Middle Initial: enter 'X' if no middle initial
Phone: Please include area code.
High School Graduation Year:
Anticipated Graduation Date from SCC:
Number of Credits Completed:
Major/Program of Study:
You must select a campus
Why did you choose to attend SCC?
Why do you want to be a member of the Presidential Leadership Academy?
What strengths, attributes and talents do you possess that would contribute to your effectiveness as a PLA?
Please list extracurricular activities that you have participated in during high school and/or college:
Please list your two most recent work or volunteer experiences:
Is there anything else you would like us to know about you:
Please provide two (2) references (that are not related to you) to any combination of two SCC faculty and/or staff:
Relationship to Applicant:
I certify that all the information provided on this application is accurate, is true, and acknowledge that any
misrepresentation and/or withholding of information may result in rejection of this application or may be considered
just cause for discharge if discovered after employment begins. I also understand that incomplete applications may
not be considered.