* Required

Personal information

First Namerequired

Middle Namerequired

Last Namerequired

College Address

Address 2

Address 3

City

State

Zip

I will reside at the above location until (mm/dd/yyyy)

Permanent Address

Address 2

Address 3

City

State

Zip

Country

Cell Phonerequired

Alternate Phone Number

Emailrequired

Father's name, Mother's name, siblings names and agesrequired

University/College attending, anticipated degree, major, minor, date of graduation, current cumulative GPArequired

Have you ever been suspended, dismissed, or asked to resign from school &/or employment?required

Have you ever been convicted of a felony? required

If yes, feel free to write an explanation

When are you available to interview?

Co-curricular preferences/Work interest

Please rank, in order of preference, the areas in which you would be willing and qualified to serve during the year (1 is of the highest interest, 2 is the next highest, etc) – classroom academics, LRC tutoring, Christian Service (site visits & projects), Campus Ministry (retreats), Alumni & Marketing, co-curricular clubs, coaching, Admissions (8th grade tours)

Preference Rank

What co-curricular activities or sports would you be interested in assisting?

What other plans are you considering after graduation?

Letter of Recommendation and References

Please enclose one letter of recommendation. Choose an individual from your college experience who can speak to your character, maturity, intelligence, and overall personality. You should consider a professor, counselor, employer, or coach as an example. This letter should not be written by a friend or family member. Be sure to have them sign the seal of the envelope to signify confidentiality, and mail the letter to:

Brian Meza, ASC Director
Seattle Preparatory School
2400 11^th Ave East
Seattle, WA 98102

Recommendation letters can be emailed bmeza@seaprep.org

Who will be writing your letter? How do you know him/her?

Please list two additional individuals who can serve as references to be contacted by the ASC Director. These references should be individuals from your college experience who also know you well, and can speak to various aspects of your character. As above, these individuals should not be friends or family members.

Reference 1

Name

Relationship

Phone Number

Reference 2

Name

Relationship

Phone number

Is there someone currently at Seattle Prep who knew you well as a student and has kept in contact during your college years?

Yes No

What is his/her name?

May we contact this person as an additional reference?

Yes No

Personal Reflection Questions

1. Why do you want to do this? What inspires you or excites you about joining ASC? How do you see yourself contributing as a volunteer to the mission of Seattle Prep? What life experiences support this view?

1. Response

2. One of the aspects of this year of service is an opportunity to reflect on your faith life, and on the Jesuit spiritual legacy for which you have inherited. What has been the most significant spiritual insight that you took away from your time at Seattle Prep? How has it had an impact on your life during college?

2. Response

3. ASC emphasizes intentional community and spiritual/personal development. What are your hopes and expectations for community living? How do you desire to grow personally and spiritually from this experience? What would you contribute to community?

3. Response

Additional Instructions

A complete application includes the following:
i. Application form
ii. Your resume or curriculum vitae
iii. Email preferred
iv. Your Reflection question responses
v. One recommendation letter (mailed or emailed separately by recommender)
Completed applications must be received by February 1st of the current calendar year.
Please collect all parts of your application & mail to:
Brian Meza, ASC Director
Seattle Preparatory School
2400 11^th Ave East
Seattle, WA 98102

Certification

I certify all information I have provided in order to apply to Seattle Prep Alumni Service Corps is true, complete, & correct.I understand that, if hired, any false statements shall be sufficient cause for disqualification or dismissal. I authorize investigation of all statements contained in this application. My permission is hereby given to contact any persons listed as a reference or as an employer.

I know the requirements of the Alumni Service Corps volunteers. I understand the program’s foundation upon the mission of Seattle Preparatory School. I am aware that it is a one school year commitment.

Signaturerequired

Daterequired (mm/dd/yyyy)

Please provide an email address where we can send a link to your current form.

Email Address :