paperwork and exit paperwork in-person Showalter
Hall, Room 114
All members must attend an In-Person Orientation
Members are strongly encouraged to attend quarterly SIS meetings throughout the
academic year
Complete time logs must be turned in by the 10th of the following month
If members miss two
months in time logs, they will receive a warning
Be in good communication with the SIS Coordinator and provide updated contact information
Record honest and genuine service hours
Service Requirements (what qualifies as service)








Non-paid academic internships with a service focus
Practicum hours such as nursing, firefighter, counseling, EMT, many others
Student teaching hours spent teaching at a Title 1 institution, Special Education,
ESL/Bilingual Education, or Math and Science Education
Academic and co-curricular service learning
Any community service in the areas of education, the environment, human services,
public safety, and community development
Federal or state funded community service work study positions with a service focus (the
only eligible paid positions)
Most volunteer work including mentoring, tutoring, stream restoration, volunteer
recruitment, etc.
Any service done for a non-profit organization or government agency whose mission is to
serve their community
Students in Service Application 08-09’
Additional Requirements
New participants will have a compulsory service and reflection requirement – we will not consider
them exited and successfully completing the program until these requirements have been met.

Participate in one Students in Service group community service project of your choice
during your term of service (outside of service site)
o Examples:
 Make a Difference Day (October 25)
 Represent your agency at the Winter Service Fair on campus (early
January)
 Martin Luther King Jr. Day (January 5)
 Poster Session (Spring)
 NE Youth Center- “Kids-Helping-Kids” Fundraisers
 Clothing Drives (Winter and Spring)
 Serve a meal at the homeless shelter
 Assist with SIS recruitment and classroom presentations

Complete one reflection activity of your choice during your term of service
 Reflection meeting
 Reflection journal
 Reflection project: make something that represents their term of service
and showcase that project at a reflection meeting (poster, slide show,
poem, essay, video)
 Submit an online SIS “Great Story” at the end of their term
By signing below you are agreeing to meet all of the requirements above as a Students in Service Member
at Eastern Washington University
Applicant signature
Students in Service Application 08-09’
Date