LSSU CATHOLIC NEWMAN CENTER
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LSSU Newman Center Residential Communities Application
*
Indicates required field
Name
*
First
Last
Age
*
LSSU Student ID Number (optional)
*
Please added your A Number
Current Address at University
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone
*
Cell Phone
*
LSSU Email (LSSU email Preferred)
*
Parent or Guardian's Home Address
*
Line 1
Line 2
City
State
Zip Code
Country
Name of Parent(s) or Guardian(s)
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Phone Number
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Date of Birth
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Please enter as MM/DD/YYYY
University Status
Year of School
*
Freshman/First Year
Sophomore/ Second Year
Junior/ Third Year
Senior/ Four year
Major
*
Please list all Majors
Anticipated Graduation Date
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How long have you been at Lake State?
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I am applying for the academic year of
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Fall 2023
Spring 2024
Fall 2024
Spring 2025
Short Answers Questions
Why are you applying to become a member of this community?
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Do you have any health problems that might interfere with your ability to live in this residential community (allergies, diabetes, asthma, epilepsy, high blood pressure, and permanent injury, physical, emotional, or stress-related problems?) If so, please explain.
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Have you been seeing a counselor(s) for any problems?
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Yes
No
How are you at following directions and receiving constructive criticism? Please explain:
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Home Parish Information
Parish Name
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Pastor
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Parish Address
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Line 1
Line 2
City
State
Zip Code
Country
Parish Phone Number
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What involvement have you had at your home parish?
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Resident Questions
List and describe the different work experiences you have had, beginning with the most recent.
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Do you consider yourself personally neat and clean?
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Yes
No
Does this carry over into your work?
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Yes
No
Please Explain:
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What do you think you can gain from living in community?
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What can you give to LSSU Catholic Newman Center as a Residential Peer Minister?
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Previous involvement academically, socially, and spiritually: in high school and/ or Newman Center
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Family Statistics
Describe your greatest strength (quality) as a person
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Describe your greatest weakness as a person?
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Job Questions
Are you willing to commit yourself to a minimum of 10-12 hours of work per week?
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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?
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Yes
No
How do you see that happening?
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What organizations are you involved with now, and approximately how many hours per week are you committed?
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Is there any information that you wish to share with us?
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Which position our you applying for?
*
Residential Peer Minister
Submit
HOME
ABOUT US
OUR TEAM
EVENTS
SEMESTER SHENANIGANS
HISTORY
STUDENT SPOTLIGHTS
NEWSLETTERS
>
Info Update
TESTIMONIALS
PHOTO ARCHIVES
>
Fall 2022 - Spring 2023
Fall 2021 - Spring 2022
Fall 2020 - Spring 2021
Fall 2019 - Spring 2020
Fall 2018 - Spring 2019
Fall 2017 - Spring 2018
Fall 2016 - Spring 2017
Fall 2015 - Spring 2016
Fall 2011 - Spring 2012
Fall 1995 - Spring 1996
VIDEO ARCHIVES
SUPPORT OUR MISSION