Valparaiso University - Summer Global Leadership Institute Application
Middle Name (complete)
Citizen of the United States of America
USA Permanent Resident
Not a USA Citizen or Permanent Resident
Citizenship (if other than USA)
American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
How did you learn about Valparaiso University's Summer Global Leadership Institute?
Number & Street
Parent 1: First & Last Name
Parent 1: Email Address
Parent 2: First & Last Name
Parent 2: Email Address
High School Name
High School City
High School State
High School Graduation Year
Please list all academic classes you took during the 2011-2012 school year
Cumulative High School Grade Point Average (GPA)
Please list GPA on a 4.0 scale
Tests You Have Taken
Which academic track do you plan to participate in during the Global Leadership Institute?
Please list your top 3 choices (ranked 1-3) from the following: Environmental Sustainability; Technology & Society; Entrepreneurship & Innovation; Multimedia in the 21st Century; Chinese Immersion.
Have you ever been dismissed, placed on probation, or suspended from school?
Have you ever been convicted of a crime other than a minor traffic offense?
I certify that the information contained herein is true and complete. I understand that all materials pertaining to my application become the property of Valparaiso University.
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