NAME:
NAME ON NAME TAG:
CURRENT SEMESTER STANDING:
LOCAL PHONE:
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CELL PHONE:
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LOCAL ADDRESS:
HOME ADDRESS:
HOME PHONE:
PSU E-MAIL:
BIRTHDAY:
T-SHIRT SIZE:
MAJOR:
PSU ID#:
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G.P.A. AS OF JANUARY 2016:
FALL 2016 SEMESTER, I PLAN TO LIVE:
___On campus
___Off campus at home ___Off campus not at home
If you are going to be off campus, what is the name of the town or apartment complex, you are living in:
List clubs/sports/campus involvement:
Social Media Names (Facebook, Twitter, Instagram,
Snapchat):
PLEASE RANK THE FOLLOWING ACCORDING TO YOUR INTEREST* (1 IS FIRST CHOICE, 4 IS LAST CHOICE):
See attached expectations
____Serving as a regular OL
____Serving as a First Year Group Leader (FYGL)
Serving as a Mover and Shaker
Skit Crew Option (Check If interested in skit Crew)
____ Serving as an Operations OL (OPPs)
*Please note ranking does not guarantee choice

Name: __________________________________________
IN THE SPACE PROVIDED, OR ON A SEPARATE SHEET, PLEASE ANSWER THE FOLLOWING:
1) Why are you interested in being an Orientation Leader?
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2) List your current involvement with clubs, sports, community service, and other leadership roles at
Penn State or outside of Penn State. Please include any major responsibilities and positions held.
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3) What leadership qualities do you possess? What leadership qualities could you improve upon?
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4) Looking back at your experience at Orientation, what activities did you enjoy, would you like to see added to the program to increase new student involvement? If you didn’t attend, what would you suggest be done to increase participation?
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5) What advice would you give to new students about adjusting to college life on the following:
A.) Attending Class, Academics, and Grades
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B.) Clubs, Organizations, and On Campus Events
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C.) Student Life off Campus
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D.) First Year Seminar
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E.) Diversity
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The information I have provided on this application is accurate and true to the best of my knowledge. I understand that incomplete or inaccurate information may be grounds for disqualification from the OL selection process. I authorize Campus Life to review my academic and disciplinary records and I recognize that these records will influence the outcome of the selection process.
Signed _____________________________________________________________
Date____________________
___ I have reviewed all of the OL expectations and program dates and agree to fulfill all commitments.
Thank you for your interest in being an Orientation Leader. If you should have any questions concerning this application or about the responsibilities of an Orientation Leader, please stop by the Campus Life Office or call 610-396-6076.