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EDUCATIONAL LEADERSHIP DEVELOPMENT ACADEMY

Leaders Exploring Administrative Possibilities (LEAP) APPLICATION Please Type or Print

Name Last First MI Please list any additional last names that may appear on your transcripts:





Male

Female

Date of Birth Address Telephone

Work Experience

Street

City

State

( ) Home

( ) School or Business

Zip --Social Security

Email: School / Work Location: Grade Level or Department:

USD Plans

I Previously Applied to USD for Entrance:

 Yes

I Previously Attended USD:

 Yes

If Yes, What Semester and Year?______________

 No  No

If Yes, What Semester and Year?______________ Program

__________________________________

College/University Information

List in chronological order all colleges and/or universities attended. Name of Institution State Attendance Dates Degree & Undergrad Major


I certify that the information in this application is true to the best of my knowledge. SIGNATURE_____________________________________

DATE______________________

Please submit application and $20 application fee to the address below, ATTN: Carmen Valencia (make check payable to USD) University of San Diego, School of Leadership and Education Sciences Educational Leadership Development Academy (ELDA) 5998 Alcala Park, San Diego, CA 92110-2492 619-260-8839 (phone) 619-260-7851 (fax)

http://www.sandiego.edu/soles/documents/LEAPAPPLICATION.doc  

http://www.sandiego.edu/soles/documents/LEAPAPPLICATION.doc.pdf

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