Cooper Leadership Program 2017-18 Application
Thank you for your interest in participating in the Chuck Cooper Foundation's Fall 2017-18 Leadership Program! Kick-off will be held on 12/2/1. Please fill out the form below and our staff will be in touch with you shortly. For more about the Foundation, please visit
Email address *
Chuck Cooper Foundation
Full Name *
College/University *
Email Address *
Program of Study *
Expected Graduation Date *
Cumulative Grade Point Average *
Phone Number *
Why are you interested in participating in the 2018-19 Cooper Leadership Program? *
What are your career plans after obtaining your undergraduate degree? *
Are you interested in pursuing a master's or doctorate degree? If so, in what field? *
Do you have any special skills or areas of interest? *
How did you hear about the Cooper Leadership Program? *
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