Apply To Get Involved!
Center for Supportive Communities
Name
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First Name
Last Name
Date of birth
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Month
-
Day
Year
Date
Phone Number
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Format: (000) 000-0000.
E-mail
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example@example.com
Local Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you learn about CSC (e.g., CSC Staff Member, Flyer, VolunteerMatch, Nonprofit Connect, KU Center for Service Learning, KU ABSC Department, KU School of Social Welfare, KU Career and Internship Fair, Handshake, MENTOR, LinkedIn, Instagram, Facebook, other)?
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I am at least 18 years old.
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Yes
No
Please provide background information so we can get to know you. Are you a student? If so, what year are you in school, are you an undergraduate or graduate student, what school do you attend, and what are you studying? Are you a professional? If so, what industry do you work in, what is your position/job title, where did you receive your degree, and where is your place of employment?
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Please select the position(s) to which you are applying.
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Practicum/Internship
AmeriCorps
Service learning
Volunteer
If you are NOT an AmeriCorps member, are you interested in learning more about becoming an AmeriCorps member? (This is not required, but strongly encouraged. AmeriCorps members are eligible for the Segal AmeriCorps Education Award upon completion of 300-675 hours of service with CSC (10-20 hours a week), which can be used on future educational expenses or to pay back qualified student loans. We have 20 spots open for AmeriCorps members.)
Yes, tell me more
No
Will you earn course credit for your hours with CSC? (You must have a faculty sponsor and enroll in a university course to receive credit.)
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Yes
No
When can you start? (We strongly encourage you to start at the beginning of the fall semester and commit to the full academic year.)
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August 2024 (Fall)
January 2025 (Spring)
May 2025 (Summer)
August 2025 (Fall)
January 2026 (Spring)
Other
Can you commit to the full 2024-2025 academic year?
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Yes
No
How many weekly hours can you dedicate? For volunteer and service learning, we require a minimum commitment of 5 hours/week. For practicum students and interns, we require a minimum of 15 or 20 hours/week. For AmeriCorps Members, we require a commitment of 10-20 hours/week.
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Please Select
5 hours
10 hours
15 hours
20 hours
What days can you meet with students during the week? Please select all that apply.
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
On the days you selected above, can you meet with students after school between 3:30 and 8:30 during the week or in the morning or afternoon on the weekends?
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Yes
No
Can you be flexible in your scheduled meeting times to meet the competing demands surrounding our students and families? That is, could your meeting time change from week to week, or could you reschedule your meeting halfway through the week to occur in that same week?
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Yes
No, I have a packed schedule.
I will do my best but cannot promise this every week.
Are you able to submit progress notes, proof of meetings, intervention documents, and other required documentation to your supervisors each week?
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Yes
No
Are you able to attend a brief (~20-30 min) meeting each week and as needed with your supervisors to discuss your cases?
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Yes
No
Are you willing and able to be persistent in reaching out, patient in building trust, and consistent in communicating with our students and families?
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Yes
No
Upload Your CV or Resume
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Upload your CV or resume here. Please include the name and contact information of at least one reference (three references are preferred) who can attest to your ability to perform the duties associated with this position.
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Explain why you want to work with CSC. How does this position help you achieve your own goals? What do you hope to gain from this experience?
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What makes you qualified for the position? What experience, knowledge, skills, background, certifications, etc., do you have that will help you perform this role?
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How can we trust that you will prioritize your role with CSC and fulfill 100% of the position's requirements?
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Are you willing to complete our comprehensive training, competency assessment, and in-person orientation?
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Yes
No
Are you willing to complete a comprehensive background check that includes fingerprinting?
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Yes
No
Are you willing to complete a health assessment and TB test?
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Yes
No
Will you have reliable transportation to and from weekly meetings?
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Yes
No
Are you willing to provide us with photocopies of your car insurance and driver's license?
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Yes
No
Are you willing to provide us with two professional references (ie: professor, coach, co-worker, supervisor, etc)?
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Yes
No
Comments, questions, or concerns? Anything else we should know?
Please provide your signature below certifying that the information provided in this application is accurate and complete and you are indeed the person who is named at the top of the application.
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