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Mansfield Center
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Montana NEW Leadership
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Montana NEW Leadership Application

If you are interested in applying for our 3rd annual MT New Leadership, please contact Deena Mansour: Deena.mansour@umontana.edu

The program runs June 23-27, 2019. Montana NEW Leadership participants are expected to attend all summer institute sessions and live in the residence halls during the entire program. When completing this application, you acknowledge that you are aware of these requirements and agree, if accepted, to meet this commitment.

If you are still seeking someone in your department or community to help you secure the funding for the program, we recommend you review our Seeking Funding Guide.

First Name *

Last Name *

Sex *

Male

Female

Other preference

College/University *

Permanent Address *

Campus Address (if different from permanent)

Notification should be sent to: *

Permanent Address

Campus Address

Home Phone

Cell Phone *

Email *

Class Year *

Major/Minor *

Academic Areas of Interest *

Age

18 to 25

26 to 35

36 to 45

over 45

voluntary

Ethnicity (Voluntary)

African American

American Indian

Asian

Caucasian

Latina

Other

List any political science or women’s studies courses that you have taken. Include the semesters during which classes were taken. (Remember if you aren't in these majors, and have no course experience, its okay!) *

List any honors or awards received, as well as leadership positions attained. *

Essay 1: Describe the political or community activities and/or organizations you have been involved with. Which is the most important to you and why? (250 word limit) *

Essay 2: Why do you wish to participate in Montana NEW Leadership? What do you expect to get out of participation in our program? (250 word limit) *

Provide the names, titles, phone numbers, and e-mail addresses for three references. (At least one reference must be a college faculty or staff member). Reference 1 *

Reference 2 *

Reference 3 *

The following individual has agreed to assist me in obtaining funding to cover the $500 NEW Leadership Montana program fee.

Name and Title of Faculty Contact

Phone and Email of Faculty Contact

I have not been able to obtain a commitment for funding. I would like to be considered for a NEW Leadership Montana scholarship in the event that I am accepted to the program.

If you have not been able to obtain a commitment for funding and would like to be considered for funding, please detail the steps you have took to try to obtain funding.

* indicates a required field

Administrative Contact

Deena Mansour
406-243-2713
deena.mansour@umontana.edu

Academic Director

Dr. Sara Rinfret
406-243-4702
sara.rinfret@umontana.edu

Political Director

Kimberly Dudik
kimberly.dudik@gmail.com

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