2022 CMT Application

CMT Application

Fields marked with an * are required.

If you have any accessibility issues with our form and need an alternate application form, please contact us at 919.513.0148 or at shelton_center@ncsu.edu
GENERAL INFORMATION

The following requirements are preferred of individuals applying to volunteer as a Coach/Mentor/Trainer (CMT) during the 2023 Red Hat Shelton Challenge:
- Must be at least a first-year student in college OR a graduating high school senior who has served as a Peer Leader for at least one year with the Shelton Challenge
- Experience working with teams
- Experience with service-learning and reflection techniques (preferred)
- Experience or desire to work with youth (preferred)
CMT RESPONSIBILITIES
- Attend 3 staff training sessions (one (in-person) on March 25, 2023, one virtually the week before the program you will serve, and on the Saturday before the participants arrive to the Challenge).
- Model the five values of the Shelton Leadership Center – honesty, integrity, compassion, diversity, and social responsibility
- Observe team throughout the day and provide feedback to the team leader and team members. Take frequent notes to use for reflections, feedback, and evaluations.
- Lead reflections each day for team. CMTs also help Peer Leaders develop skills for leading reflections.
- Attend daily staff meetings during the week.
- Work respectfully in a team-oriented manner with all Red Hat Shelton Challenge Staff.
Applicant Information
Applicant Full Name*

First NameLast Name
Applicant Email Address*
example@example.com
Applicant Phone Number*
Format: (000) 000-0000.
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address during 2022-2023 Academic Year*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Birthdate*

MonthDayYear
Please make sure to select the correct birth year
Gender*
Race*
Ethnicity*
Current School/University Name*
Current Year in School*
2022-2023 Academic Year
T-Shirt Size*

Please answer the following questions to help us understand your desire to serve as a CMT.
Have you previously served as a CMT?*
Please list experience you have, if any, with the Shelton Challenge.*
Please tell us why you want to be a CMT. *
Identify a value that's important to you and explain why that value is important to you.*
Describe the qualities of an effective team, noting which qualities you bring to a team. *
The Shelton Challenge is meant to be a developmental program for staff, as well as students. Please describe one goal you will set for yourself during the Challenge week.*

Please rank the following Shelton Challenge weeks for which you would be able to serve:
NCSU 1: June 10-16, 2023 *
Raleigh, NC @ NC State
NCSU 2: June 24-30, 2023 *
Raleigh, NC @ NC State
NCSU 3/Take II: July 8-14, 2023*
Raleigh, NC @ NC State
NCSU 3: July 15-21, 2023 *
Raleigh, NC @ NC State
YesNoMaybe - please let me know more details
YesNo
REFERENCES FOR CMTs

Please list two references and have them complete this online reference form: CMT Reference Form or send them to go.ncsu.edu/cmtreference

Note: References CANNOT be related to the applicant.
Reference 1 Name*

First NameLast Name
Reference 1 Email *
example@example.com
Reference 1 Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Applicant*
Reference 2 Name*

First NameLast Name
Reference 2 Email *
example@example.com
Reference 2 Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Applicant*
May we contact your references?*
Should be Empty:

CMT Application

Applicant Information