Providence Leadership Program Application

Please complete the following
Please Note:
Before submitting your application you will need to do the following:
  • Prepare your personal statement. Select and answer ONE of the following:

    1) Community Service Statement
    Describe how you have reached out to help others and/or how you have been involved in your community. Elaborate on why you decided to help out or get involved in your community, and what you received in return—that is, what you learned or how it made you feel. Think in broad terms.

    2) Motivational Statement

    What attracts you to the Providence Leadership Program (PLP)? What do you hope to gain by being a PLP member? What could you contribute to the PLP program?


  • Set up a personal interview with Sr. Isabel Ball, CDP. You can do so by contacting her at iball@ollusa.edu or visiting her in the Elliott House, Rm. 202. This interview must be set up BEFORE submitting your application. You will provide your interview date and time on the form.
First Name:
Middle Name:
Last Name:
Anticipated Graduation:
2011-2012 Classification:
Major/Minor:
University E-mail Address:
Addtional E-mail Address (Optional):
CONTACT INFORMATION -- DURING THE SEMESTER
(IF CAMPUS RESIDENT)
Hall:
Room Number:
Permanent Address During the Break
Address:
City:
State:
Zip:
(IF COMMUTER)
Address
City:
State:
Zip:
EMERGENCY CONTACT:
Name:
Phone:
Relationship:
What types of religious studies have you had? (Check all that apply)




    If specified other, please list:
How did you hear about the Providence Leadership Program? (Check all that apply):





    If specified other, please list:
Submit Personal Statement:  
Personal Interview
Date:
Time:
TO COMPLETE YOUR APPLICATION
Print the Certifications document here. Turn in your signed copy to University Ministry located in the Elliott House or fax to (210) 431-3992.

© Copyright 2014, Our Lady of the Lake University, 411 S.W. 24th St., San Antonio, TX 78207 | Tele: 210-434-6711