GKCC Mentor Program 2016 Application Application Instructions To submit your application for the 2016 GKCC Mentoring Program, complete the subsequent pages of this document in their entirety and return it along with the additional attachments listed below, to Central Texas College, Student Life & Activities office, (Bldg. 106, Room 134), Attention: Kimberley Christian. The deadline for submission is Monday, November 9, 2015. Incomplete or late applications will not be considered. This program is open to students in their final year for completion of a degree/certification program only. Your full application will include the following: Completed Application (this document) Updated Resume Letter of Recommendation. These letters must be submitted by the person making the recommendation and must be received via e-mail to Central Texas College on or before November 9, 2015. Please ask the recommending party to name the file <yourfullname >. Time Commitment Selected applicants will be expected to meet the following requirements: Full participation in GKCC s Mentoring Program Commitment to attend six (6), one (1) hour mentoring sessions with your mentor: o o Arrive on time and attend all Mentoring sessions, to be coordinated with your mentor Attend all program sessions coordinated by GKCC, including the kickoff event on January 14, 2016 and the graduation ceremony on April 28, 2016. Additional information about the GKCC Mentoring Program can be found at www.killeenchamber.com. Page 1 of 5
GKCC Mentoring Program Application Checklist Submit the following information to Central Texas College, Student Life & Activities office, (Bldg. 106, Room 134), Attention: Kimberley Christian. The deadline for submission is Monday, November 9, 2015. Incomplete or late applications will not be considered. Your completed application will include the following email attachments: Completed application form (this document) Updated resume Letter of recommendation - sent from the email account of the person making the recommendation Questions? Contact Kimberley Christian @ 254-526-1104, Kimberley.christian@ctcd.edu, or Maria Michel @ 254-526-9551;maria@killeenchamber.com. Page 2 of 5
GKCC Mentoring Program 2016 Spring Application ABOUT ME First Name Last Middle Preferred Name Local Address City State ZIP Hometown, State Mobile Phone Email (most used) Date of Birth Sex M F Career interests/ambitions (list the type of job and industry you plan to pursue upon graduation): Use this space to tell us more about yourself: hobbies, interests, goals, and background EDUCATION (list most recent information first) College/ University Classification & Major/Minor QUESTIONS Degree/ Certification Expected Graduation Please limit your answer to each question to approximately 150 words. What do you plan to do with this degree/certification? Page 3 of 5
Describe the primary motivating factor for your application to this program. What do you hope to gain from this program, and how do you plan to use any newly acquired skills in school and beyond? Why you, why now? If you could select someone to be your mentor who would it be, why? Page 4 of 5
LETTERS OF RECOMMENDATION Applicants must submit a minimum of one letter of recommendation in support of their applications. This letter should be submitted via email to Kimberley Christian, Kimberley.christian@ctcd.edu and must be sent from the email account of the person making the recommendation (listed below). Letters must be received to this address on or before November 9, 2015. The Greater Killeen Chamber of Commerce will notify you once your completed application is received in our office. Please indicate below the individual(s) who will be sending a reference. Name 1 Name 2 Name 3 ADDITIONAL INFORMATION How did you hear about GKCC s Mentoring Program? (check all that apply) Your University career center: A friend on campus: Another University source, please specify: Other, please specify: APPLICANT CONTRACT I commit that as of January 1, 2016 I am 18 years of age or older. I am a registered student. I in my final year of completed my degree/certification program with CTC or TAMU-CT If selected I will fully participate in the GKCC Mentoring Program I will attend the kickoff event on January 14, 2016 I will attend the six mentoring sessions with my mentor I will attend the graduation ceremony on April 28, 2016 I will arrive on time for each program and will be in attendance for its entirety If I am unable to comply with any of the above, I will notify the Greater Killeen Chamber of Commerce, as soon as, possible and voluntarily withdraw from the program. The Greater Killeen Chamber of Commerce and mentors for the Mentoring Program include individuals of many faith traditions. The GKCC makes every effort to schedule program activities at times that do not conflict with religious observances; however, this is not possible in every instance. If you have concerns about your ability to commit the time required during the months of January 2016 thru April 2016, please contact the GKCC at maria@killeenchamber.com. ELECTRONIC SIGNATURE The information in the above application is true and correct to the best of my knowledge. The completed section below will serve as my electronic signature. Applicant Full Name Date Page 5 of 5