Last Name:

First Name:

E-mail:

Home Phone:

Cell Phone:

Street Address:

City:

State:

Zip-code:

Birthdate:

High School:

Weekend you plan to attend:
February 4-5
February 11-12
February 18-19

Leadership Scholarship Application
I have submitted the Leadership Scholarship Application.
I will submit the Leadership Scholarship Application before February 1st.

Note: Scholarships are based on the Leadership Scholarship Application, NOT THE LEADERSHIP WEEKEND.

You should plan on arriving at 1:00 PM to to check-in for the weekend. If you have questions, please contact the Welcome Center at 435.586.7741 or info@suu.edu.