Multicultural Student Services

Asian LEAD Academy
Asian LEAD Academy Banner

LEAD Academy is a 2-week nonresidential program designed to provide opportunities and resources for youth, particularly Asian American and Pacific Islander high school students and incoming college freshmen, to reach their full potential as leaders in a multicultural society.   

To Apply, please submit the information on this form no later than 5:00 pm, Monday, May 1, 2009.

Dates:

June 08-19, 2009

Program Costs:

Non-refundable $25.00 Participation Fee upon acceptance into the LEAD Academy is due with final confirmation letter by Monday, May 18, 2009.  Student responsible for providing own transportation to ASU and providing own lunch either from home or buying lunch at ASU. 

For more information contact Rhea Gomez at (480)965-9828.

Student Personal Information


Ms. Mr.
  
Student First Name

Student Last Name

Student Middle Initial

Current Address (Street)

City

State

Zip

Telephone Number (daytime)

Telephone Number (evening)

Email Address

Tshirt size

Ethnicity (please specify & list all)

 

Parent Information:

 

Mother First Name

Mother Last Name

Telephone Number

Email Address

Father First Name

Father Last Name

Telephone Number

Email Address

   
Student Scholastic Information:  

Current Grade Level:
Graduating Senior
High school Junior
High school Sophomore
High school Freshman

Have you been admitted into ASU? 
Yes
No
If admitted to ASU, what campus?

ASU ID Number (if applicable)

High School:
   
A parking permit is available for the duration of the program only. Will you need a parking permit? (Costs of permit are your responsibility. I will send you more information on parking if you choose “yes”. This does not order your parking permit.)
Yes
No

  
   

Is there an event/activity that will prevent you from attending the entire two week program and graduation banquet?

 

No
If Yes, please explain:

   
List any activities, clubs, organizations, and/or interests in which you are currently involved.

Besides leadership training, what do you hope to gain from participating in Asian LEAD Academy?

 

I agree to assist in the development and success of the LEAD Academy, to participate regularly in the activities sponsored, to provide leadership, to support the goals of the program and abide by the principles set forth by the program. My signature, or submission of the application also indicates that the information in this application is true to the best of my knowledge