CCASL Application

The information you provide in this section of the application will not be used to determine your eligibility or acceptance in CCASL’s programs. Please let us know if you have any questions or concerns.

General Information
* First Name
Preferred First Name
Middle Name
* Last Name
* Date of Birth
* Student ID#
Contact Information
* Address 1
Address 2
* MSC #
* City
* State
* Zipcode
* Preferred Email
* Cell Phone
Emergency Contact Information
* Emergency Contact Name
* Emergency Contact Phone Number
Demographics
* Racial and Ethnic identities. Please select all that apply.
Please Describe
* To which gender identity do you most identify?
What pronouns do you use?
* Are you first in your family to attend college?
* Are you a veteran?
Education Information
* Year in School
* Expected Graduation
* GPA
* Major
* Are you applying as part of a service-learning course requirement?
* If yes, which service-learning course?
Miscellaneous
* Do you have a car and car insurance, and are you willing to drive to programming?
Are you approved to drive for CCASL?
What level of approval you have from the University (select all that apply)?
T-Shirt Size
* Food Allergies/Preferences
Please describe your food allergies or preferences:

Any of the information you provide below may be used to determine your eligibility and/or acceptance into CCASL’s programs. Please let us know if you have any questions or concerns.

CCASL Information
* List previous CCASL involvement (if applicable):
* List all commitments you anticipate having this year (extra-curricular, leadership positions, jobs, etc.) If you are applying for a leadership position, please mark N/A.
If selected as a volunteer for this program do you agree to attend:
* Programming
YesNo
* Training and Reflection Activities
YesNo
* Other events as assigned
YesNo
Program(s)
* Are you applying for a CCASL leadership position?
To what program(s) are you applying?
Youth Programs Additional Questions

We are no longer accepting applications for the Spring 2017 semester. We encourage you to visit serve.gonzaga.edu to find other opportunities to get involved in our community!  Please contact Brandi Praytor-Marsters with any questions or concerns- marsters@gonzaga.edu or (509) 313-6486. Thanks!

This application will ask you about your program preferences. Please refer to the following program descriptions.

  • Campus Kids Campus Kids is a campus-based, one-on-one mentoring program that pairs Gonzaga students with fourth, fifth, and sixth graders in order to help youth succeed in academics and build healthy relationships. Once a week, children visit their Gonzaga mentor on campus and are engaged in a variety of activities, including a group activity, individual tutoring time, and games. Outside of the Campus Kids day, Gonzaga mentors are required to visit their mentee once a week at school and participate in four Saturday activities throughout the year. Campus Kids takes place Monday- Friday from 3:15-5:15pm. Campus Kids requires a full academic year commitment.
  • Connections Connections is a one-on-one mentoring program that pairs Gonzaga students with middle school youth in order to help youth succeed in academics and build healthy relationships. Every Wednesday or Thursday afternoon from 3:30-5:30pm, Gonzaga mentors visit their mentee at their school and are engaged in a variety of activities, including a group activity, individual tutoring time, and games. Outside of Connections, Gonzaga mentors are also required to visit their mentee once a week at school and participate in four Saturday activities throughout the year. Connections requires a full academic year commitment.
  • Zag Study Buddies (ZSB) Zag Study Buddies is a two day per week commitment; volunteers can sign up for Monday AND Wednesday or Tuesday AND Thursday from 3-4:30 OR 3:30-5:30 (depending on the site). ZSB is an after school tutoring program working at two local elementary schools and one middle school. The program connects Gonzaga mentors with youth struggling academically to focus on school work and help with homework comprehension and completion while building relationships. ZSB requires a semester commitment.
  • GAME GAME mentors meet on either Tuesday or Wednesday from 6:00-8:15pm, or Saturday from 1:00-3:15pm. Outside of program time, Gonzaga mentors are also required to visit their mentees once a week at school (usually during lunch). GAME uses social interaction and physical activity to increase the self-esteem and resilience of middle school youth. Mentors participate in P.E. style games including dodge ball, basketball, and a variety of other fun games and reflection activities. GAME requires a full academic year commitment (exceptions may be made for study abroad).
  • Smile Smile is dedicated to improving kids' self-esteem and building positive relationships. Gonzaga mentors meet at an elementary school one day per week (Monday through Friday as available) for one hour from 4-5:15pm or Saturday from 10:30am-Noon at the Boys and Girls Club. Mentors and youth participate in activities that focus on self-esteem, culture, physical activity, art, and science. Smile works with the Express after school program at seven local elementary schools with students from kindergarten through sixth grade. Smile requires a semester commitment.
Application Question
* In 1-2 paragraphs, please explain why you want to volunteer in one of our programs. Topics can include (but are not limited to): what has motivated you to mentor a child, what unique skills you can bring to the program, and/or what role you plan on playing as a volunteer. Please include any relevant experience.
Programs
In rank order, please list the programs you are applying for. Please do not list the same program more than once.
* First Choice
* Second Choice
* Third Choice
* Fourth Choice
Availability
Although students are only assigned to one day of programming a week (except Zag Study Buddies), please mark all that apply. This will help CCASL make the best placements possible and will increase the likelihood that you are placed in the program of your choice. Please see the program descriptions at the top of the application for specific details regarding the time and days of each program, as well as additional program requirements.
* Which day(s) are you available between 2:15-5:00pm?
* Which day(s) are you available between 3:15-5:30pm?
* Which day(s) are you available between 5:45-8:30pm (GAME hours)?
* Which times on Saturdays are you available?
Please note that programs are filled on a first-come, first-served basis and may close before the deadline if all available spots for mentors are filled.
Availability Notes
History with the Program
* Are you a returning volunteer in CCASL's youth/mentoring programs?
YesNo
* If so, which program/school did you work with last year/semester?
GUSR

GUSR pairs students with adults who have disabilities to form relationships of friendship, respect, and mutual support. Students and their partners participate in weekly play practice programming that culminates in a performance at the end of each semester or in sports programming that focuses on bowling in the fall and basketball in the spring. Special events throughout the year include activities to educate and build community during Celebrate Abilities Week, a two-day retreat called Way of the Heart, and an inclusive 5K run. 

GUSR has two opportunities for weekly involvement:

  • Play Practice, Thursdays from 6:15 pm to 8:45 pm
  • Sports Practice, Saturdays from 10:00 am to 12:00 pm 

GUSR requires a full academic year commitment.
 

Are you a returning GUSR volunteer?
In 1-2 paragraphs, please explain why you want be a volunteer with GUSR. Topics can include (but are not limited to): what has motivated you to work with individuals with disabilities, what unique skills you can bring to the program, and/or what role you plan on playing as a volunteer.
Which times are you available?
Availability Notes
Zag Volunteer Corps Semester of Service

ZVC-Semester sends groups of students to volunteer weekly at nonprofit organizations in Spokane. The program supports community organizations in fulfilling their missions and working for social justice. Students go to the same organization on the same day of the week at the same time for the length of the semester. Volunteer opportunities, days, and times vary according to community partner needs and availability. Issue areas include poverty, homelessness, hunger, and environmental justice. Populations include children, people with disabilities, senior citizens, and people experiencing homelessness.

ZVC-Semester requires a one-semester commitment. 

Are you a returning ZVC volunteer?
In 1-2 paragraphs, please explain why you want be a ZVC Semester of Service Volunteer. Topics can include (but are not limited to): what social justice issue areas are you the most passionate about working on, what unique skills you can bring to this program, and/or what role you plan on playing as a volunteer.
Issue Areas/Programs
Please rank order of issue areas by preference.
Food Justice / Food Access
Housing / Homelessness / Poverty
Environmental Justice
Senior Services
Disability Rights and Access
Other
Service Immersions (Reality Camp, Mission: Possible, Justice in January, International Immersion)

Thank you for your interest in the Service Immersion programs.  Please make sure you make a deposit through cashnet before continuing with this registration form.  Please contact Hannah Klaassen with any questions or concerns at klaassen@gonzaga.edu or 509-313-6937.

Reality Camp is a five-day pre-orientation service immersion program in Spokane for incoming students.

Mission: Possible is a weeklong service immersion during spring break at 10 different sites throughout the United States.

Justice in January is a weeklong immersion over winter break with a focus on immigration.

The International Immersion is a two week immersion during summer break that focuses on the intersection of faith and justice. 

Do you currently have health insurance?
All Service Immersions students are required to have health insurance to participate in the program. Please notify CCASL if your insurance status changes.
Health Insurance Provider
Health Insurance Number
Physician Name
Physician Phone Number
Do you have any allergies, special health issues, or are you on any medications?
Please describe
Which program are you applying to or registering for?
Mission Possible
Have you participated in Mission: Possible before?
If yes, which site(s) have you attended?
Please indicate your preference for issue area, but please DO NOT select the same issue more than once.

First Preference
Second Preference
Third Preference
Fourth Preference
Reality Camp
In 1-2 paragraphs, please explain what you hope to learn or experience during Reality Camp. What social justice areas are you most passionate about working on? (e.g. housing/homelessness/poverty, environmental justice, senior services, disability rights and access, refugee services, youth).
List previous involvement in service.
Justice in January
Have you participated in Justice in January before?
If yes, which site(s) have you attended?
Please rank your sites by preference.
First Choice
Second Choice
Will you be taking the Justice in January preparation course?
International Immersion
In 1-2 paragraphs, please explain why you want to participate in CCASL's international immersion. Topics can include (but are not limited to): involvement in CCASL or service-learning, previous international or cross-cultural experience, what you hope to gain from the experience.
Service Immersion Scholarships are available to students who have submitted a Free Application for Federal Student Aid (FAFSA) and have demonstrated that they need funding to pay for school. Students experiencing loss of family income or other financial hardships may also be eligible for a scholarship. By selecting yes, I authorize CCASL to obtain information about my financial aid eligibility frrom the GU Financial Aid Office.
Would you like to be considered for a scholarship?
CCASL Leadership Application

CCASL Leadership Desription -- update as needed.

Programs
Please write the specific program and/or position for which you are applying. Refer to the job descriptions on the CCASL Website. If applying for more than one program/position, please indicate your first choice
Describe any commitments you have in the upcoming school year (extra-curricular, leadership, positions, jobs, etc).
Why are you interested in being a CCASL leader? Why do you want to be a leader in this program?
What qualities and/or skills do you have that make you a strong candidate for the leadership position?
What are your ideas for integrating social justice into the program?
Please share any ideas you have for improving or enhancing the program.
Please list any relevant previous experience (experience as a leader, volunteer, organizing events, working with your program’s population/focus area, participating in and leading reflection, etc.).


I understand that the information I provide on this application may be shared with campus and community partners connected with the program(s) for which I am applying. I consent to the release of my information for this purpose
* Please initial


Once you submit your application, you will receive an email notification confirming your application has been received. Please read the email carefully to learn about your next steps in the application process.