Core Leadership Program (CLP)
Registration Form ~ Fall 2015
Tuesdays 3:30-5:00pm
Thank you for your interest in CLP! Please email this form no later than Friday, September 11th
by 12PM. We are no longer accepting applications in person. EMAIL ONLY! Please fill out
the following form and attach it to an email to clp@colorado.edu.
Save the application as follows:
Lastname_Firstname_TUES
(Ex: Smith_Jane_TUES)
Please use the following subject line when e-mailing your application:
Lastname_Firstname_TUES
(Ex: Smith_Jane_TUES)
Registration for the program is limited to the first 40 students per session and is on a first-come,
first-served basis to admitted CU- Boulder students enrolled in at least one credit hour. You will
be notified via EMAIL whether you have been accepted into the Fall 2015 program by
5:00 PM on September 14th.
We welcome applications from people of all different backgrounds including but not limited to race,
religion, creed, skin color, gender, nationality, class, sexual orientation, gender identity and expressions,
abilities, age, parental status, veteran status, work and behavioral styles and the perspectives of each
individual shaped by their nation and experiences.
Preferred Name:
Preferred
Pronoun:
___________ _ Major:____________________ ___
Expected
Year of Graduation:
Student ID #: _
_____
(To confirm enrollment
as CU student)
Phone:
Email:
Shirt Size:
Address:
____________________________
How did you hear about CLP?
Birth Date: _____ ____
___________
Why do you want to be part of CLP?
____________
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
The first meeting will be held on Tuesday, September 15th, 2015 in the UMC.
Participants must be available Tuesdays 3:30-5:00 PM for the entire Fall 2015 semester.
All participants are required to attend the mandatory overnight retreat on September 26th -27th .
Statement of Student Commitment
Thank you for applying to the Core Leadership Program. Please be aware of the following:

By filling out this application, you certify that you are available to attend each weekly
session throughout the semester in its entirety.

All students are given one opportunity to apply to CLP. If you are ACCEPTED into the
program, this is your one and only chance to participate. We do not allow accepted
participants to re-apply for our program at a later time. Therefore, if you cannot commit
to all aspects of the program for Fall 2015, you should wait to apply in a semester that
you can commit to the defined expectations of the program.

You must commit to the program before attending the retreat. If you attend the retreat and
fail to attend the program sessions you will not be able to reapply in future semesters.

You certify that you are enrolled in at least one credit hour or more at the University of
Colorado at Boulder Campus.

You must be available to participate in our mandatory, overnight retreat on
September 26th- 27th.
Your e-signature verifies your understanding and commitment to abide by the above:
Signature: ___________________________
Date: ___________________
Questions?
Please contact Hannah Velte, CU GOLD Student Coordinator, or Pawan Bishwokarma
CU GOLD Marketing Director at cugold@colorado.edu.