living leadership program application 2010
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8/8/2019 Living Leadership Program Application 2010
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Living Leadership Program
Learning Agreement
In order to get the most out of the program, you need to make a commitment to what it entails. You will need to make the
choice to step-up to the opportunities presented to you. The Living Leadership Program will not allow behavior that is
contradictory to this commitment to impede or distract from the experience of other participants. Thank you for helping us to
insure an extraordinary year for everyone involved.
1. I understand that participating means listening, sharing my viewpoint, and participating in activities.2. I agree to take responsibility for my own learning. I agree to ask questions if I dont understand, participate even if I
have done an activity before, and challenge myself to step out of my comfort zone this year.
3. I agree to respect individual differences and the dignity of all people. I will keep an open mind and strive to learn anew perspective on the world.
4. I agree to conduct myself to the highest standard of behavior in accordance with the Student Code of Conduct.5. I agree to maintain effective communication with my fellow program members and College of DuPage staff.6. I agree to fulfill the qualifications, objectives and requirements outlined below:
QUALIFICATIONS for Membership
Be a currently enrolled student in at least one credit hour 2.0 cumulative gpa or higher (waived for first semester students) In good standing with the college (no financial or academic holds on your record)OBJECTIVESBy the completion of the program, students will be able to demonstrate and document:
1. their active participation as a leader2. their conscious decision-making as a leader3. their understanding of multiple perspectives4. their positive impact on the college community.REQUIREMENTS to complete and receive a Leadership Certificate:
Coursework 3 hours
o Humanities 2210; Leadership DevelopmentExperiential
o Active participation in a student club, organization or team on campusDirected Development Choose 2
o Fall Club Leadership Retreat (Fall 2010)o ICCSAA Leadership Conference (Fall 2010)o Other conference (must have prior approval)
Case Studies Choose 3
o Leadership Panel (Spring 2011)o Student Leader Candidate Forum (Spring 2011)o College Lecture Series Speaker (Fall 2010 & Spring 2011)o Leadership Mentoro Other speaker/workshop (must have prior approval)
Service Choose 1
o Service Learning in class (including being an Ambassador)o Extended service outside of class (16 hours+)
Capstone Project
o Leadership portfolioWe ask that you agree to the previous statements and demonstrate this commitment by signing this document below.
Living Leadership Participant Signature Date
Please print name
Thank you! It is inspiring to know you will be spending your time with us
working to better yourself and ultimately your community.
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College of DuPage Office of Student Life
Living Leadership Program ApplicationTo be considered, applicants must meet qualifications for membership.
General Information
Full Name:
C.O.D. Club Affiliation (if any):
E-mail:
Mailing Address:
Home Phone: Cell Phone:
Birth Date:(for enrollment verification)
Application Questions:
Why are you interested in participating in the Living Leadership Program?
What attracted you to participate in the program?
Were all of the requirements, objectives and criteria of the program clearly explained to you? YES NO
By signing and submitting this application, I will meet or exceed the expectations of the Living
Leadership Program. I understand that by signing this, I am making a commitment to participate.
Signature: _____________________________________________________ Date: ____________________________________
Return applications to the Office of Student Life
Student Resource Center 1800
If you have any questions, please contact:
Stephanie Quirk
mailto:[email protected]:[email protected]:[email protected]