University of Connecticut School of Social Work

Ambassador Application

Building Bridges is an initiative established in 2011 by the School of Social Work Student Services Office in collaboration with the Student Organization. Its aim is to link incoming students (peer partners) with ambassadors (returning students) to foster a supportive relationship in order to help ease their transition into the UConn School of Social Work program.

Roles, Responsibilities and Expectations

Ambassadors will be expected to:

• Make a one year commitment
• Presently be in and remain in good academic standing
• Agree to attend ambassador trainings as required
• Agree to attend various orientations and program events as required
• Be willing to create a sustaining and supportive relationship with incoming students (on-going communication via telephone, email or person)

Application Process

• The two part application, described below, must be completed no later than March 1, 2013:
• Part 1: Complete the application below
• Part 2: Email a résumé, no more than two pages long, to Elissa.Schibley@Uconn.edu
• Applicants will be notified via email upon receipt of their completed application.
• All applications will be reviewed by the Director of Student Services.
• Candidates may be requested to interview with the Director of Student Services.
• Final decisions will be made by mid-April; applicants will be notified of the decision via email.

Personal Information

Your Name:

Address:

UConn Email*:

*Your UConn email will be the primary email address used to contact you.

Secondary Email:

Telephone (best number to contact you):

How do you identify yourself? (e.g. male; Hispanic; mother of 3; lesbian; religious; 30; veteran; etc.):

Do you speak, read or write another language other than English?:  Yes No

If yes, please indicate the language and if you are able to speak, read and/or write in that language(s):
 Speak Read Write

Student Information

Student ID Number:

Year of Matriculation: ---20122011201020092008

Please Select: ---Full-TimePart-TimeAdvanced Standing

Method Concentration: ---AdministrationCaseworkCommunity OrganizationGroup WorkPolicy Practice

Focused Area of Study (if applicable): ---Black Studies for Social Work PracticeInternational Issues in Social WorkMental Health and Substance Abuse in Social Work PracticePuerto Rican/Latin@ Studies in Social WorkSocial Work Practice with Older AdultsSocial Work with Women and Children in FamiliesUrban Issues in Social Work

Overall GPA:

Will you be in field education in the upcoming academic year?:  Yes No

Emergency Contact Information

Name:

Relationship:

Telephone:

Please Respond to the Following Questions

Briefly, what are your professional and personal interests?:

Briefly explain why you are interested in being part of Building Bridges:

I would be interested in being matched with a student based on (rank by preference):

Ethnicity

Gender

Geographic Location (regional, out-of-state, international)

Method Concentration

Students with Children

Other:

Please be sure to email your résumé (no more than two pages) to Elissa.Schibley@UConn.edu by March 1, 2013.

A confirmation email will be sent upon receipt of a complete application and will offer further instructions as needed.

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