­­Thank you for your interest in the Ignite Leadership Program. After completing the application below you will see a confirmation screen verifying your application. The Ignite Peer Mentors and Advisor will review all applications. Applicants will be notified by April 19th, 2013 if they are selected for an interview.

Applications must be submitted by Midnight April 15, 2013. If you have any questions about Ignite or your application, please contact us at ignite@uh.edu.


To apply for the Ignite Leadership program you must meet the following criteria:

In the Fall '13 semester I will be classified as a Sophomore / Junior / Senior:

Sophomore Junior Senior

I am able to attend meetings on Friday afternoons from 1pm to 3pm August 30th through November 15th.


Ignite Application

Cell Phone: (999) 999-9999

E-Mail Address:

Local Street Address:

City:

Zip:

myUH ID (PeopleSoft):

Major:

Minor:

T-shirt size:

Dietary restrictions or physical accommodations:

Please complete the following essay questions. Please try to limit your responses to 250 words or less.

Please list the major activities and the approximate dates you were involved with the University of Houston (clubs, sports, community service, internships, academic projects and jobs)

What do you hope to learn/ gain from the Ignite Leadership Program?

What personal strengths/qualities will you bring to our group?

What is your personal definition of leadership?


Agreement

The Family Educational Rights and Privacy Act (FERPA) prohibits the release of personally identifiable information from the education records of university students without the written consent of the student. Exceptions to the requirement include but are not limited to a) release of such information to a school official with a legitimate educational interest in the record, b) the release of such information in response to a court order, health or safety emergency, or approved research project, or c) the release of public directory information which has not been previously restricted by the student. For further information about FERPA, please see the University of Houston Student Handbook. I hereby consent to and authorize the release of my enrollment status by the University of Houston to the Ignite Peer Mentors and Advisor.

By checking here I hereby certify that the information provided in this application is accurate and true. I understand that by clicking “submit” I am applying my electronic signature to this application.