Interviews will be Monday, September 29th

                Please schedule your interview before Wednesday,

                                September 24^th

                PLEASE USE BLUE OR BLACK INK

DATE DUE –SEPTEMBER 18^th – RETURN TO F3

OPERATION SNOWBALL

-SMALL GROUP LEADER APPLICATION-

NAME______________________________________________ID#__________________

ADDRESS __________________________________CITY______________ZIP _______

PHONE______________________________CELL PHONE _______________________

AGE _______ CLASS OF 20____ E-MAIL ADDRESS __________________________--

HAVE YOU ATTENDED SNOWFLAKE BEFORE?  YES___  NO____      HOW MANY TIMES? _____

HAVE YOU ATTENDED SNOWBALL BEFORE?    YES ___ NO ___       HOW MANY TIMES?  _____

        As a PARTICIPANT          OR as a STAFF MEMBER  

        CLASS   TEACHER         ROOM

1^st

2^nd

3^rd

4^th

5^th

LUNCH (Circle)                    (A)   (B)     (C)     (D)

6^th

7^th

    Parent/guardian signature below indicates permission to apply for teen staff.

_______________________________________Date:_______________

The following items will be considered in your interview:

Previous Snowball experience            Attendance at planning meetings

Credible role model             Misuse/abuse of chemical substances

Responsibility and dependability                Leadership ability

Maturity                        Commitment to the program

Open-mindedness         Facilitating discussion in a group

Ability to listen                       Responsiveness to others

Non-judgmental                  Sense of humor

(over please)

• 2 –
  

In answering the following questions, be SURE to consider, among other things, your substance use and how others would view it in the school and community.

Please answer the following questions in complete sentences.  Note:  You may type your answers and attach to application page.

• What strengths do you have as a role model?
  
  
  
• What weaknesses might you have as a role model for your peers and others?
  
  
  
• What leadership experience/training have you held in the past?
  
  
  
• Describe ways you have shown that you are dependable and responsible.
  
  
  
• Why do you want to apply for staff?
  
  
  
• What would you like the interview committee to know about you?
  
  
  
• State your view of substance use (alcohol & other drugs), misuse and abuse.  Include frequency and time when use last occurred.
  

• Please explain your previous use, if any.
  
  
  
• Please explain your current use, if any.
  
  
  
  

8.    Name 3 of your closest friends.

9.   Do you participate in athletics or other clubs?  If so, please name them and express how they will

      impact your involvement with Snowball.

10.  Considering your academic coursework, do you feel that Snowball would have any impact on

        your academic success.

(revised 8/08)