Please answer the following questions. Should more students apply than we can accomodate, your answers will be used to select members of the class.

1. Why are you interested in participating in the Emerging Leaders Program? What do you hope to learn about?

2. What are your 3 greatest strengths and weaknesses as a leader?

3. Describe a leadership position you have held and share 2 things you learned while in this position. If you have not served in a leadership position yet, what do you want to get involved with at NC State? Why does this activity attract you as a leader? When do you plan to get involved?

Please take a few minutes to answer 4 survey questions for the Center for Student Leadership, Ethics & Public Service.

1. How did you hear about the Emerging Leaders Program? (check as many as apply)

   CSLEPS brochure
   Faculty member
   Staff member (e.g., RA, RD, administrator)
   The Technician
   Friend
   Club/organization meeting
   ListServe
   CSLEPS staff member
   Other

2. Why are you participating in the Emerging Leaders Program? (check up to 2 items)

   Interest in service to others
   Personal interest in service location/topic
   Class requirement
   Club requirement
   Other

3. Have you participated in other progams offered by the Center for Student Leadership, Ethics & Public Service while enrolled at NC State? (e.g., Leadership Development Series workshop, alternative fall or spring break service trips, Emerge Leadership class, MLK Service Challenge, Role Model Leaders Forum Speaker, etc.)

   Yes
   No

4. Are you a member of the Service or Leadership List Serve?

   Yes
   No (to sign up, visit the Listservs page)

Applications must be submitted by noon on January 23rd, 2004. Registrants will recieve confirmation of their acceptance into the class by 5 PM on January 26th, 2004.

If you have any questions, please contact Tierza Watts (513-3026).

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