APPLICATION FOR ADMISSION
Please complete applicant information, essay questions, and leadership experiences/services. Submit two letters of
recommendation and an unofficial grade transcript.
APPLICANT INFORMATION
Name:______________________________________________________________________
First
Middle
Last
Home Address: ______________________________________________________________
City: _________________ State:_________ Zip:_________ County:__________________
Home Phone: (
) ________________________Cell Phone: ( )_______________________
Email Address: _________________________________________
Gender (Please Check One) Male____ Female____ Age: _____ Birth Date: _______________
Have you been accepted to Pueblo Community College? YES____
NO_____
What is your intended field of study? _____________________________________________________________
Have you chosen a career field? If yes, please specify: _______________________________________________
Race/Ethnicity (optional): White (non-Hispanic)____ Black (non-Hispanic)____ Hispanic____ Asian/Pacific
Islander____ American Indian/Alaskan____ Other____
Please indicate how you became aware of PCC’s President’s Leadership Program
(Please check one):
1. High School Counselor _____
2. Brochure ____
3. PCC Website_____
4. Community Member _____
5. Other: Please Explain _______________________________________________________________________
1. Please describe effective leadership using up to five characteristics that you believe best capture its
dimensions.
A. ________________________________________
B. ________________________________________
C. ________________________________________
D. ________________________________________
E. ________________________________________
2. Please answer the following questions. You will be evaluated on the thoughtfulness and explanation of your
response. Please attach the answers to the questions to your application.
a. Leadership is a word many people use. Define the essence of what Leadership means to you in three-five
sentences.
b. Why is leadership important to you? Describe how you have demonstrated leadership ability both in and
outside of school? (200 words or less)
c. Describe a person who is a leader and why those qualities have made him or her successful and what
impact they had on your life? (300 words or less)
3. If there is additional information that you would like PCC to know about you as an applicant, you may elect to
write an optional statement. This statement should highlight information not yet provided in the application.
Please limit your response to no more than 200 words. (Please also attach this statement)
LEADERSHIP EXPERIENCES/SERVICES
Please list four of the most important activities you have been involved with in high school or your community.
1. Name of organization: _______________________________________________________________________
Position held: ________________________________________________________________________________
Dates of participation: _______________________ Average hours per week: _____
Honors and/or awards received: _________________________________________________________________
___________________________________________________________________________________________
Personal contributions/accomplishments: ______________________________________________________
_______________________________________________________________________________________
2. Name of organization: _______________________________________________________________________
Position held: ________________________________________________________________________________
Dates of participation: _______________________ Average hours per week: _____
Honors and/or awards received: _________________________________________________________________
___________________________________________________________________________________________
Personal contributions/accomplishments: ______________________________________________________
3. Name of organization: _______________________________________________________________________
Position held: ________________________________________________________________________________
Dates of participation: _______________________ Average hours per week: _____
Honors and/or awards received: _________________________________________________________________
___________________________________________________________________________________________
Personal contributions/accomplishments: ______________________________________________________
4. Name of organization: _______________________________________________________________________
Position held: ________________________________________________________________________________
Dates of participation: _______________________ Average hours per week: _____
Honors and/or awards received: _________________________________________________________________
___________________________________________________________________________________________
Personal contributions/accomplishments: ______________________________________________________
APPLICATION CHECKLIST
Complete Applicant Information
Complete Essay Questions
Complete Leadership Experiences/Services
Attach Two (2) Letters of Recommendation
Attach an Unofficial Transcript
*Incomplete application packages will not be considered.
PLEASE MAIL COMPLETED MATERIALS TO:
President’s Leadership Program
Pueblo Community College
Attention: Matthew Sterner-Neely
900 West Orman Avenue, AB-230A
Pueblo, Colorado 81004
719-549-3002
OR
President’s Leadership Program- Women in STEM
Pueblo Community College
Attention: Joey Mathews
900 West Orman Avenue, AB-150B
Pueblo, Colorado 81004
719-549-3125
Program Timeline
One Year Track
Fall Semester











Management 224: Leadership or PSV 230 Introduction to Civic Leadership
Attend annual Leadership Retreat/Orientation
Attend Acceptance Reception
Attend weekly meetings
Join an approved campus club or organization
Background check- District 60 Administration building Gina Gallegos
20 hours of service learning
Plan a civic minded project
Serve as a voice on campus for VIP visitors and media
10 hours service learning -Attend Team Manager Training for DI (November 21st )
Act as student mentor for 1st year PLP, PCC students
Spring Semester









Management 224: Leadership or PSV 230 Introduction to Civic Leadership
Attend weekly meetings
Continue active involvement with campus club or organization
Collaborate with CSU-Pueblo’s PLP and host an educational or social event
Serve as a voice on campus for VIP visitors and media
Assist with the planning and development for annual leadership retreat for fall
30 hours of service learning as Team Manager for DI Teams
Attend DI Regional Tournament at PCC
Act as student mentor for 1st year PLP, PCC students
Leadership Certificate Requirements



Complete MAN 224 and PSV 230
Complete two electives from the Leadership Certificate advising sheet
Complete 30 hours of service learning per semester
Two-Year Track
Fall Semester, Year One










Management 224: Leadership or PSV 230 Introduction to Civic Leadership
Attend annual Leadership Retreat/Orientation
Attend Acceptance Reception
Attend weekly meetings
Join an approved campus club or organization
Background check- District 60 Administration building Gina Gallegos
20 hours of service learning
Plan a civic minded project
Serve as a voice on campus for VIP visitors and media
10 hours service learning -Attend Team Manager Training for DI (November 21st )
Spring Semester, Year One








Management 224: Leadership or PSV 230 Introduction to Civic Leadership
Attend weekly meetings
Continue active involvement with campus club or organization
Collaborate with CSU-Pueblo’s PLP and host an educational or social event
Serve as a voice on campus for VIP visitors and media
Assist with the planning and development for annual leadership retreat for fall
30 hours of service learning as Team Manager for DI Teams
Attend DI Regional Tournament at PCC
Leadership Certificate Requirements



Complete MAN 224 and PSV 230
Complete two electives from the Leadership Certificate advising sheet
Complete 30 hours of service learning per semester