Chancellor’s Leadership Academy

2018 Class Application


Please submit this form and email your cover letter and resume to minerleaders@mst.edu by noon Wednesday, October 25th, 2017. By submitting your application materials you are granting CLA Staff permission to verify that you are a student in good standing by reviewing your student records. Questions can be should be directed to Jerri Arnold-Cook, arnoldcookj@mst.edu or by calling (573)341-6828.

Personal Info.  
Last Name
First Name
S&T Student Number
Academic Major
   
S&T Address  
Street
City
E-mail
Phone
   
Permanent Address  
Street
City
State
Zip
Phone
   
High School Info.  
High School Name
Graduation Date
City
State
GPA (on 4.0 scale)
Class Rank (#/#)