| 1.
Contact Information |
|
|
| First Name, Middle
Initial |
. |
| Last
Name |
|
| Ethnic
Origin |
African-American Hispanic Native American Asian
American Other |
| Gender |
Male
Female |
| College/University |
|
| Permanent
Address |
Apt. |
| City, State,
Zip |
,
|
| Home
Phone |
|
| Email |
|
| 2.
School Information |
| Campus
Address |
|
| Address
2 |
|
| City, State,
Zip |
, |
| Campus
Phone |
|
| 3.
Academic & Extracurricular
Background |
| Graduation
Date |
|
| Major Area of
Study |
|
| Classification |
Freshman Sophomore Junior Senior Graduate |
| Extracurricular
Activities & Leadership Positions |
1. Organization
Dates of Participation
Positions Held
2. Organization
Dates of Participation
Positions Held
3. Organization
Dates of Participation
Positions Held |
| Awards &
Honors |
|
| Work & Volunteer
Experience |
|
| 4. Essay
Questions |
a. How would you define leadership?
b. Are you a leader? Explain.
Attach Your Essay Here:
OR
After you submit your
application, please email your essay to info@nllc.org or mail your essay to NLLC Excellence in
Leadership Awards, 28 Allegheny Avenue, Suite 503, Baltimore, MD
21204. |
