EmailMeForm
LSS Mentor Application
Application Deadline: Feb. 14, 2022
LSS Event Date: June 12-18, 2022
Name
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First
Last
Email
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Wartburg ID #
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Wartburg Box Number (provide if living off campus)
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Wartburg Phone
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Hometown
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Major(s)
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Minor(s)
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Cumulative GPA
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Expected Graduation Date
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T-Shirt Size
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Birth Date
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Complete this personality profile.
On a scale of 1-4, with 4 being the best, give an honest assessment of yourself. You can use the space below.
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Your leadership experience:
Your ability to get along with peers in a group/work setting:
Your punctuality:
Your communication skills:
Please answer the following questions (typed responses):
1. Please complete the statement: An effective mentor is someone who (fill in the blank)? How would you fulfill this?
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2. Why would you like to be a mentor? What might you do to improve/make the most of the experience/time with the high school mentees?
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3. What would be your largest priority in this role? Why?
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4. What aspect of leadership are you most passionate about? Explain.
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5. Describe some previous leadership opportunities you have engaged in.
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6. Describe some current leadership opportunities you are engaged in.
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7. What is your leadership style? How might this hinder or help you in the role as a mentor?
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8. Who is someone in your life that looks up to you? Why do you believe this person looks up to you/how are you a role model for them?
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9. Do you have any conduct violations? If so, please explain. Please note that answering ‘yes’ to this question does not immediately disqualify you from the selection process for this position.
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Please upload your resume.
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REMINDER: Please remember to have an on-campus reference complete the recommendation form available on the webpage: www.wartburg.edu/lss-mentors.
Signature
Clear
I understand that by submitting this application I am giving the authority to check my academic and conduct records. I also verify the information I provided in this application is truthful.