Alumni Service Corps Application

Required

BIOGRAPHICAL INFORMATION

Namerequired

First Name

Middle (optional)

Last Name

Suffix (optional)

Year of Graduation for St. Xavier High School or other Jesuit high schoolrequired

Date of Birthrequired

Must contain a date in M/D/YYYY format (Must contain a date in MM/DD/YYYY format)

CONTACT INFORMATION

Email Address

Street Addressrequired

Cityrequired

Staterequired

Zip Coderequired

Phonerequired

(###)###-####

EDUCATION

List all colleges you attended after graduating from high school.

School 1

School Namerequired

City, Staterequired

Attended From Daterequired

Must contain a date in M/D/YYYY format (Must contain a date in MM/DD/YYYY format)

Attended To Daterequired

Must contain a date in M/D/YYYY format (Must contain a date in MM/DD/YYYY format)

Major(s)required

Degree(s)required

Did you attend another school?required

Yes

School 2

School Namerequired

City, Staterequired

Attended From Daterequired

Must contain a date in M/D/YYYY format (Must contain a date in MM/DD/YYYY format)

Attended To Daterequired

Must contain a date in M/D/YYYY format (Must contain a date in MM/DD/YYYY format)

Major(s)required

Degree(s)required

Co-curriculars

WORK & VOLUNTEER EXPERIENCE

Position 1

Positionrequired

Employerrequired

Contact Personrequired

Employer Addressrequired

Employer Contact Numberrequired

Employed From Daterequired

Must contain a date in M/D/YYYY format (Must contain a date in MM/DD/YYYY format)

Employed To Daterequired

Must contain a date in M/D/YYYY format (Must contain a date in MM/DD/YYYY format)

Did you have another job?required

Yes

Position 2

Positionrequired

Employerrequired

Contact Personrequired

Employer Addressrequired

Employer Contact Numberrequired

Employed From Daterequired

Must contain a date in M/D/YYYY format (Must contain a date in MM/DD/YYYY format)

Employed To Daterequired

Must contain a date in M/D/YYYY format (Must contain a date in MM/DD/YYYY format)

BACKGROUND QUESTIONS

Volunteer Experiencerequired

Please list any volunteer experience.

Other service ideasrequired

REFLECTION QUESTIONS

What are your academic, personal, and career goals?required

Why do you want to become a member of the ASC?required

What is your primary interest area at St. Xavier High School?required

What unique gifts would you bring to St. Xavier?required

Do you have any questions or concerns about joining the ASC?required

REFERENCES

Reference 1

Reference 1 Name

First Name

Last Name

Reference 1 Street Address

City

State

Zip Code

Reference 1 Cell Phone

Reference 1 Work Phone

Reference 1 Email Address

Reference 1 Relationship

Reference 2

Reference 2 Name

First Name

Last Name

Reference 2 Street Address

City

State

Zip Code

Reference 2 Cell Phone

Reference 2 Work Phone

Reference 2 Email Address

Reference 2 Relationship

Please upload your resumerequired

Attach up to 1 file with a maximum size of 20MB

No file chosen

Multiple Choicerequired

I certify the information provided above is true and accurate to the best of my knowledge.