Name:
Campus Address:
Cell Phone: Other Phone:
Permanent Address:
Email address:
Academic Information
Yr. in School(ie. JR): Cum. GPA: Major:
Please respond to the following questions. Try to keep your answers brief but thoughtful. Your
answers do not all need to pertain to leadership.
What is your personal definition of leadership?
Who is a public leader you admire, and why? (Please keep this answer to 3 sentences)
What is the leadership role in your past or current experience that you are most proud of?
What is your dream job?
What is your favorite quote?