Read the guidelines carefully before completing this application.

Follow the directions below and include all necessary application requirements by the deadline:

Application Deadline: Immediately

The semester-long program includes workshops and team meetings on Friday afternoons. The opening workshop includes a tour of the city where students will meet community leaders to learn about the assets and challenges of the city. These experiences inform the community impact projects that the student teams will develop and implement during the program.

Students are nominated by campus faculty and staff and must:

Be near degree completion
Have a minimum 2.75 cumulative GPA
Be currently enrolled full or part-time (traditional and non-traditional students are welcome)
Have demonstrated leadership experience on campus and/or in the community

Leading Off Campus Application

Step 1 of 2

Applicant Name:
First Last
Preferred Name (if different):
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone:
Student Cell:
School Email:
Personal Email:
Gender:
Race/Ethnicity:
Date of Birth
T Shirt Size

College/University you attend:
Expected Graduation Year:
Cumulative GPA:
Major/Minor:
School Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of College Advisor:
First Last
Phone
Email Address of School Advisor:
May we contact your advisor if more information is needed regarding your application?
- Yes
- No
Academic Honors:
Briefly list or describe any scholastic or other honors you have received.
Who referred you to this program?
Extracurricular, Personal and Volunteer Activities:
The program runs Friday Afternoons from February 3 to April 28 at 12:00p.m. to 5:30p.m. Do you have any conflicts?
- Yes
- No
If yes, plese describe:
Personal Statement: Leading Off Campus is designed to bring together students from different backgrounds, schools, ethnicities, and unique perspectives to develop into future leaders. Write a short essay (500 words or less) describing what you could contribute and gain from this program. Create your response on a separate sheet and email to andre.santiago@leadershipgh.org or write it below.
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