Name: / JAC #
Permanent Address:
Local Address:
P.O. Box: / Cell Phone:
E-mail: / Expected Graduation Date:
Current Academic Level: / Current GPA:
Major: / Minor:

If not selected as a Service-Learning Coordinator, would you like to be considered for a position as a Madison Community Scholar? Yes No

I will be degree-seeking and taking at least 6 credits/semester next year Yes No (explain)______

If selected, I understand some job shadowing will begin this semester Yes No (explain)______

If selected, I will attend a 1-week training over the summer Yes No (explain)______

If selected, I understand that I will need to return Aug 19 forCS-L Training Week Yes No (explain)______

(Note: August training is 8/20-8/24 and will be for approximately 40 hours that week)

If you marked “No” for any item above, please include a full explanation. You may also consider reaching out to Jamie Williams, the Associate Director for Local Community Engagement ( or 540-568-7336) prior to completing your application, as this may affect your eligibility for the position.

If selected, I may be interested in working in CS-L over the summer Yes No (explain)______

Please type short answers to all of the following questions:

  1. Why do you want to be a Service-Learning Coordinator?
  2. Please tell us about your past leadership or employment experiences (resumes are accepted, but not required) and how those experiences would contribute to your effectiveness in this position.
  3. What qualities, skills and experience do you have that are relevant topreparing other students to serve in the community?
  4. What are your weaknesses or areas that you would like to develop further? How would you like to do this? What new skills would you like to develop in this position?
  5. What is the difference between service-learning and volunteerism?

Personal Page:

Deliver an 8.5” by 11” sheet of paper about you to the Community Service-Learning Office. This can be creatively done however you would like using pictures, drawings, words, etc. to help the hiring committee get to know you.

Time Management:

If offered this position, how would you balance the various demands on your time and attention? In addition to your written response to this question, please double click on the Excel table below and enter the number of hours you expect to spend on this position, classes & studying, co-curricular activities, personal time, sleep, and any additional categories in an average day.

Interview Information:

Please fill out the following doodle survey to let us know your availability for a potential interview:

Interview Activity:

In the event you are offered an interview, we ask that you come prepared to facilitate a ten minute training on a topic of your choosing.Please be prepared to speak about your planning process. Please let us know if you will need a projector, and bring any materials that you may need for your lesson.

Reference Information:

Please list two references who know of your knowledge, skills, and abilities. At least one must be a JMU faculty or staff member. Student references are not advisable. The reference forms are attached to this application. Give them to your references and have them return the completed form to Community Service-Learning by noon on Sunday, March 18th. They can be sent by mail (MSC 1011), FAX (568-6719) or e-mail (). Instructions are on the reference forms.

Name of Reference Phone E-mail JMU (Y/N) Relationship to Applicant___

1.

2.

Completed electronic applications are due by NOON on Sunday, March 18, 2018 to . If you have any questions, call 540.568.7336or .

By submitting this via my @dukes.jmu.edu account, I electronically sign, date, and certify that the information provided is accurate and complete.

If you are offered this position (our hope is to notify you by 3/30/18), there will also be a few hours of shadowing (including some application/interview processes-dates listed below) to be completed by the end of spring semester. To begin working for the office, the following is necessary:

1.Within one week of accepting the position, make an appointment with Julie Slifer, Coordinator of Operations, Customer Service, and Administrative Support (r 540.568.5126). Provide the following at your appointment: copy of social security card and knowledge of tax information (i.e. do your parents claim you on their taxes, number of exemptions and dependents to claim on your tax forms, and if you want to claim 0 or 1 exemptions).

2.Following your meeting with Julie, you will be contacted by the Student Work Experience Center (SWEC). You will have ten days to set up an appointment with SWEC. Provide the following at your appointment: passport OR two forms of identification (NO copies permitted) (i.e. JACard, driver’s license, voter registration card, U.S. military ID card, etc).If you have worked on campus within the past six months (not for an affiliate such as Aramark or Follet), then you will not need to meet with SWEC again.

COMMUNITY SERVICE-LEARNING

2018-2019Service-Learning Coordinator Reference Form

Applicant’s Name: / Date:
Reference’s Name: / Title:
Relationship to Applicant: / How long have you known the applicant?
Reference’s Phone Number: / Reference’s E-mail Address:

Community Service-Learning

Attn: Jamie Williams

800 S. Main St. MSC 1011

James Madison University

Harrisonburg, VA

PHONE 540-568-7336FAX 540-568-6719

Dear Friend of Community Service-Learning,

The person above has applied for the position of Service-Learning Coordinator with Community Service-Learning and has selected you to evaluate their qualifications. Please take a few minutes to complete this reference form. If you have any questions, you may contact Jamie Williams, Associate Director for Local Community Engagement, at 540-568-7336. Thank you!

The Service-Learning Coordinator is responsible for empowering students to serve the community, facilitating pre- and post-service reflections, and providing ongoing support to faculty integrating service-learning into their course and to students enrolled in those courses. TheseareCommunity Service-Learning (CS-L) staff positions. Candidates must be detail oriented and have outstanding group facilitation and interpersonal skills.

There are two options for providing a reference. Please check one:

____ I havecompleted this form to the best of my knowledge

____ I have attached a letter of reference.

Regardless of the option you choose, please return this reference form to Community Service Learning by NOON, Sunday, March 18, 2018. You may drop it off in SSC 2100, or send it by fax (8-6719), mail (MSC 1011), or e-mail ().

Thank you for taking the time to help us make our program great.

Jamie Williams

Associate Director for Local Community Engagement

Community Service-Learning
SECTION I: Autonomy & Teamwork

From your knowledge, please rate the student's ability and motivation to work autonomously and among others.

SECTION II: Social Sensitivity and Commitment to Service

From your knowledge, please rate the student's commitment to service and sensitivity to the views of others. If possible please give an example of this service commitment:

SECTION III: Interpersonal & Advertising Skills

From your knowledge, please rate the student's ability to interact and communicate effectively with a wide variety of people (i.e. students, agency heads, faculty) and utilize a variety of means (i.e. web, facilitate information sessions, print media) for said communication.

SECTION IV: Organizational Skills

From your knowledge, please rate the student’s ability to organize information and present it to others in a useful form. This would also include time management skills.

SECTION V: Additional Comments

Please describe any notable abilities, interests, skills or experiences of the applicant:

What is one area of growth that you would like to see the applicant focus on through this experience?

If applicable, please describe any reservations you might have about the applicant:

SECTION VI: Overall Recommendation

Please check one of the following to summarize your overall recommendation of the applicant:

I recommend the applicant without reservation.

I recommend the applicant as a good prospect.

I have some reservations about the applicant's abilities.

I have substantial doubts about the applicant's suitability.

CONFIDENTIALITY STATEMENT

Please indicate below whether you do or do not wish your reference to be revealed to the applicant:

____ I AUTHORIZE a release of this reference, upon request of the applicant.

____ I DO NOT authorize the release of this reference.

______

SignatureDate

Thank you for your time.