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Required format:

ohpoJu2dAeFUx7U9TeQ4fvTyjkPEaHjr65m

NSSI 2020 Counselor Application

Thank you for your interest in being a counselor for Next Steps Summer Institute (NSSI).

Dates: June 21-26, 2020

Training: Thursday, June 11th, 4-8pm (Hobbs 105)

The priority deadline for completing this application is February 28th at 5 pm CST, but applicants will be considered until all positions are filled.

Please review the NSSI counselor job description before completing the application.

Attachment:NSSI Counselor Description.pdf

Please find below a sample schedule from a previous year's Summer Institute. This should give you a sense of what level of activity is involved. Please consider this before you complete the application.

Attachment:Website NSSI Schedule Sample.pdf

How did you hear about the NSSI counselor opportunity? Check all that apply.

* must provide value

VKC Email

SPED Email

Faculty or staff referral

I'm a NSSI counselor from a prior year

Next Steps website

Other

Faculty or staff who referred you:

* must provide value

Other:

* must provide value

Will you be 18 or older by the first day of NSSI?

* must provide value

Yes

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What is your first name?

* must provide value

What is your last name?

* must provide value

What is your cell phone number?

* must provide value

What is your e-mail address?

* must provide value

What is your gender?

* must provide value

Male

Female

Other

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Shirt Size:

* must provide value

Do you have a valid driver's license?

* must provide value

Yes

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What is the city and state in which you currently reside?

* must provide value

Are you CPR certified?

* must provide value

Yes

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Do you have any injury or health condition(s) which may affect your full participation as a counselor?

Yes

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If yes, please elaborate:

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Your Resume:

* must provide value

Upload file

Are you a student at a college or university?

* must provide value

Yes

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Will you be a currently enrolled Vanderbilt student this summer?

* must provide value

Yes

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What is your VUnet ID?

This is the username that you use to log into Vanderbilt programs. Typically, it is your last name, sometimes with your first initial or a number.

* must provide value

What is the school and program in which you are seeking your degree?

* must provide value

Please indicate the highest level of education you will have completed by the first day of NSSI.

* must provide value

What post-secondary institutions have you attended or are currently attending? You can say "refer to resume" if this information can be found there.

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For what career are you preparing or currently working?

* must provide value

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Do you have experience working with behavior management?

* must provide value

Yes

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Please describe:

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Do you have experience working in a K-12 classroom?

* must provide value

Yes

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Please describe:

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Please select if you have worked for another VKC and/or VU camp before:

* must provide value

ACM Lifting Lives Music Camp

NSSI

SENSE Theatre Camp

Other

None

Other:

* must provide value

Please select all populations which you have personal or professional experience supporting.

* must provide value

Autism spectrum disorders

Down syndrome

Intellectual disability

Learning disability

ADD/ADHD

Williams syndrome

Other

None

Please describe your professional or personal experiences with those in the disability community.

* must provide value

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Have you ever been arrested?

* must provide value

Yes

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If yes, please explain:

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Have you ever been involved in a crime concerning a child?

* must provide value

Yes

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If yes, please explain:

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Do you have any funding and/or other employment guidelines that may prohibit you from working as a counselor?

Ex: NSF Fellowship

* must provide value

Yes

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What personal traits do you have that may facilitate working with individuals with a intellectual disability?

* must provide value

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What limitations do you possess (or ways you hope to grow) regarding working with individuals who have an intellectual disability?

* must provide value

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How do you handle stressful situations?

* must provide value

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What do you hope to gain from working in this program? What are your expectations?

* must provide value

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Reference first and last name:

* must provide value

Reference's Title:

* must provide value

Organization's name:

* must provide value

Reference's phone number:

* must provide value

Reference email:

* must provide value

This is the end of the application. Once you hit submit, your application will be closed. You may want to take a moment now to save the application and then go back and review your answers before submitting.

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.