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Apply yourself--the counselor application

If you are

...then you are ready to SAMPLE the possibilities! We encourage you to fill out this online application to become a SAMPLE counselor for summer 1998. Be sure to have read the counselors page to see what the position entails.

There are three ways to submit your application. If you'd like to request an application to be sent to your home, please fill out the involvement form.

Another way you could apply is to print out a copy of this page and mail the application to the address below.

You may also submit this application online. Just press "SAMPLE the Possibilities!" when you're finished.


Your name:

First: Last: M

Age: Sex: Birthdate:

Street:
City:  State: Zip Code:

Home Phone:  
E-mail address (if applicable):

Grade: School:

Do you have transportation to and from the SAMPLE sites (located in Lawndale, Lomita, and Gardena)?    Yes    No 
Do your parents approve of your participation?    Yes    No


Please answer the following questions in the spaces provided below.

What are your previous experiences tutoring or working with children?

Why would you be a good counselor for this program?

What is your understanding of the minimum time SAMPLE entails?


Please answer these two essay questions in the text boxes below, or if you prefer, you may e-mail them to SAMPLE with "application essays" as the Subject heading.

Describe your involvement in and contribution to an endeavor that succeeded in its objectives, and one which had a disappointing outcome. What did you learn about yourself from each of these experiences?

What would you propose as a tangible way for fighting apathy?


In addition to the essays above, please e-mail us a copy of your resume.

We would also like an official school transcript, a teacher's recommendation, and a photograph. Since these are not as easily submitted online, you may send these through "snail mail" to

SAMPLE
P.O. Box 11381
Torrance, CA 90510

Introduction || Students || Counselors || Involvement || Photos || News || E-mail us! || Updates || About this site...

Created with Notepad by T. Chen and K. Lai. Last updated February 15, 1998, 10:55 a.m.