Leadership Certificate Program Application

We are thrilled that you decided to apply to be a participant in RegisCorps. We believe that all students are capable of finding how to use their gifts and talents to become passionate leaders within and outside of the Regis Campus community. The Leadership Certificate Program challenges students to become leaders through classroom and experiential learning opportunities.

Enrollment Application Check-list

 Be in academically good standing: not on academic probation (please provide unofficial transcipt)
 Resume that includes leadership experience
 1 letter of recommendation can be submitted via email to ahieber@regis.edu or directly attached to this application
 Attached Letter of intent
 Completion of one para-curricular leadership course
 Completed this online application form

**Application is due on the Add/Drop Date of the semester that you are seeking to be accepted into RegisCorps. For example: a student takes the class in the Fall, the application would be due for the Add/Drop date of the following spring semester.

First Name *

Last Name *

Email Address *

Cell phone: *

Address 1 *

Address 2

City *

State *

Zip Code *

Anticipated Year of Graduation *

Major: *

Minor:

Academic Advisor: *

Cumulative GPA: *

Please list current or recently completed leadership positions at Regis or within other organizations. *

Which paracurricular course did you complete? *

PC 204E Leadership Development Program: Social Change

PC 204F Leadership Development Program: Heroic Leadership

PC204G Leadership Development Program: Organizational Leadership

Other (must be approved) Other (must be approved)

What term did you complete your course? (i.e. FA 2017) *

Unofficial transcript (Can screenshot/Print and upload from Webadvisor) *

Letter of Intent:
Please include a one to two page letter describing why you are interested in RegisCorps and what you hope to get out of it. Please reflect on your experience in the leadership course and address the following prompt:

St. Ignatius of Loyola, the founder of the Jesuits, wrote: “...Teach me to serve you as you deserve; to give, and not to count the cost...” How is this consistent with your leadership philosophy or does it challenge your current understanding of leadership? *

Resume
Includes current and prior leadership experience, employment, service and volunteer involvement, and other activities in which you are involved *

Letter of Recommendation: (Faculty, Staff Member, Former/Current Supervisor, etc.)
Can be e-mailed to ahieber@regis.edu if requested *

If accepted to the program, I understand that I am making an investment in the Regis University community and as such I commit my talents, abilities and intellect in the pursuit of the skills, experiences and personal growth to go out and serve the world as an agent of change. By signing this statement I agree to fully take advantage of the experiences that the RegisCorps Leadership Certificate Program provides. I understand that I represent both Regis University and RegisCorps during all retreats, conferences, service trips, field experiences or internships that I take part in. I agree to represent Regis University and RegisCorps as an engaged, respectful and professional member of this community. *

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Due Date

Application is due on the Add/Drop Date of the semester that you are seeking to be accepted into RegisCorps.
For example: a student takes the class in the Fall, the application would be due for the Add/Drop date of the following spring semester.

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