EDUCATIONAL LEADERSHIP DEVELOPMENT ACADEMY
Leaders Exploring Administrative Possibilities (LEAP) APPLICATION Please Type or Print
Name Last First MI Please list any additional last names that may appear on your transcripts:
Male
Female
Date of Birth Address Telephone
Work Experience
Street
City
State
( ) Home
( ) School or Business
Zip --Social Security
Email: School / Work Location: Grade Level or Department:
USD Plans
I Previously Applied to USD for Entrance:
Yes
I Previously Attended USD:
Yes
If Yes, What Semester and Year?______________
No No
If Yes, What Semester and Year?______________ Program
__________________________________
College/University Information
List in chronological order all colleges and/or universities attended. Name of Institution State Attendance Dates Degree & Undergrad Major
I certify that the information in this application is true to the best of my knowledge. SIGNATURE_____________________________________
DATE______________________
Please submit application and $20 application fee to the address below, ATTN: Carmen Valencia (make check payable to USD) University of San Diego, School of Leadership and Education Sciences Educational Leadership Development Academy (ELDA) 5998 Alcala Park, San Diego, CA 92110-2492 619-260-8839 (phone) 619-260-7851 (fax)