Name: Age: Campus ID#:

Local Mailing Address

Address:
City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip:
Local Phone: (Home) (Cell)
E-Mail:

Academic Classification

College:
Major:
Anticipated Graduation Date:

Overall Grade Point Average:
(Overall minimum requirement is 2.5)

GPA Last Semester:

Check One:
Undergraduate
Graduate
Other (Please Specify)

How many semesters have you been on campus at the University of Alabama?

Do you work?
No
Yes, where

Personality Assessment

Select the answer that you feel fits (or describes) you best.

	More like this		More like this
1.	making decisions after finding out what other think.		making decisions without consulting others.
2.	being called imaginative or intuitive.		being called factual and accurate.
3.	making decisions about people in organizations based on available data and systematic analysis of situations.		making decisions about people in organizations based on empathy, feelings, and understanding of their needs and values.
4.	allowing commitments to occur if others want to make them.		pushing for definite commitments to ensure that they are made.
5.	quiet, thoughtful time alone.		active, energetic time with people.
6.	using methods I know well that are effective to get the job done.		trying to think of new methods of doing tasks when confronted with them.
7.	drawing conclusions based on unemotional logic and careful step-by-step analysis.		drawing conclusions based on what I feel and believe about life and people from past experiences.
8.	avoiding making deadlines.		setting a schedule and sticking to it.
9.	talking awhile and then thinking to myself about the subject.		talking freely for an extended period and thinking to myself at a later time.
10.	thinking about possibilities.		dealing with actualities.
11.	being thought of as a thinking person.		being thought of as a feeling person.
12.	considering every possible angle for a long time before and after making a decision.		getting the information I need, considering for awhile, and then making a fairly quick, firm decision.
13.	inner thoughts and feelings others cannot see.		activites and occurrences in which others join.
14.	the abstract or theoretical.		the concrete or real.
15.	helping others explore their feelings.		helping others make logical decisions.
16.	change and keeping options open.		predictability and knowing in advance.
17.	communicating little of my inner thinking and feelings.		communicating freely my inner thinking and feelings.
18.	possible views of the whole.		the factual details available.
19.	using common sense and conviction to make decisions.		using data, analysis, and reason to make decisions.
20.	planning ahead based on projections.		planning as necessities arise, just before carrying out the plans.
21.	meeting new people.		being alone or with one person I know well.
22.	ideas.		facts.
23.	convictions.		verifiable conclusions.
24.	keeping appointments and notes about commitments in notebooks or in appointment books as much as possible.		using appointment books and notebooks as little as possible (although I may use them).
25.	discussing a new, unconsidered issue at length in a group.		puzziling out issues in my mind, then sharing the results with another person.
26.	carrying out carefully laid, detailed plans with precision.		designing plans and structures without necessarily carrying them out.
27.	logical people.		feeling people.
28.	being free to do things on the spur of the moment.		knowing well in advance what I am expected to do.
29.	being the center of attention.		being reserved.
30.	imagining the nonexistent.		examining details of the actual.
31.	experiencing emotional situations, discussions, movies.		using my ability to analyse the situations.
32.	starting meetings at a prearranged time.		starting meetings when all are comfortable or ready.

Please list any organizational experience you have had or any activities you feel are related to your application:

List any other organizations and positions held within those organizations in which you actively participate:

If chosen for the Ferguson Board of Managers, describe one goal that you would like to pursue in relation to Ferguson Center or one change that you would like to make.

Please read and sign the statement below:

I have read the requirements and responsibilities for being a member of the Ferguson Center Board of Managers. My signature below authorizes an official check of my university records, each semester I hold a position on the Board, to assure that I meet required GPA and full time student status and that I am in good academic standing. I also agree that any and all of the information on this application form, including my GPA, may be shared with the Ferguson Center Board of Managers Selection Committee. I understand that the GPA requirement will be enforced.

Signature: Date:

How did you hear about this position?
CW Ad
Flyer
Word of Mouth
Poster in Ferguson
Other (specify)