Application for Franciscan CORE Student Mentors
NameClass/Year
Cell Phone / Text? Yes No (Circle One)
Religious Denomination
Date of Application
Have you ever been convicted of a felony (or a misdemeanor involving violent or fraudulent conduct, or a crime against children)? / Yes No (Circle One)
Have you ever been arrested for any criminal violation for which you are currently out on bail, out on your own recognizance, or otherwise on release pending trial? / Yes No (Circle One)
Have you ever participated in Virtus or Safe Environment training? / Yes No (Circle One)
Application Deadline: Thursday, March 3rd
Application should be returned to Dr. Dykman’s office (Murphy Center 321) or submitted via email ()
This year’s CORE is Sunday, June 19- Friday, June 26
- Training of the CORE student mentors will begin Thursday, June 16th at 9am
- Mentors will be housed on campus during the CORE week
- CORE student mentors will assist in developing the student activities for CORE
- As a CORE student mentor, you will be asked to attend regularly planning meetings throughout the spring semester.
PLEASE!!!!Prayerfully consider your participation before filling out this application. Feel free to use another sheet of paper, if you need it. We plan to start weekly Team Meetings during the week following Spring Break. Please list the three best times for your schedule between (including morning, nights, and weekends if necessary). Your input and presence are vital at the meetings. Your commitment is necessary for a successful CORE experience. Thank you for taking the time to share yourself with us!! If you have any questions, please call Emily Dykman @ 608-796-3703 or Emilio Alvarez @ 608-796-3805
Day/Time #1Day/Time #2
Day/Time #3
Please feel free to use another sheet if needed!
1)Describe a significant experience in your faith story. Why was it significant?
2)Have you ever had a summer camp experience? If so, what did this experience mean to you? If not, what would you like a summer camp experience mean for you?
3)I would like to serve as aCORE team member because I can contribute…
4)I feel it is important for me to share my faith with others because...
6)Other Viterbo University programs I have participated in (such as Campus Ministry programs, Humanities Symposium, club activities, leadership roles, etc.) are…
7)Describe your current pattern of religious practices (Sunday Eucharist, rosary, regular prayer)?
8) My greatest strength is; my greatest weakness is...
Thank you so very much for taking the time to apply.
Applications will be prayed about by the CORE staff.