ASSOCIATED STUDENTS
CLOVER PARK TECHNICAL COLLEGE
2015 - 2016
STUDENT LEADERSHIP
APPLICATION PACKET
Dear Prospective Associated Student Government Candidate:
Thank you for your interest in joining the Student Leadership Team for the 2015-2016 academic year.
At CPTC, there are a variety of ways that students can be involved on campus. Supported by the
Services and Activities Fee collected from every student’s tuition, The Office of Student Involvement
provides campus programming, organizations and leadership opportunities to all currently enrolled
students. Incomplete applications will not be considered.
Membership in Student Leadership gives you the opportunity to gain valuable work experience, learn
administrative skills, earn extra income and serve the campus community. Throughout your term of
service you will have numerous opportunities to develop your leadership potential, get involved with
state and campus governance, have opportunities for travel and make a difference for other CPTC
students. Organizational descriptions and membership details are as follows:
The President will serve as the liaison to the College Administration and attend all Board of Trustees
meetings as the student representative. They shall serve as the chair of the Student Council, a voting
member of the Services & Activities Budget Committee, and representative to the College Assembly.
The President ensures the involvement of the student body in the formation of college policies and is
responsible for implementing action on motions passed by the Student Council. They shall meet as
needed with the Vice President of Student Success and the college President.
The Administrative Officer will keep an accurate record of attendance, motions and voting of all
Student Council meetings. They shall record, file and post minutes of Student Council meetings, Club
Council, Constitution and By-Laws Review Committee and the Services & Activities Budget Committee.
Preserve all records, reports, and documents of the Student Council in an organized and permanent file
to be kept in the Office of Student Involvement. Serve as chair of the Selections Committee
The Health & Wellness Programmer The focus of this programmer will be to offer four to six
quarterly events that provide students opportunities to de-stress or improve personal fitness. They will
be responsible for hosting workshops/classes/fitness series for CPTC students.
Job descriptions and organization descriptions are available online at cptc.edu/studentjobs.
Application packets are due by Monday, November 2 at 3:00 PM to Student Involvement in the
Student Center, Room 107. Incomplete applications will not be considered. To learn more about what
Student Involvement and the Associated Student Government has to offer, consider attending an
information session, visit cptc.edu/involvement or send us an email!
Cal Erwin-Svoboda
Kandi Bauman
Alex Wirth
Alison Pau
Cal Erwin-Svoboda, M.Ed
Student Involvement, Director
cal.erwin@cptc.edu
Kandi Bauman
Engagement Coordinator
kandi.bauman@cptc.edu
Alex Wirth
Program Assistant
alex.wirth@cptc.edu
Alison Pau
Leadership & Involvement Coordinator
Alison.pau@cptc.edu
Student Involvement Mission Statement
Student Involvement is the administrative entity that advises and directs the efforts of student leadership
development, student center facilities and the ASG. We enhance student learning and success through a
comprehensive array of student engagement and leadership development programs and services.
Application Process
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Applications are due by November 2 @ 3 PM. Incomplete applications will not be considered.
Candidates may apply for more than one (1) position, in multiple organizations
Confidential Reference Form must be returned in a sealed envelope and returned directly to
The Office of Student Involvement in Building 23, Room 207.
Turn in the candidate application to Student Involvement in Building 23, Room 107
Submit questionnaire electronically to alex.wirth@cptc.edu
Select students will be contacted for an individual interview scheduled for November 17-18. All
applicants will be contacted about the status of their application by November 11.
Anticipated start date is January 4.
Membership Requirements
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Responsible for fulfilling their job description
Must be a currently registered CPTC student
Maintain a quarterly and cumulative GPA of 2.5 or higher
Must be a student in good standing with the College, ASG and the community.
Responsible for enrolling in a minimum of 1 college credit (summer, fall, winter, and spring)
Expected to work regular required hours during the academic quarter(s)
If you do not meet one or more of the above requirements, you may appeal to have your application considered by the
Selection Committee. Please include a statement with your completed application packet explaining to the committee why
you should be considered for the position(s) you are applying for, and explaining any circumstances that may have prevented
you from meeting a requirement(s). Submitting an appeal does not guarantee that your application will be considered for an
interview by the Selection Committee.
Hours Required:
Varies between 12-19 hours. Ten (10) weekly office hours with additional work hours to include:
 Organization meetings
 Quarterly trainings/retreats
 Student sponsored events and programs
 Monthly all-team meetings
 Office & work hours
 Committee meetings
Compensation:
Members will be paid an hourly $10.43 wage.
Questions? Contact:
Alex Wirth
Student Involvement, Program Assistant
253.589.5780, alex.wirth@cptc.edu, Student Center 207
Candidate Application
2015-2016 Student Leadership Application
Name:
Student ID #:
DOB:
Street Address:______
City:
Email:
State:
Zip Code:
Phone #
Program of Study:
How many credits are you enrolled in?
How many quarters remaining at CPTC?
Have you ever been employed by Clover Park Technical College: [ ] Yes
[ ] No
If answered yes to the above question, please list duration and position:
Expected Graduation Date
Cumulative GPA
Please submit this candidate application to Student Involvement and the questionnaire electronically to
alex.wirth@cptc.edu. All required documents must be submitted by 5 PM on July 8. No exceptions.
AVAILABLE POSITIONS
You may apply for more than one position:
Student Council Is an advocate of the student voice and a partner with other governing units. As delegated by the Board of
Trustees, the Student Council the oversees the administration of the Associated Student Government (ASG), is responsible for
planning and initiating policies of the Associated Students, expends the Service & Activities Fees, has the ability to sanction or cancel
student organizations and assess additional student fees.
[ ] President
[ ] Clubs & Organizations Officer
[ ] Administrative Officer
[ ] Vice President
[ ] Legislative Officer
Campus Activities Board Promotes and coordinates a well-balanced program of student-initiated activities that enhance health
and wellness, cultural, social and recreational needs of the Associated Students outside the classroom aimed at enhancing student life.
[ ] Special Events & Engagement Programmer
[ ] Music Showcase Programmer
[ ] Off Campus Events Programmer
[ ] Health & Wellness Programmer
[ ] Family & Friends Programmer
Job descriptions are available in the Student Leadership & Service Center (Student Center, Room 108)
or online at www.cptc.edu/studentjobs
REQUIRED DOCUMENTS
[ ] Candidate Application
[ ] Availability Spreadsheet
[ ] Essay Questions
[ ] Certification
[ ] Confidential Reference Form
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AVAILABILITY SPREADSHEET
Please list your availability to work as a Student Leader. Consider your class schedule and any other regular
commitments that impact your availability during the week. Being a student leader requires that you be
available for 8-19 hours per week the hours of 7 AM to 7 PM Monday through Friday.
Monday
Tuesday
Wednesday
Thursday
Friday
ESSAY QUESTIONS
Please submit essay questions electronically to alex.wirth@cptc.edu
1) Why do you want to be a member of the Associated Student Government? (150 word max)
2) What ideas do you have to make CPTC a more enjoyable and/or inclusive campus? (150 word max)
3) Tell us how you will be able to successfully balance your student leader position responsibilities (12-19 hours
per week) with your obligations at school and home.
CONFIDENTIALITY REFERENCE INFORMATION
The Confidential Reference Form can be downloaded at www.cptc.edu/studentjobs.
Individual providing reference:
Relationship to individual providing reference:
Their Email Address:
& Phone Number:
I have given the Confidential Reference Form to the above individual: [
] YES [ ] NO
CERTIFICATION
I certify that the information provided in this application including attached documents is true, correct and
complete to the best of my knowledge. I understand that consideration of this application and the continuation
of any employment gained, depend upon the true and accurate representation of the facts as stated or implied in
this application.
Candidate Signature
Printed Name
Birth Date
Today’s Date
OFFICIAL USE ONLY Date/Time
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Office of Student Involvement at Clover Park Technical College
Confidential Reference Form
(Please complete ALL Fields)
PLEASE SEAL THIS CONFIDENTIAL FORM IN AN ENVELOPE AND RETURN TO BUILDING 23, ROOM 207
This reference is for the following prospective applicant (name): _______________________________
Your name: __________________________________________Date: _____________________
1. What is your relationship to this individual? ______________________How long?___Years___Months__________
2. How well do you know the applicant?__________________________________________________________
3. Please rate the applicant in the following areas:
Characteristics:
Poor
Below Average Good Above N/A
Average
Average
Ability to accept direction and/or supervision:
Ability to express ideas and feelings:
Ability to get along with others:
Ability to initiate and follow through:
Ability to relate to all age groups:
Ability to respect and work with differences in
people:
(e.g., race, class, culture, and ethnicity):
Ability to think clearly:
Ability to work collaboratively:
Concern and commitment to work:
Conflict resolution:
Dependability:
Independence:
Leadership skills:
Level of accountability:
Level of emotional stability:
Level of maturity:
Level of responsibility:
Overall academic performance:
Sensitivity to the needs of/and feeling towards
others:
Understanding of confidentiality:
Verbal communication skills:
Written communication skills:
4. Please comment on any of the above: _____________________________________________________________
5. List six words that describe this person’s character:
A)___________ B)_____________ C)_____________ D)_____________ E)_____________ F)____________
6. How well does he/she get along with others?
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7.
Do you believe this person has a bias or a strong belief that would interfere with his/her ability to be
objective? If Yes, please explain:
8.
Please comment on the applicant’s temperament:
9.
What are his/her major strengths?
10.
What are his/her limitations?
11.
Do you believe this person successfully maintains personal/professional relationships?
12.
Describe any undesirable habits which may affect his/her ability to successfully lead other students.
13.
What qualities will make this person successful in working with students here at CPTC?
14. Given your above responses and how well you know this applicant, without reservation, would you
recommend this person to lead students at Clover Park Technical College?
15.
Please add any comments that you feel are pertinent to the evaluation of the candidate’s application.
Please Sign Here: ______________________________ Date:
PLEASE SEAL THIS CONFIDENTIAL FORM IN AN ENVELOPE AND RETURN DIRECTLY TO:
Office of Student Involvement
Sharron McGavick Student Center, Rm 207
4500 Steilacoom Blvd. SW, Lakewood, WA 98499
P: 253.589.5780 E: alex.wirth@cptc.edu
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