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Beta Xi Leader Intern Scholar Application
Please complete this form by 5/22/2024.
The Beta Xi board will review applications and make intern selections. Notification will occur on or around June 1st.
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Contact Information
Please provide the following contact information to the best of your ability.
Last Name
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Your answer
First Name
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Your answer
email address
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Your answer
campus/Newark address
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Your answer
home address
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Your answer
cell phone number
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Your answer
home phone number
Your answer
Reference: Please provide the name and contact information (email) for an individual who is able to speak to your leadership potential.
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Your answer
May we contact this individual? Please let them know that you have provided their name.
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Yes
No
Short Answer Questions
Please answer the following questions.
Describe your leadership experience/s.
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Your answer
Describe your leadership qualities.
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Your answer
Describe why you would like to become a leader intern scholar.
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Your answer
Describe how you plan to stay engaged with Beta Xi and Sigma in the future.
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Your answer
I have a preference for serving as an/a:
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Governance Leadership Intern (e.g., membership appreciation, EBP dinner, induction)
Membership Liaison (e.g., outreach via phone/email, surveys)
Service & Outreach Liaison (e.g., holiday outreach, hygiene items)
Publicity Intern (e.g., newletter, social media updates)
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