Office Use Only

Received Date: @ By:

ONLY THE FIRST 20 APPLICATIONS WILL BE ACCEPTED. UPON COMPLETION, RETURN THE APPLICATION TO GUIDANCE nd NO LATER THAN Friday, December 2

**THERE WILL BE ONLY 12 SUPPORT STAFF CHOSEN**  In order to apply for Support Staff, you must have attended EITHER a Snowball or Snowflake.

SUPPORT STAFF APPLICATION

PARKER – HART SNOWFLAKE SATURDAY, JANUARY 28, 2017 (ALL DAY – 6 a.m. – 8 p.m.)

NAME______ID#______ADDRESS ______CITY______ZIP ______PHONE______CELL PHONE ______E-MAIL ADDRESS ______FR SOPH JR SENIOR (circle one) AGE ______CLASS OF 20____

What is your previous experience with Snowball? Complete the chart below. Yes or No. of No? Years Participant Snowflake Participant Snowball Small Group Leaders?

Snowflake/flurry Staff Role(s)?

Small Group Leader Counterpart?

Parent/guardian signature below indicates permission to apply for teen staff: Signature: ______Date: ______

1 What is your current course schedule? Complete the chart below. CLASS TEACHER ROOM st 1 nd 2 rd 3 th 4 th 5 Lunch A B C D (circle one) ------North or South (circle - one) th 6 th 7

THE FOLLOWING DATES ARE MANDATORY (Be sure you are available on these dates prior to applying!):

rd Wednesday, November 23 – Application is available online nd Friday, December 2 – Last day to turn in application nd Friday, December 2 – Last day to sign up for an Interview th Wednesday, December 7 – Support Staff Interviews in the Library Classroom th Friday, December 9 - Staff positions posted at 3pm ONLINE th Wednesday, January 11 – General Meeting - 3:15 th Thursday, January 12 – Staff Training - 6-9:30pm @ HF in the TLC th Monday, January 16 – SS Mega Rehearsal - 12noon-5pm @ James Hart (Tentative date/time) th Wednesday, January 18 – General Meeting - 3:15 @ HF Staff Cafe th Wednesday, January 25 – General Meeting - 3:15 @ HF Staff Cafe th Friday, January 27 – Snowflake Set-up - 3-6pm @ HF th Saturday, January 28 – Operation Snowflake - 6-8:30pm @ HF th **In addition to January 16 , additional Support Staff meetings will be held at James Hart from 3:30-5:30 on several other dates in January TBD. See SS director for details.

SUPPORT STAFF DUTIES:  Attend ALL general AND support staff meetings, as well as the staff training.  Create and performs skits that deliver a message to participants.

2 Q & A: In answering the following questions, BE SURE to consider, among other things, your substance use and how others would view it in the school and community. Please use complete sentences.

1. Why do you want to be involved in Snowflake?

2. Why do you feel Snowflake is important?

3. Describe ways you have shown you are responsible and dependable.

4. What strengths do you have that would make you a strong support staff member?

3 5. What weaknesses or fears might you have in being a support staff member?

6. What could you contribute to the running of the Snowflake program? (Ideas for large groups, activities, etc.)

7. What is your view on teen alcohol/drug use? And what is YOUR personal use?

8. Name 3 of your closest friends.

9. If you didn’t make Support Staff, what other position would you want, if any?

4 PLEASE EMAIL THIS BACK TO [email protected] AND BRING A COPY OF IT TO GUIDANCE BY nd DECEMBER 2 WHEN YOU SIGN UP FOR YOUR INTERVIEW!!!!

5 * SNOWFLAKE * Alcohol/Drug Free Contract

I agree NOT to be in (Please print your name) the presence of, possession, use, transmission, sale, distribution or

being under the influence of any narcotic drug, cannabis, inhalant,

hallucinogenic drug, amphetamine, intoxicant, stimulant, depressant,

look-a-like drugs, designer drugs, alcoholic beverage, drug paraphernalia,

abuse prescription, or non-prescription drugs as a member of Snowflake from

December 2016 through the end of the 2016-2017 school year.

This will include NOT possessing and/or using a Fake ID.

Signature of Student/Date

Melissa Sauder/Guidance Counselor

(revised 11/16)

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