UK Alternative Service Breaks Executive Team Application

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1 UK Alternative Service Breaks Executive Team Application Thank you for your interest in applying to be a part of the UK Alternative Service Breaks (ASB) Executive Team! Through the UK Center for Community Outreach (CCO) and the national service organization Break Away, the University of Kentucky Alternative Service Breaks program connects students with service projects in communities beyond the borders of Lexington and Kentucky. We aim to provide service experiences that are educational and cultural, and to promote active citizenship among UK students, faculty, and staff. UK ASB seeks qualified and dedicated UK students to fill four positions on our UK ASB Executive Team, providing vision and leadership to the program alongside our selected Program Director: 1) Leadership Education Chair, 2) Fundraising Chair, 3) Promotions Chair, and 4) Community Development Chair. For more information about UK ASB, and the specific roles and responsibilities of these positions, please review this info packet by clicking here. Applications for UK ASB Executive Team positions will be accepted through Friday, April 8th at 5:00 PM. Interviews for UK ASB Executive Team positions will take place on April 11th-13th, and applicants will be notified of their invitation to interview and scheduled interview date/time on Friday, April 8th. If you have any questions about the application or selection process, please contact Megan Zugger, UK ASB Program Director, at ukasb@ukcco.org. Thank you again for your interest! Personal Information Contact Information [Required] Please complete all information and provide your UK address, and your current local address. - must be digits long and may include only numbers, hyphens, and spaces. - name@myschool.edu First name: Middle initial: Last name: address: Phone number: Address: City: State: ZIP: LinkBlue ID [Required] e.g. aaaa111 Student ID Number [Required] Do not include the "9" at the beginning of your ID number. Date of Birth [Required] Gender [Required] T-Shirt Size [Required] [ ] Small [ ] Medium [ ] Large [ ] XL [ ] 2XL [ ] 3XL Academic Information Full Time/Part Time [Required] Page 1 of UK Alternative Service Breaks Executive Team Application

2 [ ] Full Time Student [ ] Part Time Student Undergraduate/Graduate [Required] [ ] Undergraduate Student [ ] Graduate Student Academic Level [Required] Please indicate your academic level beginning in Fall [ ] First-Year [ ] Sophomore [ ] Junior [ ] Senior [ ] Graduate [ ] Professional What college(s) are you enrolled under? [Required] e.g. College of Arts & Sciences, CAFE, etc. What major(s) have you declared? [Required] e.g. Elementary Education, International Studies, etc. What is your expected graduation date? [Required] e.g. May 2017 What is your Cumulative GPA as of Spring 2016? [Required] You must be a full-time student in good standing with the University, and maintain a Cumulative GPA of 2.5 or higher to hold a student leader position in the UK Center for Community Outreach. Additionally, you must be a sophomore or above beginning in Fall 2016 to be accepted as a UK ASB Executive Team member or Site Leader. Please Select All that Apply [Required] [ ] First Generation Student [ ] International Student [ ] BCTC Student [ ] N/A Experience and Preferences Have you ever held a leadership position within the UK CCO? [Required] [ ] YES [ ] NO If you answered "YES" to the previous question, please explain the leadership position and year(s) you held that position in the UK CCO? Please list your previous UK ASB experience, if any (check all that apply). [Required] [ ] I participated in the UK ASB program in the past. [ ] I was a Site Leader for the UK ASB program in the past. [ ] I was an Executive Team member for the UK ASB program in the past. [ ] I have participated in a similar type of service trip in the past. [ ] I have no past experience with this type of service trip. Page 2 of UK Alternative Service Breaks Executive Team Application

3 Position Preferences Please indicate your top preferences(s) of positions on the UK ASB Executive Team in order of your preference. Only list as preferences those positions for which you would like to be considered as an applicant. You may refer to the info packet linked to this application for more information about the specific roles and responsibilities of each position. First Preference [Required] Second Preference Third Preference Fourth Preference Are you willing to accept any position on the UK ASB Executive Team if we cannot accommodate your first choice? [Required] [ ] Yes [ ] No [ ] If you are not offered a position on the UK ASB Executive Team, would you like to be considered for a UK ASB Site Leader position? [Required] [ ] Yes [ ] No [ ] If you answered "YES" to the previous question, please briefly explain your preferences of UK ASB Site Leader positions. E.g. Would you prefer weekends, winter, spring, or summer break? Domestic or international? Specific social issue(s)? If you answered "NO" to the previous question, please explain. Page 3 of UK Alternative Service Breaks Executive Team Application

4 Written Responses Previous Involvement [Required] List your previous involvement with UK ASB, or any other student organization or program related to it, including level and duration of involvement. Label your document as "Last Name_Involvement". Short Response [Required] Please upload your typed responses to the following questions. This is our way of getting to know you, so feel free to express yourself! There is no length requirement for these questions. Label your document as "Last Name_Short Response". 1) Why do you want to be a member of the UK ASB Executive Team? What do you expect to gain from your experience if selected? 2) What qualifies you for your top preferred position on the UK ASB Executive Team? What knowledge, skills, or experiences do you have to contribute? Overall, what do you bring as a person and leader to the UK ASB program? 3) What is your greatest strength and your greatest weakness as a leader, related to UK ASB? How can UK ASB draw out your strengths and help you to grow in your weaknesses? 4) Briefly describe your past and current experiences with community service work. What does volunteering mean to you? How has service impacted your life? What social issue are you most passionate about, and why? 5) Tell us your "UK Story"! What organizations, programs, events, people, or other experiences have impacted your journey to and through college? You may answer this question how you feel most comfortable, e.g. essay, bulleted list, series of haikus, poem, or other creative/artistic response. Long Response Please upload your typed response to the long response question that corresponds to your top preference of UK ASB Executive Team position. Again, there is no length requirement for these questions, but we do expect a well-thought out answer to these long response questions. Label your document as "Last Name_Long Response". LEADERSHIP EDUCATION CHAIR: 1) Pick one of the Eight Components of a Quality Alternative Break (Break Away, 2016), and provide an abbreviated lesson plan, including course objectives, for how you would train Site Leaders on that topic. Also discuss how you would accommodate various learning styles, including what activities you might use, or homework you might assign. PROMOTIONS CHAIR: 1) Lay out a basic UK ASB Promotions Plan for that will help the program to access a broader range of students and get more people involved in the program. Be sure to include an overall strategy, intended target audiences, methods of promotion (e.g. print, social media), and a tentative timeline. Also discuss how you would utilize the Site Leaders to support you in your promotion of the UK ASB program. FUNDRAISING CHAIR: 1) Lay out a basic UK ASB Fundraising Plan for that will help the program to better support individual participants in reaching their fundraising goals, as well as fundraising for the program overall. Be sure to include an overall strategy, methods of fundraising, potential sponsors or donors, and a tentative timeline. Also discuss how you would specifically support UK ASB participants with high levels of financial need, and engage UK ASB Site Leaders in the fundraising process. COMMUNITY DEVELOPMENT CHAIR: 1) This relatively new position on the UK ASB Executive Team is intended to foster a greater sense of community among UK ASB participants, including connecting them locally in Lexington. What programs or events would you plan in order to accomplish these goals? Please provide a detailed description of at least three ideas for initiatives, including a basic description of each, intended goals for each, a tentative date/time/location. Also discuss what resources would be required to accomplish your initiatives, and how you would engage Site Leaders in your program or event plans. Final Steps Please provide two references who can best speak to your ability to fulfill the position(s) you are seeking, including Name, Position, Relationship to You, and Contact Information. [Required] If you were previously involved with UK ASB, please include either your Co-Site Leader or Site Advisor one reference. Page 4 of UK Alternative Service Breaks Executive Team Application

5 UK ASB Executive Team Information Packet [Required] Before submitting this application, it is necessary that you have read the UK ASB Executive Team Information Packet. It includes important information the program and the UK CCO, specific roles and responsibilities of UK ASB Executive Team members, and UK ASB Contracts and Policies to which all students, faculty, and staff involved in UK ASB must adhere. By clicking "I AGREE," I agree that I have read the info packet, understand the roles and responsibilities of the position(s) for which I am applying, and agree to fulfill my position to the best of my ability should I be selected to join the UK ASB Executive Team. I also agree to uphold all UK ASB Contracts and Polices, serving as a role model for my peers involved in UK ASB to do the same. [ ] I Agree UK ASB Contracts and Policies [Required] By clicking I AGREE, I agree that I have carefully read the Full Value Contract and agree to invest the time, energy, and commitment required of all UK ASB volunteers. I also agree to fulfill all requirements detailed in the Full Value Contract, in order to ensure that myself and others gain full value from our service experiences. I agree that I have carefully read the Service First Contract and agree to dedicate my academic break to serving others. I understand that this experience is not about me but about impacting others that I may meet during my service trip. I agree that I have carefully read the Diversity and Inclusion Policy and agree to support UK s commitment to equal opportunity and nondiscrimination by contributing to a climate of mutual acceptance and understanding. I also agree to actively participate in and contribute to discussions about diversity and social justice as relevant to my service trip, and to remain respectful and open-minded toward others and their difference viewpoints during these discussions. I agree that I have carefully read the Alcohol and Drug Free Policy, and agree to abstain from using alcohol and other drugs at UK ASB sponsored meetings, events, activities, etc. I also agree to abstain from using alcohol and other drugs for the duration of my service trip - which begins when I depart Lexington and ends when I arrive back in Lexington. I also agree to abide by the UK Code of Student Conduct at all times as a UK ASB volunteer. Finally, I agree that I understand there will be consequences for my actions should I violate the alcohol and drug free policy or the UK Code of Student Conduct, and to accept these consequences even at my own expense as I am the sole person responsible for my behavior. I agree that I have carefully read the Payment Policy and Withdrawal Policy and agree to adhere to these policies as well as the payment deadlines set for my specific service trip. I also agree that I understand that once I apply and am accepted to the UK ASB program I become responsible to pay for the full cost (less any subsidies or scholarships) of my service trip without exception, even if I withdraw from the program at any time or for any reason. I agree that I have carefully read the Experiential Education policy and agree to enroll in the EXP course (required of new leaders only). I also agree that I will be present and engaged for the entirety of all classes, meetings, events, and retreats, including not scheduling classes over required UK ASB meetings and events. I understand that I will be receiving a grade for this experience, in the form of pass/fail. [ ] I Agree Candidate Interview Times [Required] Interviews for UK ASB Executive Team positions will take place on April 11th-13th. Please indicate any/all times for which you are available to interview between 8am-6pm on April 11th-13th. Applicants will be notified of their invitation to interview and assigned an interview date/time on Friday, April 8th. Disclaimer and Digital Signature I hereby certify that the above information is true to the best of my knowledge, that I have read this completed this application to the best of my ability having reviewed the UK ASB Executive Team Information Packet first. I authorize the UK CCO to verify my enrollment and grades, understanding that my selection for a student leadership role in the UK CCO is contingent upon my being in good standing with the university. I understand that, if selected for the UK Alternative Service Breaks Executive Team, I will be expected to fulfill my position to the best of my ability for the term of May 1, 2016-May 1, I also understand that I will be expected to participate in a UK ASB service immersion for which I can give preference, and that I will benefit from a 50% discount, or subsidy, on the total cost of my assigned service trip. My digital signature and date below indicates my acknowledgement of this disclaimer and formal submission of my application. Digital Signature and Date [Required] e.g. Jason Timothy Schubert, 4/1/16 Thank you for your application! We will be in touch shortly. Page 5 of UK Alternative Service Breaks Executive Team Application

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