The LEAD Scholar Program
Anticipated graduation date: _________________
Interest Meeting
Date of enrollment: ______________
Leader Information
Name
Email
Phone
RUID
Major:
Current year
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Freshman
Sophomore
Junior
Senior
How did you hear about this program?
Professor/Faculty
Staff
Website
Lead Scholar email
Lead 110 class
Lead Scholar student
RA
other: ____________
REQUIRMENTS FOR ELIGIBILITY






Must be a freshman and/or sophomore to enroll in the program ( have achieved less than 55 college credits)
Must be full time enrolled
Must have 2.0 GPA to enroll in the LEAD 110 course
Must have a 3.0 GPA or attain a “B” letter grade in leadership related courses
Must maintain a 2.75 overall GPA to continue enrollment in the Lead Scholar Program
Have no instances of student code of conduct violations recorded with the Dean of Students Office
By signing this application I allow the department of student activities to review my academic and conduct record each semester while
I am enrolled in the Lead Scholar Program.
Applicant Signature: ___________________________________________________________
Date: _____________
Printed Name: ______________________________________________________________
Office Use Only
Date received________
Accepted:_______
Date entered:_______
Date welcome letter sent:______