Leadership Track

Name (Last, First)
Home Address (Street Address, City, State, Zip)
Campus Address (if known)		(if unknown, put "N/A")
Home Phone		(please use 269.387.2115 format)
Cell Phone		(please use 269.387.2115 format)
Email Address
Major (if known)		(if unknown, put "N/A")
What is your definition of leadership?		Use as many word as necessary.
What have been your leadership experiences thus far (i.e. leadership retreats, conferences, positions held, etc.)?		Use as many word as necessary.
Why are you interested in becoming a student leader at WMU?		Use as many words as necessary.

Note: Please write down or print this information for your own records BEFORE you click the "Submit" button. No automated confirmation will be sent to your email address.