Application

LSSU Newman Center Job Application

* Indicates required field

Name *

First

Last

Age *

LSSU Student ID Number *

Current Address at University *

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Line 2

City

State

Zip Code

Country

Home Phone *

Cell Phone *

LSSU Email *

Parent or Guardian's Home Address *

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Line 2

City

State

Zip Code

Country

Name of Parent(s) or Guardian(s) *

Phone Number *

Date of Birth *

Place of Birth: City *

State *

University Status

Year of School *

Freshman/First Year Sophomore/ Second Year Junior/ Third Year Senior/ Four year

Major *

Anticipated Graduation Date *

GPA For Last Semester *

Cumulative GPA *

How long have you been at Lake State? *

Are you willing to sign a release that would permit the Pastor of St. Joseph’s Catholic Parish to verify your Academic Standing/G.P.A. at Lake Superior State University? *

Yes No

I am applying for the academic year of *

Short Answers Questions

Why are you applying for this position? *

Do you have any health problems (allergies, diabetes, asthma, epilepsy, high blood pressure, and permanent injury, physical, emotional, or stress-related problems?) If so, please explain. *

Have you been seeing a counselor(s) for any problems? *

Yes No

If so, are you willing to sign a release for this information? *

Yes No

Would you describe yourself as a person “of honor”? If YES, please explain: *

How are you at accepting orders and constructive criticism? Please explain: *

Home Parish Information

Parish Name *

Pastor *

Parish Address *

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Line 2

City

State

Zip Code

Country

Parish Phone Number *

What involvement have you had at your home parish? *

Resident Questions

List and describe the different work experiences you have had, beginning with the most recent. *

Do you consider yourself personally neat and clean? *

Yes No

Does this carry over into your work? *

Yes No

Please Explain: *

What do you think you can gain from being a Residential Peer Minister? *

What can you give to LSSU Catholic Newman Center as a Residential Peer Minister? *

Previous involvement academically, socially, and spiritually: in high school and/ or Newman Center *

Family Statistics

Number of Brothers *

Number of Sisters *

If Deceased, Which one? *

Describe your greatest strength (quality) as a person *

Describe your greatest weakness as a person? *

Job Questions

Are you willing to commit yourself to a minimum of 10-12 hours of work per week? *

Yes No

Are you willing to make yourself visible to the Campus Ministry Community and also at St. Joseph’s Parish through participation in Newman Center activities? *

Yes No

How do you see that happening? *

What organizations are you involved with now, and approximately how many hours per week are you committed? *

Is there any information that you wish to share with us? *

Which position our you applying for? *