Bridge Leader Application Form

This form will be sent directly to the evaluation committee.
I am applying for...*
*Before filling out this form, please be sure to read the job description for this position you are applying for.

Please note: All students will be considered for the Bridge Leader position. The other job descriptions are in addition to serving as a Bridge Leader.
Name
Student ID
E-mail
Box #
Cell Phone
Cumulative GPA
House
Room
Major/Minor
Hometown Address
City
State
Zip
Home Telephone
High School
Will you study during the 2014-15 academic year? Yes No
Classification during 2014-15 Sophomore
Junior
Senior
Entered Smith as a transfer student
Please list all student and community organization memberships, leadership roles, merit scholarships received and honors awarded while at Smith.
If you will hold a job on or off campus during the 2014-15 academic year, list the name of your employer, telephone number and hours you will work weekly.

Essay

In the space below please provide a 200- to 250-word essay in which you describe: 1) experiences, abilities, and skills that you can bring to the program, 2) characteristics that are inherent to strong leadership, 3) qualities you value most in yourself, and 4) ways in which these qualities enhance your ability to be a Bridge Leader.

Workshop Description

In the space below please provide a brief (200- to 250-words) preliminary workshop outline or description: this should include the workshop's purpose, description, format and desired outcome. Be sure to include a proposed title for your workshop (prior titles have included "Sister to Sister," "How Do I Say It" and "Decoding Smith Vernacular")

Résumé

Please copy and paste the contents of your résumé into the text box below.

Digital Signature

I certify that all information given in this application is complete and accurate. I also permit the release of all academic and disciplinary records to the Office of Multicultural Affairs
Signature
Date