M.O.V.E. for Emerging Leaders 2011 Form - De La Salle University

M.O.V.E. for Emerging LeadersManagement of Organization for Visible Effectiveness for Emerging LeadersOffice of Student Leadership, Involvement, Formation and EmpowermentApplicant Information FormPlease type or print all entries. Use additional sheets if necessary. Attach them and the other requireddocuments to this form with a paper clip.Full NameNicknameID Number Year/College/Major Date of BirthAddressReligionCell phoneEmail addressLanguages SpokenSkills/Hobbies/InterestsIllness/ Allergy/Recent SurgeryMedical BackgroundMedication TakenFather’s NameOccupationBusiness AddressFamily InformationMother’s NameOccupationBusiness AddressTelephoneElementaryInstitutionTelephoneEducationYear GeneralGraduated AverageAcademicAwards ReceivedSpecial AwardsReceivedHigh SchoolSeminars/Contests/Workshops AttendedTerm GPACumulative GPA_________________________________________________________________________________________Management of Organizations for Visible Effectiveness for Emerging Leaders

M.O.V.E. for Emerging LeadersManagement of Organization for Visible Effectiveness for Emerging LeadersOffice of Student Leadership, Involvement, Formation and EmpowermentCo-& Extra-Curricular InformationOrganization Position Activities Initiated YearWho or what influenced you to join the M.O.V.E. for Emerging Leaders program? Please be as specific aspossible.Statement of Application IntegrityI hereby certify that I have provided accurate information in this application. I authorize all persons orentities to provide any relevant information in their possession to the Office of Student LIFE or its agent foruse in considering me for admission to the M.O.V.E. for Emerging Leaders program. I expressly waive anyrequired notice to me. I understand and agree that my misrepresentation or omission of facts in myapplication will justify the denial or cancellation of admission to the program. This application is my ownhonest statement to the Screening Committee.SignatureDateDo not write on the space below. For SLIFE use only.Checklist of RequirementsCompleted Application FormOne 1x1 ID pictureTwo Evaluation FormsPersonal EssayDiscipline Office - Clearance (free of charge)My Lasalle copy of CGPA or copy of 4 th yearHigh School Grades (for Freshmen)Please attach 1x1 ID picturehere_________________________________________________________________________________________Management of Organizations for Visible Effectiveness for Emerging Leaders

Evaluation FormM.O.V.E. for Emerging LeadersManagement of Organization for Visible Effectiveness for Emerging LeadersOffice of Student Leadership, Involvement, Formation and EmpowermentNameID NumberYear/College/MajorTo the EvaluatorGreetings of Peace!The bearer of this Evaluation form is an applicant to the M.O.V.E. for Emerging Leaders Program of the Officeof Student Leadership Involvement, Formation and Empowerment of De La Salle University. Please completethe information requested in this form. If you would use additional sheets of paper, please staple them with thisform. Your comments will be held completely confidential. Return this form in a sealed envelope with yoursignature written across the flap.Thank you.________________________________________________________________________________________________How long have you known the applicant and under what circumstances?How would you rate the applicant’s achievements compared to those of his/her peers?Please discuss observations you have made regarding the applicant’s leadership abilities and group skills.What are the applicant’s most salient strengths?5. (For Freshmen applicants only) Among the graduating class, the applicant belongs to the top:10% 25%50%75%_________________________________________________________________________________________Management of Organizations for Visible Effectiveness for Emerging Leaders

M.O.V.E. for Emerging LeadersManagement of Organization for Visible Effectiveness for Emerging LeadersOffice of Student Leadership, Involvement, Formation and EmpowermentKeeping in mind your reference group, evaluate the applicant as best and as fairly as you can in each of thefollowing categories by placing an “X” in the appropriate box below:QualitiesGeneral AbilityAnalytical SkillsVerbal SkillsSelf-disciplineInitiativeSelf-confidenceCreativityMaturityLeadership PotentialAbility to work in a teamService OrientedOpenness to FeedbackBelow Average1Average2Good3Excellent4Outstanding5What are the applicant’s weaknesses? What efforts have he or she made to improve in these areas?What other comments do you have about the applicant? Comments regarding his or her aptitude forstudent leadership are very much preferred.Evaluator’s SignatureEvaluator’s NameBusiness AddressDateTelephone Number_________________________________________________________________________________________Management of Organizations for Visible Effectiveness for Emerging Leaders

Personal EssaysM.O.V.E. for Emerging LeadersManagement of Organization for Visible Effectiveness for Emerging LeadersOffice of Student Leadership, Involvement, Formation and EmpowermentNameID NumberYear/College/MajorEach essay topic listed below should be answered on separate sheets of paper and stapled to this form. Youranswer must be typewritten and double-spaced on short bond paper. Essays may vary from 300 to 500 words inlength.__________________________________________________________________________________________Why do you want to be a part of M.O.V.E. for Emerging Leaders? How do you think would the programhelp you?_________________________________________________________________________________________Management of Organizations for Visible Effectiveness for Emerging Leaders