Public Service Scholars Program Spring 2010 Application CSU undergraduate students wishing to participate in the Public Service Scholars Program must fill out and submit the following application materials. A complete application includes the following items (please check off each item to indicate its inclusion in your application and that you can attend the retreat in January). _____ _____ _____ Application Form (below) Short Essay Responses I can attend the Program retreat on TBA date in January 2010. The application deadline is Thursday, October 15th, 2009, at 5 p.m. Please complete and submit these materials to the Office of Service-Learning, TILT, 801 Oval Drive, Room 146, or email them to: clayton.hurd@colostate.edu. For more information please contact Clayton Hurd, Director of Service-Learning in The Institute for Learning and Teaching (TILT) at 491-2032 or clayton.hurd@colostate.edu, or consult the website at http://tilt.colostate.edu/sl/pssp.cfm. Public Service Scholars Program: Student Application Information Name: _____________________________________________________________ Student Identification No. (CSU ID): _____________________________________ Major(s), minor(s): ___________________________________________________ E-mail Address: _____________________________________________________ Street Address: _____________________________________________________ Phone Number: ___________________________________ Expected Graduation Date (Semester/Year): ____________ Current Year and GPA:_______________________________ Have you been a member of a CSU Learning Community or Living-Learning Program(s)? (If so, please list.) ____________________________________________________________ Program Overview The Public Service Scholars Program is an interdisciplinary, non-residential learning community designed to provide undergraduate students with the academic and socially-responsive skills to understand and participate in community leadership and public scholarship designed to contribute to social change in a global context. Specifically, the PSSP is designed to support 2nd and 3rd year students interested in linking their passion for social change and community involvement with advanced academic work in their major of study. The program is a two-semester experience intended to provide students from across the disciplines with the knowledge and skills to imagine and develop senior-level research, thesis, design, capstone or other projects that focus on service-learning and social action scholarship. During the first semester of theoretical learning (Spring 2010), PSSP participants will engage intellectually and experientially with significant social and public issues (civil rights, education, environmental, public health, human rights, youth development, poverty, sustainable development, etc.) on a global scale. In the second semester (Fall 2010) students will enroll in a one-credit seminar focusing on research strategies related to community-based, social action scholarship. During the program each participant will participate in equivalent of a one-semester service experience (internship, practicum, or independent service or field experience) with an organization of their choice that dedicated to service and social change at the local, national, and/or global levels. Through an integration of academic, experiential, and public service components, students will have opportunities to develop and realize their potential for social action public scholarship/ research at the local, national, or global level. The overall program is designed to make participants more fully aware of their potential to use their intellects, as well as their hearts, to better society. Program Eligibility Guidelines Admission to the Public Service Scholars Program is open to all current CSU 2nd year and 3rd year undergraduate students, in any major Students must be in good academic standing with Colorado State University Program Expectations Every Public Service Scholar student is expected to: 1. Successfully complete the two-semester course sequence [IU 280 (Spring 2010 - 3 credits), IU 281 (Fall 2010 - 1 credit)] specifically designed for the Public Service Scholars Program; 2. Complete the equivalent of a one-semester service experience (internship, practicum, or independent service or field experience) with a government, non-profit or nongovernmental organization of their choice that is dedicated to service and social change at the local, national, and/or global levels; 3. Demonstrate clear progress in and accomplishment of key Program goals and personal competencies; 4. Participate in and assist in organizing Public Service Scholar Program events and activities. If accepted, I agree to uphold the expectations of the Public Service Scholars Program by participating actively and regularly in its functions and programs. I pledge that I will commit the time and energy needed to make the Public Service Scholars Program successful for my peers and me. Yes, I understand the expectations for participation in this program, if I am accepted and choose to join the program. I further recognize that failure to fulfill these expectations could affect my academic status in the Public Service Scholars program. ___________________________________________ Student Signature _____________ Date Essay Questions (required) On separate sheet of paper, please briefly answer the following four essay questions. Please limit your answer to approximately 150 words for each question. 1. Why are you applying to the Public Service Scholars Program? How will the PSSP enhance your educational and career goals? 2. What critical issue(s) or problem(s) are you most interested in addressing? Why? 3. What experiences and skills can you bring to the learning community? 4. How have you contributed to your community through service experiences? (i.e., an internship, service learning, or volunteering in the community) Faculty/Community Mentor (optional) Who might you like to choose as a faculty/staff/community mentor? (Naming a specific mentor is not required for acceptance t to the program.) Mentor Name Affiliation (organization or department) Title Email/Phone Submission of Applications To ensure the full consideration of your application to the Public Service Scholars Program, please complete and submit these materials by 5 p.m. on October 15th, 2009, to the Office of Service-Learning, TILT, 801 Oval Drive, Room 146, or email them to: clayton.hurd@colostate.edu. If you are mailing your application (via campus or U.S. mail), please send it to: ATTN: Dr. Clayton Hurd, Director of Service-Learning Office of Service-Learning The Institute for Learning and Teaching (TILT) Campus Delivery #1052 Colorado State University Fort Collins, CO 80523 If you have any questions, please contact Clayton Hurd, Director of Service-Learning at clayton.hurd@colostate.edu or 491-2032.