If you have also applied to other Service Learning Teams here at SC, please check them below:
List three issues or areas of interest which you would like to explore
during the Leadership program:
Briefly describe yourself and your background:
How do you expect to benefit from this program?
How have you demonstrated your leadership ability and/or initiative?
Choose a local, national, or international problem that is of interest to you. Explain why the issue is important to you and how you would address the situation if you were involved in it in a leadership position:
Please list any extracurricular and/or community activities in which you are involved:
List any honors and/or awards you have received:
List, in chronological order beginning with the most recent, any work experience you have had:
Please include volunteer work and military:
As part of your application process, you will need to provide two references. List each reference below. Once you submit this form, you will be given a link
to an online Reference Form to share with each reference for them to fill out. Please list employers, teachers/professors, pastors or any other organization leaders for your references.
Note: References cannot be family members.
Waiver of Access: I have requested that this recommendation be filed for use in the selection process for the Leadership Southwestern team. In accordance with the Family Rights and Privacy Act of 1974, I have indicated my intention regarding access to this recommendation by checking
one of the following options:
I waive access to this recommendation which shall therefore be considered confidential.
I do not waive
access to this recommendation.
By typing my name in the Signature textbox below and submitting this
online form I certify under penalty of perjury that all information provided is correct and complete. I understand that my application
is not valid if I have knowingly falsified information.
100 College Street | Winfield, KS 67156-2499
1-800-846-1543 Email Us