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WCL Student Leadership Grant Application

*All fields must be completed.

Student Name:

Class:

Cell Phone:

Dorm Phone:

Email:

Resume: Please send an updated resume to the Weissman Center that includes your major/minor course of study, GPA, volunteer positions, and work experience.
Transcript: Please send your most recent transcript to the Weissman Center.
Reference Letters: Please list the names of two references who can discuss your academic goals and leadership qualities, and/or who are familiar with the project for which you are requesting funds. At least one letter of reference should be from a professor. Please advise your recommenders to submit a reference form and letter.

Reference 1:

Name:

Title:

Email:

Phone:

Reference 2:

Name:

Title:

Email:

Phone:

Budget:

What is the total anticipated cost of your project?

Please send an itemized budget of anticipated expenses in Word or Excel format to the Weissman Center.

Please indicate the amount of funds - no matter how small – that you could contribute:

Please indicate other potential sources of funds to whom you plan to apply for financial support, and commitments received.

Source	Amount Requested	Amount Confirmed

Please indicate the total amount of funds you are requesting from the Weissman Center:

Proposal: Please write in the field provided below a 2-3 page proposal addressing the following areas:

A detailed description of the activity/event/conference for which support is requested.
A reflection on what motivated you to pursue this leadership experience, and what hopes you have for advancing your own leadership knowledge or skills.
A discussion of the ways in which your project relates to your academic, advocacy, or professional interests. If the project relates to a Weissman Center public program theme, please describe the intersections and connections.
Note the ways in which the project may benefit the Mount Holyoke College community. Please describe in detail your plans for a public forum that can be held on campus including projected dates(s), sponsoring and co-sponsoring organizations, faculty mentor, venue, targeted audience, and anticipated expenses for publicity.
Discuss your conceptions of leadership, and at least one situation in which you viewed yourself as a leader. What did you learn from the experience? What was the most rewarding aspect of this role? What did you find most challenging and how did you address this?

Thank You!

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This page maintained by Weissman Center for Leadership. Last modified on June 5, 2008.