OFFICE OF STUDENT ACTIVITIES AND LEADERSHIP PROGRAMS
National Association of Campus Activities International Convention
February 15-19, 2014
Boston, MA
Student Leadership Conference Grant
Student Application
Name: ________________________________________
Student ID #: ________________________________
Home Phone: (_____)_____________________________
Major: ______________________________________
Work/Cell Phone: (_____)__________________________
QPA: ___________
Home Address: __________________________________
How long have you been a student at Gateway Community
College? ________________
City: ________________________State: ____ Zip: _____
Email Address: __________________________________
Please list the Gateway Community College student organizations and positions for which you have
been a member.
Organization
Position
Year
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Please tell us why you want to attend this conference and how the student body will benefit from your
participation. (Please print or type) ____________________________________________________________________________________________
Please attach your personal philosophy statement on student leadership and return your
completed application to the Office of Student Activities and Leadership Programs by 4:00pm on
Friday, Dec. 6, 2013.
All candidates will be contacted regarding selection by Friday, January 3, 2014 in writing to his/her
email address. Thank you for your application and best of luck to you.
Updated 04/27/16, 7:58 PM
OFFICE OF STUDENT ACTIVITIES AND LEADERSHIP PROGRAMS
Faculty Recommendation
Student Applicant Name: ____________________________________________________
The above named student is applying for a Student Leadership Conference Grant at Gateway
Community College to attend the National Association of Campus Activities (NACA) International
Convention February 15-19, 2014 in Boston Massachusetts. One of the requirements of the application
process is to include a recommendation from a faculty member, an administrator, and a peer student
leader. I ask that you please fill out this confidential recommendation and forward it to the attention of
Roberta Prior in the Office of Student Activities and Leadership Programs no later than
Friday, December 6, 2013. Thank you for your support of our student leaders.
Faculty Member’s Name: ____________________________________ Dept. _____________________
Class for which you had the above named student: __________________________________________
Please rate this student based on his/her performance in the classroom.
Statement
I disagree
I agree
This student demonstrates responsibility in your class.
This student behaved consistently well in your class.
This student exhibits a potential for leadership.
This student serves as a role model too his/her peers.
This student is a person if integrity and strong character.
Please write a brief statement as to what you think this student will gain from participating in the
leadership conference. (You may attach a typed statement if you wish).
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Please tell us how you think the student body will benefit from sending this student to the leadership
conference. (You may attach a typed statement if you wish).
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Updated 04/27/16, 7:58 PM
OFFICE OF STUDENT ACTIVITIES AND LEADERSHIP PROGRAMS
Administrator Recommendation
Student Applicant Name: ____________________________________________________
The above named student is applying for a Student Leadership Conference Grant at Gateway
Community College to attend the National Association of Campus Activities (NACA) International
Convention February 15-19, 2014 in Boston Massachusetts. One of the requirements of the application
process is to include a recommendation from a faculty member, an administrator, and a peer student
leader. I ask that you please fill out this confidential recommendation and forward it to the attention of
Roberta Prior in the Office of Student Activities and Leadership Programs no later than
Friday, December 6, 2013. Thank you for your support of our student leaders.
Staff Member’s Name: _____________________________________ Dept. _____________________
Please rate this student based on his/her interactions with you.
Statement
I disagree
I agree
This student demonstrates responsibility.
I have never witnessed any possible behavioral issues with this
student.
This student exhibits a potential for leadership.
This student serves as a role model too his/her peers.
This student is a person if integrity and strong character.
Please write a brief statement as to what you think this student will gain from participating in the
leadership conference. (You may attach a typed statement if you wish).
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Please tell us how you think the student body will benefit from sending this student to the leadership
conference. (You may attach a typed statement if you wish).
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Updated 04/27/16, 7:58 PM
OFFICE OF STUDENT ACTIVITIES AND LEADERSHIP PROGRAMS
Peer Recommendation
Student Applicant Name: ____________________________________________________
The above named student is applying for a Student Leadership Conference Grant at Gateway
Community College to attend the National Association of Campus Activities (NACA) International
Convention February 15-19, 2014 in Boston Massachusetts. One of the requirements of the application
process is to include a recommendation from a faculty member, an administrator, and a peer student
leader. I ask that you please fill out this confidential recommendation and forward it to the attention of
Roberta Prior in the Office of Student Activities and Leadership Programs no later than
Friday, December 6, 2013. Thank you for your support of our student leaders.
Peer Student’s Name: ________________________________ Relationship: _____________________
Please rate this student based on his/her interactions with you.
Statement
I disagree
I agree
This student demonstrates responsibility.
I have never witnessed any possible behavioral issues with this
student.
This student exhibits a potential for leadership.
This student serves as a role model too his/her peers.
This student is a person if integrity and strong character.
Please write a brief statement as to what you think this student will gain from participating in the
leadership conference. (You may attach a typed statement if you wish).
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Please tell us how you think the student body will benefit from sending this student to the leadership
conference. (You may attach a typed statement if you wish).
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Updated 04/27/16, 7:58 PM
OFFICE OF STUDENT ACTIVITIES AND LEADERSHIP PROGRAMS
Student Leadership Conference Grant
Program Outline
Purpose
The purpose of the Student Leadership Conference Grant is to reward student leaders for exceptional
service to the college. Monies will be utilized in the form of a grant for student participation at both
undergraduate and professional conferences. Any of the named Student Leadership Conference Grant
experiences will lend themselves useful to not only the individual and his/her student organization, but
moreover, prove invaluable to the greater college community.
Goal
 Such opportunities are designed to provide leadership training and prepare student leaders to
become citizens of the world.
 National conference participation will enable students to effectively position themselves into a
job market that demands leadership and the ability to be promotable.
 Participation will allow students to compete nationally for student leadership executive positions.
 Program will enhance the visibility and credibility of the Gateway Community College degree.
 Such opportunities will allow students to acquire the tools and resources to facilitate positive
student interaction and the freedom of exchange within the students’ respective leadership roles.
 By accepting the Grant, the student will be required to present information gathered to the
college community to further educate and promote the program and the leadership initiatives.
Criteria for Application
 Student(s) must be in and maintain good academic, financial and judicial standing with the
College, be an active member of an SGA recognized student organization, be eighteen years of
age or older, and have a minimum 2.0 Grade Point Average.
 Represented Student Organization(s) must be in good standing with the Office of Student
Activities and Leadership Programs.
 Each recipient must successfully complete the application process.
 Specific criteria may vary depending on Student Leadership Conference Grant.
 Student(s) must have prior demonstrable leadership experience.
 Student(s) must also continue their involvement in student leadership activities at Gateway
Community College.
 Student(s) must sign a contract ensuring their complete participation in all aspects of the
Conference experience.
Application Process
 The application process will be facilitated by the Office of Student Activities and Leadership
Programs and will work with the organizational advisors/supervisors to interview and determine
best-qualified Student Leadership Conference Grant recipient(s), where applicable.
 Student(s) must fully complete an application and personal student leadership philosophy
statement and submit it to the Office of Student Activities and Leadership Programs.
 Student(s) must submit a confidential recommendation from one peer student leader, one faculty
member and one College administrator.
Updated 04/27/16, 7:58 PM
OFFICE OF STUDENT ACTIVITIES AND LEADERSHIP PROGRAMS

The Director of Student Activities and Leadership Programs will facilitate the
interview/selection process based on the number of applicants in the application pool for each
conference.
Funding for Student Leadership Conference Grants
Grants will be funded yearly through the Student Activity Fee.
Updated 04/27/16, 7:58 PM