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 the arizona bluechip program

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For more information about the Blue Chip Program contact:

Jeff Jackson
Sr. Coordinator for Leadership Development
Center for Student Involvement & Leadership
520-621-8065
arizonabluechip@gmail.com


arizona blue chip

Online Application for Arizona Blue Chip

• Students participating in Blue Chip are assessed a $150 fee at the beginning of each semester. Fees are not refundable after the 1st class day.

General Information (not used in selection process)

Required:
Name (last, first, middle):
Cell Phone #:
Home Phone #:
E-mail address:
Permanent Mailing Address:
City, State, Zip:
Your Status: First year student
Current U of A student
Transfer student
International Students: Please Indicate your Home Country:

Optional:
University Mailing Address:
City, State, Zip:
Gender
Ethnic Group: (Indicate all that apply)
African American or Black
American Indian or Alaskan Native
   Tribal affiliation:
Arab or Arab American

Asian American
   Indian
   Chinese
   Filipino
   Japanese
   Korean
   Vietnamese
   Other Asian:
   Native Hawaiian
   Samoan
   Other Pacific Islander:
Hispanic or Latino
   Mexican
   Mexican American
   Cuban
   Puerto Rican
   Other Hispanic:

White or Caucasian
Other race/ethnicity:


Leadership & Expectations

1. Please write a brief statement describing your interest in the Arizona Blue Chip Program and what
knowledge and skills you expect to learn.

2. What does the term “leadership” mean to you?

3. The core values of the Blue Chip program are: Service, Diversity, Excellence, and Integrity.
What do these values mean to you, and how do you apply them in your daily life?

4. Participating in the Arizona Blue Chip program is a yearly commitment including leadership courses,
weekly meetings, community service, and other requirements. How do you plan to balance your
academics, Blue Chip, extra-curricular activities, and other responsibilities?

5. Identify a key issue facing society and describe how you can positively impact it.


Pima Blue Chip Leadership Lodge

The Pima Blue Chip Leadership Lodge is a living-learning community located in Pima Residence Hall. This leadership community promotes academic success, encourages leadership development, and provides a variety of out-of-class learning experiences that challenge and engage Blue Chip Phase I and Phase II-IV students. These experiences include the opportunity to hold leadership positions on the Lodge programming and service teams, attend leadership workshops hosted in residence, take leadership classes in Pima, and participate in monthly lodge programs. Blue Chip students who live in the Leadership Lodge are expected to participate in Lodge sponsored activities. You can visit http://www.life.arizona.edu/undergraduate/cl/liv_learn_comm/bluechip.asp for more information about the Leadership Lodge.

If you are interested in living in the Leadership Lodge, please explain how living in the Lodge
will enhance your Blue Chip experience.

If accepted to live in the Lodge, how do you plan to connect the Blue Chip values
(service, diversity, excellence, integrity) to your residential experiences in Pima Lodge?

In order to be eligible to live in the Blue Chip Leadership Lodge you will have to apply for housing via Residence Life. Applications may be obtained at http://www.life.arizona.edu/ If you have not applied for housing you will not be considered.



By pressing the sumbit button, you understand that The University of Arizona is committed to both equal employment opportunity and affirmative action and is determined to maintain those principles at all levels of the university for all persons who are employed with and who participate in university affiliated activities. The University is committed to meeting the provisions of those federal and state laws and university policies which apply to employment and admittance to any university program. The University prohibits discrimination, including harassment, on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, or gender identity.

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