Personal Information

Name:		E-Mail Address:
Student ID Number:		Driver's License Number:
Major:		Minor:
Total University Credits as of Last Quarter:		Cumulative GPA:
Last Quarter GPA:		Predicted Graduation Date:
Which Cycle Are You Applying For?	Cycle 1 (March - July) Cycle 2 (Sept - Feb)	Have you ever been a:	Campus Friend Roommate of an AUAP student
Do You Qualify for Work Study? (This will not affect your eligibility.)

School Address:

Address:		Line 2:
City:		State:
Zip:		Telephone:

Permanent Address:

Address:		Line 2:
City:		State:
Zip:		Telephone:

Questions

Why do you want to be an IPA?

Why do you think you would make a good IPA?

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.

Work History

Position 1

Dates:		Place:
Position:		Supervisor:

Position 2

Dates:		Place:
Position:		Supervisor:

Position 3

Dates:		Place:
Position:		Supervisor:

Position 4

Dates:		Place:
Position:		Supervisor:

AUAP: IPA Form