LA Application 2022

Leadership Academy Application 2022
Thank you for your interest in the Mercy College School of Business Leadership Academy! This is a highly selective one week program that allows high school business students to be exposed to careers in business and learn what it takes to become a leader.

Note: Email is the primary form of communication throughout the application and admission processes. Please ensure that both parent and student emails are entered correctly on the application.
*Please use Google Chrome!*
Personal Information
Student Name*

First NameLast Name
Student E-mail*
Student Cell Number*

Area CodePhone Number
Parent/Guardian Name*

First NameLast Name
Parent/Guardian E-mail*
Parent/Guardian Phone Number*

Area CodePhone Number
Academic Information
High School*
High School State*
Are you currently a junior?*
Cumulative, weighted GPA *
include scale
Provide one of the following scores: *

(N/A if not taken yet)
SAT Score*
PSAT Score*
ACT Score*
Referral/Nominator Name

First NameLast Name
Referral/Nominator E-mail
Additional Information
List three likely college choices*
List your likely college major(s)*
List your top three extracurricular activities and the position(s) held*
Why are you applying to the Leadership Academy?*
Leadership Academy Sessions

Select all sessions you are available to attend
Please select:*

Week 1: June 26 - July 2Week 2: July 10 - 16Week 3: July 24 - 30
Should be Empty:

Leadership Academy Application 2022