Character in Leadership Application

First Name:

Middle Name:

Last Name:

Gender:

Female
Male

E-mail Address:

Telephone (including area code):

PERMANENT HOME ADDRESS

Street Address City State / Province / Region ZIP / Postal Code Country

Extra Curriculars

Please make a list of the extra-curricular activities in which you participate, including church, school, community, volunteer opportunities and employment.

Please write an essay addressing the following two topics:

Tell us a story about a past experience in which you had a leadership role and what you learned from it.
Tell us why you would like to be a part of the University of Jamestown Character in Leadership program.

Essay

Name of High School*

High School GPA*

Date of High School Graduation:

If you any have questions, please email [email email=admission@uj.edu]