PLA Applications

PLA Student Application

The student application is the first of three steps you must complete to be considered for the President's Leadership Academy beginning in August, 2014.

Once you have completed and submited the form below, please submit your essay question via email and have both of your letters of recommendation submitted through the referrer's recommendation form.

1.Contact Information
Legal Name*
Preferred Name*
eNumber*
Date of Birth (01/01/Year)*
Address*
City*
State*
Zip Code*
Personal Email*
Phone Number (123-456-7890)*
2.Gender: *
Female
Male
3.Ethnicity:*
Hispanic
Non-Hispanic
4.Race:*
American Indian or Alaskan Native
Asian or Pacific Islander
Black or African American
White or Caucasian
Multiethnic
5.Are you a first generation college student? If neither of your parents has completed a degree from a four year college or university, your are considered a first generation college student. *
Yes
No
6.What is your intended major?*
7.High School Information:
High School*
City*
State*
ACT Score
SAT Score
GPA (4.0 Scale)*
8.Name and contact information for the first of the two referrers you are soliciting recommendations from:
Name*
Institution*
Phone Number (123-456-7890)*
Email*
9.Name and contact information for the second of the two referrers you are soliciting recommendations from:
Name*
Institution*
Phone Number (123-456-7890)*
Email*
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Elmhurst College • 190 Prospect Avenue • Elmhurst, Illinois 60126-3296 • (630) 279-4100 or (630) 617-3500

 

Undergraduate Admission • (630) 617-3400 • (800) 697-1871 • admit@elmhurst.edu

School for Professional Studies • (630) 617-3300 • (800) 581-4723 • sps@elmhurst.edu

Elmhurst Learning and Success Academy Admission • (630) 617-3752 • elsa@elmhurst.edu

 

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