Office of International Studies and Programs

IPA Application Form

Applicant Information

Full Name: *

Student ID:

Major:

Minor:

E-mail: *

Driver's License #:

Cumulative GPA:

Total University Credits as of Last Quarter:

Predicted Graduation Date:

Which cycle are you applying for? *

Cycle 1 (Feb - July)

Cycle 2 (Sept - Feb)

Have you ever been a:

Campus Friend

AUAP Roommate

Do you qualify for work study? (This will not affect your eligibility)

School Address:

Address: *

Address 2:

City: *

State: *

Zip Code: *

Telephone:

ex: (509)-555-5555

Permanent Address:

Address: *

Address 2:

City: *

State: *

Zip Code: *

Telephone:

ex:(509)-555-5555

Why do you want to be an IPA?

Why do you think you would make a good IPA?w component name

Please list any other colleges attended or degrees earned.

What extracurricular activities have you participated in or plan to participate in at Central (i.e. sports, clubs, etc.)?

What skills and abilities do you have which will maximize your potential as a staff member?

Briefly state what you hope to gain personally from being an International Peer Advisor with the AUAP.

Have you ever had any disciplinary problems as determined by Residence Living, and/or Student Affairs at CWU, or any other colleges or universities? If so, please explain.

*For your application to be considered complete, you must also provide two letters of reference concerning your character and aptitude for the position. Please have these sent to the address below.