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Technovation For Good Program Leader Application
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Technovation For Good Program Leader Application
First Name
*
Last Name
*
Are you 18 or older
*
Yes
No
Birthday
*
Please enter your birthday, DD/MM/YYYY
Banner ID (if APP Student)
Email Address
*
Permanent Address
*
City
*
State
*
Zip Code
*
Cell Phone Number
*
Grade Level
*
Rising Freshman
Freshman
Sophomore
Junior
Senior
Grad Student
What is/are your major(s)/minor(s)
*
Anticipated graduation date
*
How did you select your major/minor?
*
Currently, what are your plans or goals after graduation?
*
Describe any prior experiences as a camp counselor or other related field.
*
Give a specific example of a time when you went above and beyond the call of duty.
*
Describe a time you had to deal with a difficult classmate/customer/co-worker. How did you resolve the situation?
*
Please rate the following areas:
(1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree)
I am a morning person.
*
- Select -
1
2
3
4
5
I am an effective communicator.
*
- Select -
1
2
3
4
5
I am professional.
*
- Select -
1
2
3
4
5
I prefer to be busy, rather than having a lot of down time.
*
- Select -
1
2
3
4
5
Punctuality is important to me.
*
- Select -
1
2
3
4
5
When circumstances or people are causing tension or discomfort in a group, I want to address them.
*
- Select -
1
2
3
4
5
Recommender 1 Full Name:
*
Recommender 1 Email:
*
Recommender 2 Full Name:
*
Recommender 2 Email:
*
Signature
*
Date
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2022
2023
2024
2025
2026
Year
Leave this field blank
Submit