NEW Leadership™ Oregon 2013 Application

Name: *

College/University: *

College Class / Year: *

Major / minor: *

Academic areas of interest: *

Current Contact Information

Please enter a current mailing address to reach you from now to June 2013

Address: *

Address2:

City: *

State: *

Zip: *

Telephone: *

Email Address: *

Permanent Contact Info

Please complete this section if different than above

Address:

Address2:

City:

State:

Zip:

Telephone:

Email Address:

Essay Questions

Describe your past and present campus of community involvement: *

(For example, involvement in student organizations or associations, work-related activities, volunteer or political activities.)

Why do you wish to participate in NEW Leadership™ Oregon?: *

(This could include your personal goals, professional development, and/or visions for your campus or larger community.)

Please list any honors or awards received, as well as leadership positions attained: *

Program Fee

The program fee for NEW Leadership Oregon in 2013 is $250. This fee is required to secure a student’s place in the program. It is due upon admission, and is non-refundable. The fee is all-inclusive of food, housing, and education for all six days. There are a number of need-based full and partial scholarships available so please keep in mind financial need should not be a barrier to any qualified student who wants to attend NLO. If you feel you are in need of financial assistance, please use this page to describe your situation and the amount of aid you need (full, partial). If you are in a position to help pay another student's fee, you may indicate that here as well and a representative from our office will contact you.

Explain Here:

References: *

Please include the names, titles, phone numbers and e-mail addresses (if available) for 3 references:

How you found us?:

So that we can improve our program outreach, please tell us where you heard about NEW Leadership™ Oregon.

Acknowledgement: *

NEW Leadership Oregon participants are expected to attend all summer institute sessions and stay in the residence halls during the entire program, June 20-25, 2013. Halfday sessions will incorporate telecommunications and distance learning capability. In completing this application, I acknowledge that I am aware of these requirements and agree, if accepted, to meet this commitment.

Center for Women, Politics & Policy