2015-2016 Spiritual Community Ambassador Application
Name _____________________________________ Student ID # ________________________
Campus Address ____________________________ Cell Phone _________________________
Email ________________________________________________________________________
Major ________________________________________________________________________
Fall 2014 Class Standing: FR ____ SO ____
JR ____
SR____
Graduate____
Total Credit Hours Earned (Anticipated at end of the Spring 2015 semester) ________________
Expected Date of Graduation ______________________ Cumulative GPA _________________
Is there any reason you would not be able to complete two consecutive semesters as the Spiritual
Community Ambassador (SCA)? If yes, explain:
YES
NO
___________________________________________________________________________
Financial Aid
Will you receive a college work-study award next semester other than what you may receive by
being the SCA?
(Yes or No): ___________ If Yes, please describe: ____________________________________
_____________________________________________________________________________
Work Experience
Please list your previous work experiences. Include the names of your employer and supervisor,
your position, and the dates for which you were employed.
Employer/Supervisor
Position
Dates
1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
4. ________________________________________________________________________
_____________________________________________________________________________
Professional Reference
Please list the names of two people who will accept a reference call for you.
Staff Member: One reference must come from a current staff member of St. Ambrose
community.
Faculty Member: One reference must come from a current faculty member of St. Ambrose
community.
Name
1.
_______________________
Phone
Relationship to Applicant
_________________________________________________
2.
________________________
________________________________________________
_____________________________________________________________________________
Please answer the following questions, typed, on an attached page.
Job Related
1. Why are you interested in becoming the SCA?
2. From your personal perspective describe someone who you have come to admire as a
truly spiritual person. What traits do you most admire in that person and how do you
strive to emulate them?
3. Please list and reflect on three things that, as a staff member, you would like to
accomplish to make the Spiritual Community an enjoyable, positive and welcoming place
to live.
4. From your perspective, what do you think are the three most important functions of the
Spiritual Community Ambassador?
5. Please describe any personal characteristics, skills, experiences, which you possess, that
make you well qualified to be the Spiritual Community Ambassador.
6. Please list outside activities and time commitments (i.e., extracurricular activities,
internship, sports, student-teaching) you anticipate being involved with during the 2014
Fall and 2015 Spring semesters. Please include the number of hours per week for each
activity.
I understand that this document and supporting material are part of an application for
employment, separate and apart from any permanent educational record.
St. Ambrose University reserves the right to conduct background checks on SCA applicants. If
criminal charges or unethical behavior are found the candidate may be removed from the
applicant pool and any type of offer may be withdrawn.
I verify the accuracy of the above information.
Student Signature _____________________________________ Date _____________________
Please return this application to:
Campus Ministry, Fr. Charles Adam by:
February 27th, 2015
St. Ambrose University is an equal opportunity employer and does not discriminate on the basis
of race, color, religion, sex, age, nationality, or handicap.
To Whom It May Concern:
As a portion of the 2015 - 2016 Spiritual Community Ambassador selection process, the
Department of Residence Life and Campus Ministry is requesting two references for each of the
candidates. You have been asked by one of our candidates to complete a reference call. To aid
you in this evaluation, a brief description and the expectations of a Spiritual Community Advisor
(SCA) at St. Ambrose University are provided below.
The boundaries of a student’s learning extend far beyond the walls of the classroom. Residence
halls play an important role in nurturing a student’s total educational development. Since 2007
St. Ambrose has been offering a special living option available to academically oriented
individuals that value success. The Spirituality Community Advisor is a student-staff member
who lives and works in the Spirituality Community within the residence hall. This individual
works closely with the resident advisors within the community to create an environment where
an ideal of lifelong learning is established and nurtured.
The position allows the SCA to assume several different roles such as peer counselor,
programmer, disciplinarian, resource coordinator and friend. The SCA is expected to challenge
him/her as well as those around them. It can be fulfilling, frustrating, stimulating, and time
consuming. The SCA position is not for everyone - it demands patience and true dedication.
Please complete this reference with care. Your input is very important to the department, as well
as to the person for whom you complete this form.
Thank you for your time and consideration. If you have any questions or concerns, please feel
free to contact me at 563-333-6151.
Sincerely,
Fr. Chuck Adam
Campus Ministry