2014 LEAD Business Application

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LEADership, Education and Development 500 Office Center Drive, Suite 400, Fort Washington, PA 19034 (215) 261-7001 www.leadprogram.org [email protected] Page 2

Business Institute pplication

EXTRACURRICULAR AND COMMUNITY ACTIVITIESList the school and community activities that are most important to you, listing any offices held and leadership roles first. Please besure to note any memberships in business-oriented organizations. (Attach additional sheets as necessary.)

ACTIVITY GRADE LEVEL HOURS PER WEEK POSITIONS HELD/HONORS WON9 10 11

9 10 11

9 10 11

9 10 11

9 10 11

9 10 11

EMPLOYMENT INFORMATIONEMPLOYER JOB TITLE/POSITION HELD DATES OF EMPLOYMENT HOURS PER WEEK

FAMILY INFORMATIONYOUR PARENTS MARITAL STATUS: Married Separated Divorced Widowed Single

YOUR SIBLINGS: BROTHERS: SISTERS:

Number Age(s) Number Age(s)

NAME OF ANY FAMILY MEMBER WHO PARTICIPATED IN THE LEAD PROGRAM: Year:

NAME(S) OF THE PARENT(S) OR LEGAL GUARDIAN(S) WITH WHOM YOU LIVE:

PARENT/GUARDIAN/OTHER PARENT/GUARDIAN/OTHER

NAME (LAST, FIRST, MIDDLE INITIAL)

RELATIONSHIP TO THE APPLICANT (YOU)

HOME ADDRESS, CITY, STATE, ZIP

HOME TELEPHONE NUMBER

E-MAIL ADDRESS

EMPLOYER

OCCUPATION/TITLE

BUSINESS OR MOBILE TELEPHONENUMBER

HIGHEST GRADE COMPLETED

COLLEGE ATTENDED (IF ANY)

DEGREE/CERTIFICATE EARNED (IF ANY)


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ACADEMIC INFORMATIONHigh School Name:

High School Address:

City: State: Zip Code:

CURRENT GRADE LEVEL: 11Name of Counselor/Advisor:

Counselor/Advisor Email Address:

ADDITIONAL COMMENTSIs there anything else you would like us to consider when reviewing your application?

Please review the form to make sure you have answered all questions. LEAD will only review applicants who submit the completed applicationform, short responses, news article, business essay, two recommendation forms, transcript form, an official high school transcript, copy of

your standardized test scores and the $50 application fee.

IT IS YOUR RESPONSIBILITY TO ENSURE THAT WE RECEIVE ALL REQUESTED MATERIALS BY THE DEADLINE.I certify that the information I have provided in this application (including required essays) is accurate and complete. I understand that it is myresponsibility to submit a completed application by the application deadline.

pplicants Signature DateAPPLICATION DEADLINE: FEBRUARY 5 2014Email your completed application form, short responses, news article and business essay to [email protected]. Be sure to includeyour name in the subject line of your email.


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SHORT RESPONSESEssays help us learn more about you as a person. Please type your responses to the questions in the spaces provided. Each

response may be up to 250 words.

Leadership as a term has evolved over the years. Give us your definition of what a 21st century leader looks like and how are youdeveloping yourself to become one?

What are you most afraid of and how would you change the world?

Tell us how life skills (i.e. critical thinking, problem solving, etc.) help you become successful in careers like business?


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BUSINESS ARTICLEStep 1: Choose a news article about an important global business issue from the New York Times, Wall Street Journal or cnbc.com

for your business essay. Paste a copy of the news article. The review panel will read your article to see that you have shared originalideas in your essay.


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BUSINESS ESSAYStep 2: Write an analysis (up to 500 words) about the global business issue highlighted in the article you selected. Why do you

consider the issue important? What do you suggest should be done to address the issue? Your essay should not simply restate thearticle, but should focus on your opinion of how to change the issue.


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LEADership, Education and Development !500 Office Center Drive, Suite 400, Fort Washington, PA 19034!(215) 261-7001 [email protected]

Business Institutepplication Checklist

The LEAD Business application contains several elements all of which will contribute to your overall evaluation by the selection committee.In order to be considered for acceptance, all forms must be completed and all required documents included. Please remember, yourapplication is our first impression of you so take your time working on it. Heres what you need:

APPLICATION FORMComplete the application form. Make sure you fully answer all requiredquestions.

SHORT RESPONSESEssays help us learn more about you as a person. Please type yourresponses to the questions in the spaces provided. Each response may

be up to 250 words.

1.Leadership as a term has evolved over the years. Give us yourdefinition of what a 21st century leader looks like and how are youdeveloping yourself to become one?

2.What are you most afraid of and how would you change the world?3.Tell us how life skills (i.e. critical thinking, problem solving, etc.)

help you become successful in careers like business?

NEWS ARTICLEStep 1 : Choose a news article about an important global businessissue from the New York Times Wall Street Journal orcnbc.com for your business essay. Paste a copy of the news article.The review panel will read your article to see that you have sharedoriginal ideas in your essay.

BUSINESS ESSAYS tep 2: Write an analysis (up to 500 words) about the globalbusiness issue highlighted in the article you selected. Why do youconsider the issue important? What do you suggest should be done toaddress the issue? Your essay should not simply restate the article,

but should focus on your opinion of how to change the issue.

RECOMMENDATION FORMSLEAD requires each applicant to submit one academic and one personalrecommendation form. The academic recommendation form should becompleted by a teacher or advisor who can assess your work. Thepersonal recommendation form should be completed by an employer,coach, community official, or minister who can comment on yourpersonal attributes and involvement in the community. Both formsshould be emailed to [email protected].

TRANSCRIPT FORMHave a school counselor or administrator complete and sign this form.

HIGH SCHOOL TRANSCRIPTAn official high school transcript and school profile must accompany

each applicants application toLEAD. The transcript should include yourcurrent first semester grades. If not, please submit your currentsemester grades or a copy of your report card. Please ask a schooladministrator to forward your transcript, school profile and a copy of

your current semester grades or report card to: LEADershipEducation and Development 500 Off ice Center Dr ive Suite400 Fort Washington PA 19034. STANDARDIZED TEST SCORESPlease submit a copy of your PSAT, SAT or ACT score reports you receivein the mail or printouts from the testing organization website with yourscores on it. SAT II subject scores and AP test results are not reviewed.Please do not send us your official score reports directly from thetesting organization. Please email a copy of your scores [email protected].

APPLICATION FEEA $50 non-refundable application fee must accompany your applicationmaterials. Make the check or money order payable to LEAD Programand mail it to: LEADership Education and Development 500Off ice Center Dr ive Suite 400 Fort Washington PA 19034.DO NOT SEND CASH. Applications received without the application feewill not be processed.

APPLICATION FEE WAIVERIf you require an application fee waiver, send a request [email protected].

SUBMITTING YOUR APPLICATIONEmail your completed application form, short responses, news articleand business essay to [email protected]. Be sure to include your

name in the subject line of your email.

APPLICATION ASSISTANCEIf you need assistance with the application, please contact LEAD at(215) 261-7001 or [email protected].

COSTTuition for the LEAD SBI program is $1,150 for two-weeks; $1,750 forthree-weeks; $2,450 for four-week programs. Additional programactivity fees of $350 are required for SBI activities. Roundtrip airfare isnot included in the tuition cost, students are responsible for their owntravel.

TUITION/TRAVEL SCHOLARSHIPSPartial or full tuition and travel scholarships are available for students

who require financial assistance. Admitted students should requestand submit a scholarship application and financial documentation uponacceptance into the program.

NOTIFICATIONAll applicants will be notified in late March 2014. Notification for theprogram and all future correspondence will be conducted through email.Please be sure to provide a valid email address. Notification will not bemade by telephone. The decisions of the selection committee are final.Applicat ion Deadl ine: February 5 2014.PROGRAM LOCATIONSThe 2014 Summer Business Institute locations include:

Dartmouth CollegeDuke University

Northwestern UniversityUniversity of Illinois at Urbana-ChampaignUniversity of Maryland, College ParkUniversity of Michigan, Ann ArborUniversity of Pennsylvania

International:Canada: (London, Ontario)Ivey Business School at Western University


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LEADership, Education and Development 500 Office Center Drive, Suite 400, Fort Washington, PA 19118 Phone: 215.261.7001 Website: www.leadprogram.org E-mail: [email protected]

500 Office Center Drive, Suite 400 Fort Washington, PA 19034 Phone: (215) 261-7001 [email protected]

TR NSCRIPT FORM

Check all that apply:BUSINESS INSTITUTEENGINEERING INSTITUTE COMPUTER SCIENCE INSTITUTE (Level II)Please fill in your contact information below. This form should be completed by a counselor/advisor.

t Name: Email:Address: Phone:AUTHORIZATION FOR INFORMATION RELEASE:Please sign this form and forward it to your guidance counselor/advisor for completion.

I hereby authorize my school to release the information requested below.

Applicants Signature Date:SCHOOL INFORMATIONThis section must be completed by a guidance counselor/advisor.

Type of School:(check one) Public Private Parochial Home Schooled Other:Name of School:Current Grade Level: Class Rank: Class Size: GPA: Scale:STANDARDIZED TEST SCORESPSAT Critical Reading: SAT Critical Reading: PLAN:

PSAT Math: SAT Math: ACT:

PSAT Writing: SAT Writing:

CERTIFICATION: I hereby certify that the information I have provided is accurate and true as of the date indicated below. Name of Counselor/Advisor: Email:Signature of Counselor: Date:MAILING INSTRUCTIONS: Once completed, please send this form along an official high school transcript, currentsemester grades or report card and a school profile to:

LEADership Education and Development500 Office Center Drive Suite 400Fort Washington PA 19034DEADLINE: FEBRUARY 5 201
http://www.leadprogram.org/http://www.leadprogram.org/http://www.leadprogram.org/mailto:[email protected]:[email protected]:[email protected]://www.leadprogram.org/


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500 Office Center Drive, Suite 400 Fort Washington, PA 19034 Phone: (215) 261-7001 www.leadprogram.org [email protected]

LEADership, Education and Development 500 Office Center Drive, Suite 400, Fort Washington, PA 19118 Phone: 215.261.7001Website: www.leadprogram.org E-mail: [email protected]

ACADEMIC RECOMMENDATION FORMCheck all that apply:BUSINESS INSTITUTEENGINEERING INSTITUTECOMPUTER SCIENCE INSTITUTE (Level II)Please fill in your contact information below. This form should be completed by a counselor, teacher or club advisor who can assess

your work.

Applicant Name: Email:Address: Phone:The above applicant is applying for admission to the LEAD Program and has given your name as a reference. The information you are

providing concerning the above named applicant is considered an important part of the application process. Specific statements and

your candid assessment of the applicants potential will be very helpful. We appreciate the information you are providing and for sharing

your observations about the applicant.

Instructions: After completing this form email it [email protected]. This form must be received by February 5 2014.(Check one)COUNSELOR MATHEMATICS TEACHER SCIENCE TEACHER OTHER:

1. In what ways would you distinguish this applicants academic performance from other applicants?

2. In what areas does the applicant need improvement?

3. How well do you feel the applicant handles disappointment or differences of opinion?

4. Do you think that this applicants grades are a valid reflection of his/her academic abilities? Please explain.


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ACADEMIC RECOMMENDATION FORM CONTINUED)Applicant Name:In terms of characteristics listed below, please give us your appraisal of the applicant:

CATEGORY Outstanding Good Average BelowAverage Unable toAssessINQUISITIVE:Looks beyond what is apparent, questioning attitude/needs to know why.PERSISTENT: Stays with tasks, integration toward long-term goals.SELF-STARTER: Highly motivated, independent worker, self-directed, pursues individualinterests.

DESIRE TO ACHIEVE:Is eager to successfully accomplish goals.DISCIPLINED WORK HABITS: Turns in assignments in a timely manner.SENSE OF COMMUNITY: Takes responsibility for actions, shows respect for teachers andpeers.LEADERSHIP: Shows maturity/emotional ability, leads when needed or appropriate.COMMUNICATION SKILLS: Ability to express thoughts clearly, creatively and concisely.ETHICAL: Honest and forthright, knowing right from wrong.I have known the applicant for year/s and/or month/s

OVERALL RATING:Strongly recommend Recommend Recommend with reservations (explain any reservations below)COMMENTS: Please use this space to provide any additional information that the committee should consider when evaluating thisapplicant, including your involvement with him/her outside the traditional classroom, his/her ability to meet personal responsibilities,

deadlines, personal initiative, etc. Please also include any obstacles this applicant has had to overcome in pursuing his or her

educational goals, if appropriate.

Signature: Date: Telephone:Name: Email Address:Institution: Title:


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PERSONAL RECOMMENDATION FORMPlease fill in your contact information below. This form should be prepared by an employer, coach, community official or minister.

Applicant Name: Email:Address: Phone:The above applicant is applying for admission to the LEAD Summer Business Institute Program and has given your name as a reference.

The information you are providing concerning the above named applicant is considered an important part of the application process.

Specific statements and your candid assessment of the applicants potential will be very helpful. We appreciate the informati on you are

providing by completing this form and for sharing your observations about the applicant.

Instructions: After completing this form email it [email protected]. This form must be received by February 5 2014.1. How long have you known the applicant and in what capacity?

2. What are the first words that come to mind to describe the applicant?

3. In what ways does this applicant show evidence of leadership ability?

4. How does this applicant demonstrate commitment?

5. What are the applicants strengths and weaknesses?
mailto:[email protected]:[email protected]:[email protected]:[email protected]


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LEAD hi Ed ti d D l t il d i @l d

PERSONAL RECOMMENDATION FORM CONTINUED)Applicant Name:In terms of characteristics listed below, please give us your appraisal of the applicant:

CATEGORY Outstanding Good Average BelowAverage Unable toAssessINQUISITIVE:Looks beyond what is apparent, questioning attitude/needs to know why.PERSISTENT: Stays with tasks, integration toward long-term goals.SELF-STARTER: Highly motivated, independent worker, self-directed, pursues individualinterests.

DESIRE TO ACHIEVE:Is eager to successfully accomplish goals.DISCIPLINED WORK HABITS: Turns in assignments in a timely manner.SENSE OF COMMUNITY: Takes responsibility for actions, shows respect for teachersand peers.LEADERSHIP: Shows maturity/emotional ability, leads when needed or appropriate.COMMUNICATION SKILLS: Ability to express thoughts clearly, creatively and concisely.ETHICAL: Honest and forthright, knowing right from wrong.OVERALL RATING:Strongly recommend Recommend Recommend with reservations (explain any reservations below)COMMENTS: Please use this space to provide any additional information that the committee should consider when evaluating thisapplicant, including your involvement with him/her outside the traditional classroom, his/her ability to meet personal responsibilities,

deadlines, personal initiative, etc. Please also include any obstacles this applicant has had to overcome in pursuing his or her

educational goals, if appropriate.

Signature: Date: Telephone:Name: Email Address:

Institution: Title:

2014 LEAD Business Application

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