Campus Rep Application

Welcome! We are excited that you are interested in becoming an Art Feeds Representative. Please answer all questions honestly and don't be afraid to be yourself.

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* 1. Contact Information

Full Name

Email Address

Phone Number

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* 2. Date of Birth

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* 3. Mailing Address

Street Number

City

State/Province

Country

Zip Code

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* 4. Have you been convicted of a felony in the past 7 years?

Yes or No

If yes, please explain.

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* 5. Social Networking

Facebook URL

Twitter URL

Personal Blog URL

Instagram Handle

Other

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* 6. Select your current education level.

Middle School

High School

University

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* 7. School Information

School Name

Area of Interest/Major

City + State

Approximate Size

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* 8. What semester are you interested in being an Art Feeds Campus Rep?

Summer

Fall

Spring

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* 9. What leadership positions have you held?

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* 10. Please list organizations that you have been involved with in your school or community.

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* 11. If a band of zombies attacked your town, what plan of action would you take?

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* 12. How would your best friend describe you? What role do you play in your friend group?

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* 13. Fill in the blank: Art Feeds _______ .

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* 14. Name a few of your biggest accomplishments.

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* 15. Work Experience (Most Recent)

Place of Employment

Title

Dates Employed

Supervisor's Name + Phone Number

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* 16. List the groups and clubs are you involved in at your school.

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* 17. Work Experience

Place of Employment

Title

Dates Employed

Supervisor's Name + Phone Number

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* 18. Here at Art Feeds we are advocates of dreams. What are your dreams and goals for this coming year?

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* 19. Reference (Non-Family Member)

Name

Relationship

Phone Number or Email

Years Known

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* 20. Reference (Non-Family Member)

Name

Relationship

Phone Number or Email

Years Known

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* 21. Additional Comments

Resumes can be submitted to meg@artfeeds.org. Thank you!