William R. Harvey Leadership Institute Application Form

William R. Harvey Leadership Institute Application Form
Thank Your for your interest in the WRHLI. Please respond to all questions.

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Personal Information
Suffix
Full Name*

First NameMiddle NameLast Name
Age*
Date of Birth*
Gender (Mark only one oval)*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Home Number*
Please enter a valid phone number.
Mobile Phone*
Please enter a valid phone number.
Date Accepted to Hampton University*
Hampton University ID Number*
Education Information
High School Name*
High School Telephone Number*
Please enter a valid phone number.
High School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guidance Counselor/College Advisor*
Date of High School Graduation*
High School GPA*
SAT Score
ACT Score
Probable Area(s) of Concentration/Major*
Career Objective*
Application Packet Information

For your application packet to be considered, please submit original (no copies) of all documents requested below. Completed packets must be submitted no later than July 1st.

Documents required to accompany include:
1. Resume
2. Three (3) Personal Statements
3. Two (2) Letters of Recommendation
4. Standardized Test Scores
5. Official Transcript (sealed) and mailed to the William R. Harvey Leadership Institute
By signing this application, I ceritfy that the information contained in my application is accurate. If selected for the William R. Harvey Leadership Institute, I agree to comply with the Hampton University Code of Conduct.
Signature (Type Your Full Name)*
Date*
WRHLI APPLICATION PACKET CHECKLIST:

Please upload the required documents below to complete the WRHLI Application Packet Checklist.

Resume:

1. Your resume should include the following
- Work/Internship Experience
- Commiunity/Public Service
- Extracurricular Activities
- Honors/Awards
Full Name*
Upload Resume*

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Three 3 Personal Statements

Narrative (Typed, Double Spaced & 250-500 words each)
Statement 1

Explain "Leadership" and "Service" From your personal point of view. Both brevity and clarity are important.
Upload Statement 1

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Statement 2

Write a short essay describing how you have demonstrated the ability to lead
Upload Statement 2

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Statement 3

Explain why you want to participate in this program
Upload Statement 3

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Letter of Recommendation (1)

Upload Letter of Recommendation from your High School:
Upload Letter 1*

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Letter of Recommendation (2)

Upload Letter of Recommendation from Community Service Organization:
Upload Letter 2*

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Standardized Test Scores
SAT

Upload SAT Scores:
Upload SAT Scores

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ACT

Upload ACT Scores:
Upload ACT Scores

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Unofficial Transcript:

Unofficial transcript: ensure that the Unofficial Transcript is submitted here with the Google Form

Official Transcript: ensure the Official Transcript arrives sealed in its original envelope. If the seal has been broken we cannot accept the Transcript.

WRHLI Mailing Address:

William R. Harvey Leadership Institute

P.O. Box 6143

Hampton, VA 23668
Unofficial Transcript

Upload Unofficial Transcript:
Upload Unofficial Transcript*

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I understand that my completed application must be submitted no later than July 1st.*

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