Telephone: ... Leadership Scholars Program to the Office of Undergraduate Admission by December 1. All materials may be
THE DUCHOSSOIS
LEADERSHIP SCHOLARS
FORM Building Tomorrow’s Leaders PLEASE PRINT OR TYPE Student’s Full Name:
Last/Surname _____________________________________________ First Name___________________________________________ M.I._____________
Home Address: ___________________________________________________________________________________________________________________
City: State: Zip Code: ______________________________________________________________________________________________________________
Telephone: ______________________________________________________ Email Address: ___________________________________________________
Current School: ___________________________________________________________________________________________________________________
Entry Term:
Fall _____________ (year)
HOW TO APPLY • Complete an IIT application for admission • Submit this application for the IIT Duchossois Leadership Scholars Program • Submit an essay describing the importance of leadership and service, and provide specific examples of how you will contribute to those ideals at Illinois Institute of Technology and in the United States. Please limit your response to 500 words. • Provide two (2) letters of recommendation from individuals who know you well and can assess your commitment to leadership and service. You must submit your completed IIT application as well as the supplementary materials for the IIT Duchossois Leadership Scholars Program to the Office of Undergraduate Admission by December 1. All materials may be either emailed to
[email protected] or be mailed to: Office of Undergraduate Admission Illinois Institute of Technology Perlstein 101 10 W 33rd Street Chicago, IL 60616 For more information about opportunities at IIT, visit us at http://admission.iit.edu/ or contact Ryan Nelson, Associate Director, at 312.567.5192 or
[email protected].
