Expected graduation date *
Mobile Phone # *
Other Phone #
Student No. *
Year of Study *
Major Field of Study *
Minor Field of Study *
Best way to contact
Street Address *
Postal Code *
Address Next Year
Same as current address
Plans for next year
# of classes per semester
Intern Teaching? * Intern Teaching?*NoYes
If yes, when?
Co-op Work Team? * Co-op Work Team?*NoYes
Will you be employed? * Will you be employed?*NoYes
If yes, enter hours per week.
List any anticipated involvements and activities and corresponding time commitments for the coming academic year (including intramurals, gym time, music practice, etc.)
What (if any) experience do you have with the following:
List your hobbies, interests, community involvement, and volunteer experience.
Describe your ideas and attitudes towards the following:
Living your faith tradition while attending university:
Living your faith tradition...
Relating to people of other faith traditions and relating to people with no faith commitment at all:
Relating to people of other faith traditions...
Regarding strengths and weaknesses of current campus ministry programs and community/chapel life, what would you like to see strengthened or changed? What ideas or programs would you like to see implemented?
Thoughts on the current Campus Ministry programs...
Which of the following would you feel most comfortable doing?
Leading a lay service
Leading morning prayer
Leading or playing music
Social media communication
Leading a study
Planning a retreat
Creating and leading a program
Working on social justice issues
Which of the following would you feel most comfortable helping someone else lead?
List any other area in which you are comfortable leading or organizing:
Areas you are comfortable leading or organizing...
Schedule permitting, are you willing to attend weekday and Sunday liturgies?
If no, why?
Vision and Mission of Campion College:
Vision: Value-driven leaders for justice in faith.
Mission: Campion College is a Jesuit Catholic community of learning, federated with the University of Regina. It provides a liberal arts education dedicated to the development of the whole person—intellectually, spiritually, socially—for service within society.
How does the mission statement correspond to your own personal values?
How the mission statement corresponds to your own personal values...
Why would you like to be a peer support student?
Why you would like to be a peer support student...
The campus ministry team will be holding a training/planning session from 10 a.m. Thursday, September 3rd until 2 p.m. Friday, September 4th at St. Michael’s Retreat. Peer support students are a part of the planning team. Are you able to commit to attending this session?
Will you attend the training session? * Will you attend the training session?*YesNo
I agree, if accepted as a peer support student, to follow the guidelines set up by Campion Campus Ministry, to promote the vision and mission of Campion College, and to adhere to the policies established for the good of the College. I understand that violation of policies may be grounds for termination of my position. *
University of Regina 3737 Wascana Parkway Regina, SK. S4S 0A2
Phone: 306.586.4242 Toll-Free: 1.800.667.7282 Fax: 306.359.1200