* 1. About You

* 3. What leadership position, if any, do you hold within your Net Impact chapter? (note: student facilitators don’t need to hold leadership positions)

* 4. This is an application for MAP program facilitators for Spring 2013, which will run from January– May. Can you confirm that you’ll be able to coordinate 5 MAP group sessions during this time period?

* 5. Will you be able to recruit an additional 4-14 members to participate in your MAP group? (The ideal size of a group is 5-15 members.)

* 6. If you are planning to co-facilitate your MAP group with another person, please include their name here (note: they should still fill out this application).

* 7. Why are you interested in facilitating a MAP group on your campus? What value do you think it will play to your chapter members and fellow students, and why do you see yourself in the facilitator (or co-facilitator) role?