EAST CENTRAL UNIVERSITY
The Vision Bank Presidential Leadership Program
Application for PLC-V
(2014-15)
Applicant Information
Last Name
First Name
Address
City
Home Phone
Cell Phone
Middle
State
Zip Code
E-Mail Address
Date of Birth (MM-DD-YYYY)
Age
M or F
Sex
Current High School
City
State
Weighted GPA
Unweighted GPA
Class Rank
Do you classify yourself as a first generation college student:
Citizenship Status:
US Citizen
Residency:
Oklahoma Resident
Yes
No
Permanent Resident (Immigrant)
Non-resident
Have you applied to East Central University:
Yes
If yes, what is your admission status?
I have been admitted
I do not know my status
Have you submitted a FAFSA form for financial aid?
Intended Area of Study:
Composite ACT Score
No
I have been declined admission
Yes
Business
Liberal Arts and Social Sciences
No
Education/Psychology
Health and Sciences
Parent/Guardian Information
Father
Mother
Legal Guardian
Name
Occupation
Address (if different from applicant)
Father
Mother
Employer
E-mail Address
Legal Guardian
Name
Address (if different from applicant)
Occupation
Employer
E-mail Address
Are you related to a current or former Presidential Leadership Class student?
Yes
No
If yes, please list name and relationship: ___________________________________________________
Please indicate how you became aware of The Vision Bank Presidential Leadership Program:
High School visit by East Central University Enrollment Specialist
High School administrator, counselor or teacher
ECU Admissions Office
ECU Campus Visit
PLC Alumni
PLC Materials (i.e. mailings, posters, phone calls, etc
Other _____________________________________
Community Organization/Service
Activity Name
Positions Held
The Arts
Activity Name
Positions Held
Positions Held
12th
Honors Received
10th
11th
12th
Honors Received
10th
11th
12th
Honors Received
Hours Per Week
Positions Held
Work Experience
Activity Name
11th
Hours Per Week
Other
Activity Name
10th
Hours Per Week
Athletics
Activity Name
Hours Per Week
10th
11th
12th
Honors Received
Hours Per Week
Positions Held
10th
11th
12th
Honors Received
Incoming Freshmen that meet the PLC requirements (ACT 22 or above and a minimum 3.3 GPA) may apply for the PLC-V
scholarship. This scholarship includes a full tuition waiver and residence hall room waiver for four years for full-time PLC
students who maintain an overall 3.0 GPA. A one-semester credit course on leadership is required during the Fall 2014
semester.
PLC Students must meet the minimum following conditions/requirements to retain their PLC scholarship each semester.
Fall
Freshman
Spring
Enroll in 1 hr
Leadership
Course
Participate in
all cultural
activities
Participate in
all PLP
special
events
including
Homecoming
Volunteer 6
PLP hours of
campus
and/or
community
service
Sophomore
Fall
Spring
Junior
Fall
Senior
Spring
Fall
Spring
Overall 3.0
GPA
Overall 3.0
GPA
Overall 3.0
GPA
Overall 3.0
GPA
Overall 3.0
GPA
Overall 3.0
GPA
Overall 3.0
GPA
Attend
monthly
meetings with
other PLP
participants
Volunteer 6
PLP hours of
campus
and/or
community
service
Read/Written
Report –
Assigned
Leadership
Book
Attend at
least one
lecture
Oral report
over
Leadership
Book
Read/Written
Report –
Assigned
Leadership
Book
Attend at
least one
lecture
Oral report
over
Leadership
Book
Read/Written
Report –
Assigned
Leadership
Book
Attend at
least one
lecture
Oral report
over
Leadership
Book
Attend at
least one
cultural
activity with
PLP
Attend at
least one
cultural
activity with
PLP
Attend at
least one
cultural
activity with
PLP
Attend at
least one
cultural
activity with
PLP
Attend at
least one
cultural
activity with
PLP
Attend at
least one
cultural
activity with
PLP
Volunteer 6
PLP hours of
campus
and/or
community
service
Volunteer 6
PLP hours of
campus
and/or
community
service
Volunteer 6
PLP hours of
campus
and/or
community
service
Volunteer 6
PLP hours of
campus
and/or
community
service
Volunteer 6
PLP hours of
campus
and/or
community
service
Volunteer 6
PLP hours of
campus
and/or
community
service
Attend
monthly
meetings with
other PLP
participants
Attend
monthly
meetings with
other PLP
participants
Attend
monthly
meetings with
other PLP
participants
NOTE: There will be a mandatory Summer Leadership Retreat scheduled during the week of July 28th or the week
of August 4th. Please note the dates when planning family vacations and work schedules. The exact dates will be
determined prior to the mailing of the award letters.
PLC-V applicants should complete the application form and attach a copy of their High School transcript and a copy of their
ACT score sheet. Applicants should also arrange for their High School counselor to complete the recommendation form (to
be sent directly to Dr. Hamby).
Completed forms (including transcript and ACT score sheet) must be received by March 1, 2014. Please mail completed
forms to:
Dr. Shelley Ross Hamby
East Central University
11OO E. 14th, PMB P-8
Ada, OK 74820
EAST CENTRAL UNIVERSITY
The Vision Bank Presidential Leadership Program
Recommendation Form for PLC-V (2014-15)
To The Student:
Important Privacy Notice: Under the terms of the Family Educational Rights and Privacy Act (FERPA), students who matriculate into the program
to which they apply are given the right to inspect their records, including their letters of recommendations, unless they have waived their right to
review. You have the option of signing the following waiver or declining to do so.
I expressly waive any rights I might have to access this letter of recommendation under the Family Educational Rights & Privacy Act of 1974.
I do not agree to the above waiver.
Student Name __________________________Student Signature __________________________________ Date ________________________
Dear Counselor:
Admission to the Presidential Leadership Class (PLC) is one of East Central University’s top honors. The program is focused around leadership
development at the personal, organizational, and community levels. PLC scholars develop skills through weekly meetings, campus and
community service projects and lecture series.
East Central University accepts applicants who are skilled in the following areas: Intellectual curiosity, leadership potential, commitment outside
him/herself, and unique contribution. Thank you for taking the time to complete the questions below and to write a letter on your student’s behalf.
These letters help us best understand the student’s potential for success in our PLC program. Please remember that our application deadline is
March 1, 2013 and we must have all materials in our office by that day. Please submit to:
Dr. Shelley Ross Hamby
East Central University
11OO E. 14th, PMB P-8
Ada, OK 74820
Are you related to the applicant?
Yes
No
How long have you known the applicant? _________________
I am comparing this student with approximately _______ (number) of college-bound students with whom I have worked.
Please rate the student in the categories below:
This Student:
Average
Top 25%
Top 10%
Top 1%
Best Student I
Have Known
Takes the initiative to pursue
opportunities outside the classroom
Is open to other people’s values that
are different than his/her own.
Exhibits mental toughness under
stress
Is humble despite his/her
accomplishments.
Demonstrates empathy when
interacting with others.
Takes concrete steps to help other
people.
Has a background that will provide a
unique perspective among other top
students.
Name: ______________________________ Title: _____________________ School: ______________________________________
Signature:____________________________________ Date: _________________ E-mail:___________________________________