PRESIDENT’S LEADERSHIP COUNCIL
APPLICATION
I.
Complete the following personal and educational data.
Name
How Name-Badge Should Read
PID Number
E-Mail Address
Age
Date of Birth
Gender
Expected Date of Graduation
Local Address
Permanent Address
Local Phone Number
Present Classification
Cellular Phone Number
Current Hours Enrolled
Major
Permanent Phone Number
Hours Completed
Years at UCF
GPA (Last Semester)
Cumulative GPA
Other Colleges Attended (include dates attended and location)
Contact in case of emergency:
Name
Phone
What major leadership or involvement commitments do you anticipate this upcoming year? Please fill out the
following for each position:
Role
Organization
Dates of commitment
Time spent per week on commitment
Referred by:
II.
Please include each of the following:
1.
2.
3.
4.
5.
6.
A detailed resume.
In chronological order, a detailed list of your collegiate involvement history, including all leadership positions held and
community and service activities.
Using appropriate grammar, spelling, punctuation, and sentence structure, please answer each of the following questions in
250 words or less. Your answer should be in a double-spaced, 12-point font, and 1-inch margin format.
a. Evaluate a significant experience, achievement, risk you have taken, or ethical dilemma you have faced and its
impact on you.
b. Explain what makes you the ideal candidate for selection to the PLC.
Please attach two letters of recommendation, at least one of which must be from a UCF faculty member (active teaching
professor, not a TA or staff member). Your second letter may be a current reference (i.e. employer, UCF staff or
administrator, community member).
A copy of your most recent unofficial degree audit with your application packet.
Your application packet should be paper-clipped.
FERPA Waiver
I, _______________________________, hereby authorize and consent to the release of my records, which shall include my
GPA, major, confirmation of enrollment, contact information, and conduct status to the University of Central Florida for the
purpose of verifying my eligibility for the President’s Leadership Council.
Signature______________________________________________Date:__________________
***All materials due in the Office of Constituent Relations, MH 396, by 5:00 p.m. on February 15, to qualify for review***
More information on the President’s Leadership Council may be obtained at www.ucfplc.com