Chancellor's Leadership Award Application

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Chancellor's Leadership Award - Application

Applicant Information

Please make sure all information is correct. An incomplete application will not be considered further.

Name:
Address:
City:
State:
Zip:
Home Phone Number:
Email:
I am a high school applicant	I am a PNC continuing student applicant (check one)
Please list the names and addresses of your three references:
Name Required Reference #1:
Address Required Reference #1:
Important! Remember to have your required reference fill out the online Letter of Reference form. (The page is located at: http://www.pnc.edu/sa/clareference.html).
Name Reference #2:
Address Reference #2:
Name Reference #3:
Address Reference #3:

If High School Applicant, please complete the following:
Name of School:
Address of School:
Date of Graduation:
Cumulative GPA:
Anticipated College Major:

If PNC Continuing Student Applicant, please complete the following:
Year in School:
Cumulative GPA:
Major:

By checking this box, I hereby attest to the accuracy of the information I am providing in support of my application for the PNC Chancellor’s Leadership Award and that I have applied to and been accepted for enrollment at Purdue North Central or am currently enrolled at Purdue North Central.

Activities and Involvement

List high school organizations/activities, leadership roles/titles, and dates served:


List community organizations/activities, leadership roles/titles, and dates served:


List university organizations/activities, leadership roles/titles, and dates served:


Please provide any additional information which will assist us in the award selection process:

Personal Essay

In 300-500 words, please write an essay on the importance of campus/community engagement and your plan for involvement as a student at Purdue North Central:

Hit "Submit" to send your online application.

Apply Today
(219) 785-5200, (800) 872-1231 (IN only)
E-mail admissions@pnc.edu

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