LEADERSHIP STUDIES APPLICATION

UNDERGRADUATE CERTIFICATE

 

Name: _________________________________________________________

 

Campus Address: ________________________________________________

_______________________________________________________________

 

Campus Phone: _________________________________________________

 

Email: _________________________________________________________

 

Student ID Number: ______________________________________________

 

Home Address: _________________________________________________

 

APPLICANT INFORMATION

 

Year in School: _________________________________________________

 

Major: ___________________________ Minor: ______________________

 

Cumulative Grade Point Average: __________________________________

 

Faculty Reference: ______________________________________________

 

APPLICATION PROCEDURE:

 

1. Complete this application form.

2. Write a letter of application describing your interests in leadership and what you hope to gain from participation in this program.

3. Provide an endorsement from a faculty member or other adult who can support your qualifications for participation in this program.

Return these three items to:

 

Center for Leadership Excellence

Attn: Cecile Garmon, Coordinator

  Ground Floor Cravens Library

1906 College Heights Blvd #11067

Bowling Green, KY 42101-1067