Date: _____________________
International Engagement in Mexico (IEM)
Site Leader Application- 2014-15
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Valid Passport required, please attach a copy of the first page of your current passport
Current GPA must be 2.5 or above in order to be considered for the position
Spanish language fluency required
FULL LEGAL NAME___________________________________________________
(AS IT APPEARS ON YOUR PASSPORT)
MSU PID: ___________________ G.P.A: _____ Major: _________________ Class level: ________
Date of Birth: ________________ Gender: ________________
Address:
Citizenship: _____________
___________________
Phone: _________________
Email: _________________
___________________
(Secondary) __________________(Secondary) _________________
Final selections and city/agency assignments of site leaders will be determined fall – 2014
APPLICATION TIMELINE/ EXPECTATIONS
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October 13th - Application becomes available on line & paper copy
October 17th - Applications due by 5:00 PM
Fall semester- Final selection & City/Agency assignments from the Site Leader
pool as leadership needs demand.
It is the intention of the IEM Program leadership to cover all Site Leader
Study Abroad Program Costs (airfare, hotel, ground transportation, some
meals, admissions to historical/cultural sites). Site Leaders are responsible to
pay tuition for 3 credits of PRR 410, section 756.
GPA requirement must be 2.5 or above Fall Semester 2014 in order to be considered
for the position to be assigned to an IEM City and maintained in order to continue, as
a Site Leader during Spring Semester 2015.
Please print and sign all documents associated with this application. If you have any questions please
contact:
Luis Alonzo Garcia (517) 432-9900 (garcial@msu.edu)
Dr. Rick Paulsen (517) 355-9578 (paulsen@msu.edu)
Titun R. Maiti (517) 432-4483 (titun@msu.edu)
Return completed application packet no later than 5:00 PM, Octobe 2014 to:
Titun R. Maiti
C-249 Holden Hall
East Lansing, MI 48825
517-432-9900
IEM Site Leader Application - 2014-2015
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Please answer the following questions as thoroughly as possible.
1. Why are you interested in becoming an IEM site leader?
2. Have you been involved with any other campus organizations and/or activities? If so, please describe.
3. Please describe your previous volunteer experiences. How have these experiences influenced you to
become involved with IEM?
4. Please describe your previous leadership experience(s). How do you think your leadership
experiences can enhance the IEM Program?
5. How do you work in team-based settings? List your most important team-based accomplishments?
IEM Site Leader Application - 2014-2015
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6. Have you been a participant in any of the following programs: International Engagement in Mexico
(IEM), Spring Break Study Abroad Programs, and Alternative Spring Break sponsored by the office
of Service Learning and Civic Engagement, any other study abroad programs, nationally or
internationally? If you answered yes to any of the above please describe them in detail.
7. Have you served as a Site Leader at IEM before? If yes, please list the city or cities and agencies you
have served. Please describe how you contributed to the program success and what you learned from
your experiences.
8. Explain the types of agencies that you are interested in providing leadership/service? Why are you
interested in providing leadership at these types of agencies?
9. Do you speak, read and write Spanish? Identify the level of fluency of the Spanish language. (i.e.
beginner, intermediate, advanced)?
10. List skills or personal attributes you have that will be utilized in this leadership position?
IEM Site Leader Application - 2014-2015
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11. Do you have any personal challenges that might interfere with your ability to carryout the
responsibilities of a Site Leader (please refer to the “Site Leader Roles and Responsibilities” attached
at the end of this application)?
12. Given that Site Leaders will be required to assist in Fundraising activities, Please suggest creative
ways that you think will help in future fundraising in support of IEM work in Mexico.
13. Please identify all academic, organizational or leadership commitments that you anticipate will
demand significant amounts of your time and energy during Fall 2014 and Spring 2015. Please
describe how you will manage your academic and service schedule to give priority to IEM Site Leader
responsibilities.
IEM Site Leader Application - 2014-2015
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14. Please list 2 references and their contact information:
Name:
Position/Title:
Email:
Phone:
Name:
Position/Title:
Email:
Phone:
15. Please attach an updated resume and a copy of your current Passport with this application
16. I hereby attest that I have read and understood “Site Leader Roles & Responsibilities” attached
at the end of this application.
___________________________
Participant’s Signature
______________
Date
NOTE: All applicant PIDs will be sent to MSU Judicial Affairs to be reviewed. If there are any
disciplinary actions that have been taken against you, IEM staff will contact you to discuss the
nature of such actions and the implications for serving as an IEM Site Leader.
IEM Site Leader Application - 2014-2015
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International Engagement in Mexico Alcohol and Illegal Drugs Policy
(Please Read Carefully)
Alcohol use is not permitted during any scheduled International Engagement in Mexico program
activities. Alcohol abuse will not be tolerated during any aspect of the International Engagement in
Mexico Program.
Alcohol abuse is when:
1. Student misses any scheduled event because of the effects of alcohol consumption;
2. A student is unable to complete the service in which they are to be involved;
3. A student becomes ill, incoherent or other incapacity due to the effects of alcohol consumption;
4. A student is disrespectful and inconsiderate of others sharing the same housing;
5. A student engages in an inappropriate behavior toward other individuals as a result of alcohol
consumption;
6. A student engages in destructive behavior toward property due to alcohol consumption;
7. A student does not abide by the laws of the country in which they are volunteering (including
underage drinking);
8. A student causes embarrassment to the other members of the group, faculty or group site contacts
as a result of alcohol consumption;
9. A participant transports alcohol to program sites with the intent of sharing the alcohol with other
members of the group;
10. A student drinks in public or rented transportation vehicles (to include vans and buses).
11. There is alcohol consumption in places of lodging (hotels, hostels and other places) and volunteer
sites.
IEM Site Leader Application - 2014-2015
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Use of Illegal Drugs
Michigan State University has a zero-tolerance policy regarding the possession, use, manufacture,
production, sale, exchange or distribution of illegal drugs (as defined by United States Law) by students
participating with IEM.
I agree that if I choose to drink alcohol, and am of legal age to do so; that I will drink responsibly
and within moderation. I understand that it is IEM policy to immediately terminate from the
program those who violate the stated policies regarding alcohol and drug use.
_________________________________
Participant’s Signature
IEM Site Leader Application - 2014-2015
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Date
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STUDENT VOLUNTEER LIABILITY FORM
I, the undersigned, desire to participate in the Michigan State University International Engagement in
Mexico Program. I am knowledgeable about the activities related to the organization, and the risks of
personal injury or property damage to myself and to others that may be associated with these activities.
Not withstanding these risks, I wish to assume them when I voluntarily participate in activities related to
the association and in any travel associated with the activities. I understand that my involvement in this
association may include, but is not limited to, the following:
1. Working with children, teenagers, adults, and/or the elderly at schools, churches,
community centers, and other locations;
2. Working in close contact with individuals of various income levels, backgrounds, and
mental/physical health conditions;
3. Working indoors and/or outdoors in physical and cultural environments of varying
levels of familiarity, safety, and comfort;
4. Working in other, similar activities not listed here.
I understand that my participation in any activity related to the association is completely voluntary and I
may choose to participate in some activities without participating in others.
I understand and agree that Michigan State University accepts no responsibility for my acts, but I will take
into consideration that my acts will represent Michigan State University and International Engagement in
Mexico Program.
In consideration of Michigan State University offering this opportunity and allowing me to participate in
this association and its related activities, the receipt and sufficiency of said consideration being hereby
acknowledged, I hereby release, relieve, discharge, and hold harmless Michigan State University,
International Engagement in Mexico Program, its officers, site leaders, advisors, representatives,
participants, from any and all liability or claim of liability, whether for personal injury, property damage,
or otherwise, arising out of or in connection with my participation in this association or any travel related
to my participation in this association.
IEM Participant
_________________________________
Participant’s Signature
IEM Site Leader Application - 2014-2015
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Date
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Memorandum of Understanding
If selected I, __________________, hereby understand & agree to participate as a Site Leader with the
knowledge that I will be assigned to a city and agency based on the criteria that best matches IEM
Program needs and availability, and that I will be prepared to serve at the city/agency as assigned to me as
the IEM Program Coordinators and Program Leaders deem appropriate.
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Participant’s Signature
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Date
PHOTO RELEASE
I, _____________, hereby grant to International Engagement in Mexico (IEM), Michigan State
University (MSU) and its legal representatives and assigns, the irrevocable and unrestricted right to use
and publish photographs and/or still video of me, or in which I may be included, for editorial trade,
advertising, web and any other purpose and in any manner and medium to alter the same without
restriction; and to copyright the same. I hereby release IEM, MSU and its legal representatives and
assigns from all claims and liability relating to said photographs and/or still video.
_________________________________
Participant’s Signature
IEM Site Leader Application - 2014-2015
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Date
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(Please retain this portion for your own records)
Site Leader Responsibilities
International Engagement in Mexico (IEM)
PRR-410; section 756
1. Before Travel to Mexico:
a. Attend all required IEM program meetings
b. Preparation of City-Group participants:
i. Plan and carryout Team-building activities; Ice-breaker
ii. Coordinate fundraising activities and engage students to fully participate
c. Program communication with students:
i. Inform students about events (i.e. fundraising)
ii. Inform students about logistics and itinerary to prepare trip
d. Assist Program Leaders to:
i. Coordinate travel documents (i.e. passports).
ii. Communicate with IEM partner service agencies in Mexico.
e. Attend all leadership sessions and meetings.
f. Assist in identifying cultural activities to attend/visit in the surrounding areas of assigned
city in Mexico; scheduling and engaging students to participate in all IEM pre-trip
activities.
g. Assist in setting behavioral and modeling expectations for all City Group participants.
h. Fundamental rules and guidelines have already been established by the IEM Program;
community rules will need to be established by students during last class session
i. Take attendance and provide updates during weekly class sessions
j. Meet with Program Leaders upon their request; as needed
k. Participate in the Office of Study Abroad Safety and Security Briefing Workshop.
l. It’s understood as a Site Leader you are required to be a member and participate in
all ongoing activities of International Engagement Volunteers (IEV).
2. During program travel:
a. Assist Program Leaders in:
i. Coordinating travel document logistics (i.e. passports)
ii. Communication with IEM partner agencies in Mexico.
iii. “Supervising” students (hotel, cultural trips); setting IEM Program behavioral
standards; City Group community standards established during pre-trip class
sessions; and modeling appropriate and respectful behavior.
iv. Organizing cultural trips & activities in the surrounding areas; including
transportation if necessary
v. Distributing food/taxi stipends.
b. Take frequent head counts during transportation to/from airport, agencies, field trips,
evening activities and during the evening at the hotel.
c. Communicate and update logistical information & expectations to students.
d. Coordinate and assist students with transportation to/from their respective service sites.
IEM Site Leader Application - 2014-2015
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e. Coordinate service activities at assigned service agency.
f. Assist with reflections as requested.
g. Supervise and assist group at service site.
i. Offer students guidance and motivation to carryout service tasks.
ii. Organize students’ involvement to enable the Site Group to use its time most
effectively
h. Communicate daily itinerary, program activities, reflections schedules, and behavioral
expectations to the Site group.
i. Recognition of students
i. Throughout the IEM Program be observant and actively recognize students’
strengths and assist them to overcome their limitations.
ii. Monitor student attendance, participation, and service and performance.
j. Be prompt and participate in all meetings scheduled with Program Leaders.
k. Be attentive to all IEM participants’ health issues (emotional, physical, mental, etc.) and
overall well-being of all IEM participants.
l. Immediately report any major incidences threatening the safety and welfare of IEM
participants (rule violations, alcohol abuse, drug use, etc.) to Program Leaders
*Personal cell phones or Program cell phones should be active at all times
3. After travel:
a. Evaluation – dissemination and collection of participants’ feedback forms
b. Assist with planning post-trip City Group sharing activities.
c. Provide evaluative feedback to Program Leaders and Program Coordinators to enhance
IEM Program safety and security; IEM Program outcomes (service and academic); IEM
Program leadership effectiveness; IEM service partners’ outcomes; and IEM participants’
enjoyment.
4. Behavior Expectations:
a. Serve as a role model by adhering to all IEM Program rules and expectations.
b. Display a positive “can do” attitude at all times.
c. Demonstrate flexibility in response to IEM Program changes and challenges.
d. Responsible alcohol use.
i. *Note: Need to sign the Alcohol Responsibility forms required by MSU
e. Care for IEM participants and in particular the members of your assigned Site Group.
f. Have fun!
g. Lead from the front.
h. Utilize an encouraging approach rather than an authoritarian approach to leading
"A genuine leader is not a searcher for consensus but a molder of consensus." MLK
Fall and Spring Semesters – Time Commitments
Fall Semester - At least one meeting per month (September, October, November and December) for
purposes of fund raising, leadership training and program organization.
IEM Site Leader Application - 2014-2015
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Spring Semester (at least 4 meetings with Program Leaders and Program Coordinators prior to the first
Pre-departure class meeting for purposes of IEM Program organization)
Full participation in all aspects of the scheduled Pre-departure class meetings.
Full participation in the scheduled Post-trip class meetings.
*At least 2 additional post-trip meetings maybe needed before or after Post-trip class meetings for
purposes of program evaluation.
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