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Indiana Leadership Program: Application

Indiana Leadership Program: Application

The Indiana Leadership Program participants are selected through a competitive application and interview process. Please be sure to review all elements of the application below, including the specific program that you wish to apply to join: Summer Fellows (June – August, 2020) or Academic Year (August 2020 – April 2021).

Application deadline for both the 2020 summer term and 2020-2021 academic year is Friday, April 3, 2020.

Return to Indiana Leadership Fellowship page

I. Applicant Information
Last Name*	First Name*
Student ID*	IU Email*
Phone*
Campus Address
Street*
City*	State*
Zip*
Home Address
Street*
City*	State*
Zip*
Have you ever had a criminal conviction, including a misdemeanor or felony, or had a civil judgment rendered against you?*
Yes No	If you answered yes, please explain

II. Academic Information

Status

Expected Grad. Date*

School*

Campus*

Degree(s) Pursued

Major(s)

Minor(s)

Certificate(s)

Cumulative GPA*

III. Program Preferences*

Select the Indiana Leadership Program that you are applying to from the below list.

If you would like to apply for more than one program, please submit an application for each program.

ILP Summer Fellowship
Summer fellowship runs from early June to early August. Students will intern approximately 20-30 hours per week.

Internship Program in Monroe County: stipend $2,000 Internship Program in Lawrence County: stipend $2,500
ILP Academic Year
Academic year program runs from September 2020 to April 2021. Students will intern approximately 10 hours per week.

Internship Program in Monroe County: stipend $1,000

IV. Cover Letter*

Please submit a copy of your cover letter in PDF and save title of file as: LastName, FirstName

V. Resume*

Please submit a copy of your resume in PDF and save title of file as: LastName, FirstName

VI. Release of Information*

The O'Neill Undergraduate Programs Office will be reaching out to the IU Office of Student Conduct to confirm your disciplinary status with the university. ILP will review the disciplinary records of all program candidates and reserves the rights to deny acceptance to students who have a problematic disciplinary history. The following statement and request for your electronic signature serves to confirm your consent to a FERPA release of your disciplinary records to the Undergraduate Programs Office of O'Neill.

The University policy on the confidentiality of student records maintained by the Office of Student Conduct prohibits the release of information without your written consent, even though there may not be a disciplinary record for you at the Office of Student Conduct.

To allow for the release of information to O'Neill, please provide your signature below to confirm that you give your permission to Indiana University to release any information from your disciplinary file(s) to the O'Neill Undergraduate Programs Office of the School of Public and Environmental Affairs ("O'Neill"), Indiana University.

Electronic Signature*

VII. Pledge*

I declare that the information given on this form is, to the best of my knowledge, complete and accurate and that it may be discussed further with me as part of the recruitment and selection process and further checks may be undertaken as appropriate.

* Indicates a required field.

Paul H. O’Neill
School of Public and Environmental Affairs

Indiana Leadership Program: Application

Additional links and resources

Indiana Leadership Program: Application

Paul H. O’Neill School of Public and Environmental Affairs resources and social media channels

Additional links and resources