Center for Social Concerns Application

Instructions

Read the Information Sheet for this program.
Submit application no later than Tuesday, January 27, 2012.
ILS will contact you to arrange an interview upon receipt of your application.
All Students are required to have Health Insurance. If you do not have health insurance you will be required to purchase a policy to cover you during the summer
We may look at your transcripts during the interview process.

Last Name: First Name: MI:

I.D.#

Sex:
Male
Female

Net ID:

Major:

Current Status:

Campus/ Local Address: City: State: Zip:

Cell Phone:

Email:

Graduating Year

Date of Birth: Age:

Parents Name:

Parents Address: City: State: Zip:

Optional: Please select your ethnicity:
Asian/ Pacific Islander
Caucasian Euro American
Latino/Latina
Black/ African American
American Indian/ Alaskan Native

Please Identify Your CCLIP location preference
Please note that site placements will be determined by the agencies in function of their needs and students' skills and interests.
Chicago:

Los Angeles

You might be living and working in community where there are challenges related to poverty,immigration, unemployment, drugs, etc. With this in mind respond to the following questions:

This internship is an 8-week commitment. Are there any factors that might hinder your ability to complete this internship over 8 consecutive weeks this summer? If yes, please explain.

Why do you want to participate in the Cross Cultural Internship Program?

How does your faith influence your desire to live and learn in a Latino community this summer?

What do you already know about issues facing the Latino community in education, poverty, empowerment, children and leadership?

How does this internship relate to your academic studies?

How do you relate this internship and service learning experience with your career/professional goals?

Describe your idea of a good leader. Describe the person who best embodies the most important leadership traits.

Describe your own leadership style.

How do you plan to be involved in Latino issues or leadership positions in groups when you return to campus in the fall?

Would you like to be considered for the limited financial aid that may be available for travel to and from Chicago or Los Angeles for the summer? (If yes, please explain why.)

What service or social awareness activities or courses have you participated in here at ND or in the past?

Please copy and paste your resume: