Campus Life

Student Leadership Recognition Form Application

Thank you for your interest in the Student Leadership Recognition Award. Please complete the online application form by Sunday, November 6, 2016.

Submit the following supplementary documents to Career Services by 10:00 AM on Monday, November 14:
  • Your Unofficial Academic Transcript (Print from banner)
  • Your Official Co-Curricular Record (Please allow 5-7 days for processing)
  • ONLY One Character Reference (Provided by your supervisor who is affiliated with your leadership activity)

Your application will be evaluated on a ten-dimensional leadership rubric. Your cumulative GPA covers 10% of the application. A Letter of Interest (worth 20%) has two components (quality of writing; arguments to support your application and long-term goals). Your Leadership roles over the last 12 months are worth 50%. Other Co-Curricular and Paid Involvement (20%) takes into account a number of your on- and off- campus achievements and how your activities have influenced the communities you are involved in.

First Name: Last Name:
Phone Number: Email:
Faculty: Major:
Banner ID: Year of Study:

Minor: Level of Study:
Completed Credit Hours: Current Cumulative GPA:
Are you participating in Co-operative Education: Yes No
Have you previously applied for the Student Leadership Recognition Award? Yes No

Please list any relevant positions, held in the last 12 months, if they are not documented on your Co-Curricular Record.
E.g., Call Centre Representative, ABC Bank: Oct 2015 to Current (60-80 hours)


Please use this space for your Letter of Interest


A Letter of Interest is an important component in your application package. In the space below, we encourage you to write a letter that speaks to your leadership capacity supported by examples, achievements and goals. Please incorporate examples illustrating, referencing and confirming your leadership skills and abilities gained and/or exhibited. Your letter will be evaluated on the following:

  • Initiative and action (ability to recognize opportunities and lead projects)
  • Achievements (quantitative and qualitative results in projects, daily activities, etc.)
  • Intensity and scope of the impact (impact on your team, group or the community)

Please limit your Letter of Interest to 3300 characters (approximately 500 words).



Please ensure your information is correct and:
Enter the code as it is shown (required):

By clicking Submit Request you are digitally signing for this request.