2012 Orientation Leader Application Form

All fields are required unless otherwise specified.

First Name

Last Name

Major

Minor (If Applicable)

Cumulative GPA

Class standing as of Spring 2012

Do you plan to live on campus for Fall 2012?

Have you ever been an Orientation Leader?

If so, when? (Optional)

Please list organizations of which you are a member, or other activities in which you have been involved.
(Include leadership positions and specific involvement, duties, etc.)

What are your reasons for applying to be an Orientation Leader?

List and discuss three personal strengths, skills, or things you do very well which will help you in your position as an Orientation Leader?

What are three major issues/concerns that you think new students face when attending IUP?

Do you have a judicial record with IUP's Office of Student Conduct?
(If so, please describe your violation and explain why you feel you should still be selected as an Orientation Leader below)

Describe your violation and explain (Optional)

Contact Information

Cell Phone

Your E-mail Address

Local Address Line 1

Local Address Line 2 (Optional)

City

State

Zip Code/Postal Code

Summer Address Line 1

Summer Address Line 2 (Optional)

City

State

Zip Code/Postal Code

I certify that all the information provided as part of this application is true and accurate. I hereby give permission to the Center for Student Life to check my cumulative grade point average and judicial record.

Advising and Testing Center
Pratt Hall, Room 216
201 Pratt Drive
Indiana, PA 15705
Phone: 724-357-4067
Fax: 724-357-2889
orientation-testing@iup.edu

Office Hours
Monday through Friday
8:00 a.m.–Noon
1:00 p.m.–4:00 p.m.

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