Please Attach a Current Copy of Your Resume

1. Please fill out the attached application form and answer all questions to the best of your ability. 2. Responses should be typed. 3. Please attach a current copy of your resume. 4. If emailing, please include all application documents in one PDF.

Return the Application Packet to the Office of Community Standards and Wellbeing, Creighton Hall, Suite 224 Application materials may also be emailed to [email protected] Name: ______LAST FIRST MIDDLE

NetID: ______

Year: ______Major: ______G.P.A.: ______

Local Address: ______Permanent Address: ______

______

Cell Phone: ______E-Mail Address: ______

Academic Achievements:

______

Extracurricular Activities: ______

Are you a member of a fraternity/sorority organization? YES NO

Have you ever been, or are you currently under, any disciplinary sanction? YES NO If yes, please explain______

How did you learn about the openings on the CSB? ______

References (professor, supervisor, mentor, etc.):

Name: ______Email:______Phone number: ______

To the best of my knowledge, I certify that the information contained in this application is complete and accurate. Signature of Applicant: ______Date: ______1. How will you contribute to the mission and purpose of the Community Standards Board?

2. Being part of the CSB requires group cohesiveness. Using a group or team experience from your past, please describe the role you typically play on a team and how you contribute to the success of a larger group.

3. With which of the Ignatian values do you most closely relate? If you were to be a part of CSB, how would you work to manifest that value through your role in working with your peers? (http://www.creighton.edu/students/culturetraditions/jesuitvalues/index.php)

4. Describe an experience where you have been challenged to think about diversity and culture.

5. Please explain or describe three major issues you think most significantly affect the behaviors and choices made by the students of Creighton University.

6. Please indicate the times this semester that you are available. Monday Afternoon ___ Tuesday Morning ___ Friday Morning ___ Friday Afternoon ___