Application - Indiana University Kokomo

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Orientation Leader Application
Instructions: Complete and submit this application to the Office of Student Success
and Advising in KC223 or email completed application to Brittany Ravas at
bravas@iuk.edu.
Name: __________________________________________
University ID: _______________________
Email Address: ________________________________
Phone Number: _____________________
Address: _____________________________________________________________________________________
City: ____________________________________
State: _________
Zip: __________________
Major: _______________________________________
Cumulative GPA: ________________
Credit Hours Completed (to date): ______________
Please answer the following questions/statements on a separate sheet (preferably
typed):
1. Why are you interested in being an Orientation Leader?
2. Identify any special qualities that you would bring to the role of Orientation
Leader.
3. List previous community activities, university activities, and work experience
that have helped you prepare to become an Orientation Leader.
4. What would you tell a new student about IU Kokomo?
List the staff/faculty names to which you gave the attached two Confidential
Recommendation Forms. (Staff/faculty will forward recommendations separately to Orientation Coordinator.)
1. ____________________________________ 2. ____________________________________
Shirt Size (circle one):
S
M
L
XL
XXL
Signature ___________________________________________
Date ___________________
Questions? – Email any questions to Brittany Ravas, Coordinator of New Student
Orientation and Convocation, at bravas@iuk.edu.
Qualified candidates will be contacted for an interview. Incomplete applications will
not be reviewed.
ORIENTATION LEADER FACULTY/STAFF RECOMMENDATION FORM
Student’s Name: ___________________________________________
The student named on this Recommendation Form is applying for a position as an Orientation
Leader. Orientation Leaders are a group of energetic and enthusiastic students that assist in
facilitating our campus orientation and convocation events. Your response on this confidential form
will be used to evaluate the candidate for this position. Thank you for taking the time to complete
this form.
Please rate the student on the qualities listed below by circling the appropriate number on the scale
given. If you have never had occasion to make such an observation, you may skip that item.
1 = Poor
2 = Fair
3 = Good
4 = Very Good
5 = Excellent
1. Demonstrates responsibility
1
2
3
4
5
2. Communicates effectively with peers and faculty
1
2
3
4
5
3. Exhibits mature attitudes, thoughts and behaviors
1
2
3
4
5
4. Appears to be friendly and have good peer relations
1
2
3
4
5
5. Demonstrates leadership/leadership potential
1
2
3
4
5
6. Presents quality work on time
1
2
3
4
5
7. Attends class on time and has few absences
1
2
3
4
5
8. Demonstrates evidence of teamwork
1
2
3
4
5
9. Other qualities that would support this student’s application
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Comments:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Faculty/Staff Name: _____________________________________________________
Position: ______________________________________________________________
In what context do you know the applicant? ______________________________________________
__________________________________________________________________________________
How long have you known the applicant? ________________________________________________
Signature: _______________________________________ Date: ____________________________
Please Return To:
Brittany Ravas, Kelley Center, Room 223 or email to bravas@iuk.edu
ORIENTATION LEADER FACULTY/STAFF RECOMMENDATION FORM
Student’s Name: ___________________________________________
The student named on this Recommendation Form is applying for a position as an Orientation
Leader. Orientation Leaders are a group of energetic and enthusiastic students that assist in
facilitating our campus orientation and convocation events. Your response on this confidential form
will be used to evaluate the candidate for this position. Thank you for taking the time to complete
this form.
Please rate the student on the qualities listed below by circling the appropriate number on the scale
given. If you have never had occasion to make such an observation, you may skip that item.
1 = Poor
2 = Fair
3 = Good
4 = Very Good
5 = Excellent
1. Demonstrates responsibility
1
2
3
4
5
2. Communicates effectively with peers and faculty
1
2
3
4
5
3. Exhibits mature attitudes, thoughts and behaviors
1
2
3
4
5
4. Appears to be friendly and have good peer relations
1
2
3
4
5
5. Demonstrates leadership/leadership potential
1
2
3
4
5
6. Presents quality work on time
1
2
3
4
5
7. Attends class on time and has few absences
1
2
3
4
5
8. Demonstrates evidence of teamwork
1
2
3
4
5
9. Other qualities that would support this student’s application
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Comments:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Faculty/Staff Name: _____________________________________________________
Position: ______________________________________________________________
In what context do you know the applicant? ______________________________________________
__________________________________________________________________________________
How long have you known the applicant? ________________________________________________
Signature: _______________________________________ Date: ____________________________
Please Return To:
Brittany Ravas, Kelley Center, Room 223 or email to bravas@iuk.edu
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