LEAD Application | The Georgia Way

Name:*

First Last

Sport:*

Email:*

Cell Phone:*

ACADEMIC PROGRESS

Degree Program: (Ex. Bachelor's of Arts)*

Expected Graduation Date:*

Major(s):*

Minor(s):*

Hours required for major:*

Hours Completed for Major:*

Cumulative GPA:*

GRADUATE PROGRAM

Please briefly describe your graduate or professional school plans.*

TEST SCORES

Record any available professional/graduate entrance exam scores below. Examples include: GRE, MCAT, LSAT, business aptitude test, and the National Merit test.

Test:

Score:

Test:

Score:

HONORS

Academic Honors*

Please list and describe all collegiate academic honors, including date received. Do not use acronyms.

Athletics Honors:*

Please list all institutional, NCAA, Conference, regional, state and national athletics honors received. Please do not use acronyms. Examples include: All-American, All-Conference, three-year starter, four-year letter winner, best performances, captain, etc. In an individual sport, do not just put “six-time All-American” – be specific (e.g. “finished 3rd in breaststroke at 2002 NCAA Championships”).

Community Service, Leadership & Other Activities*

Please list and describe any other activities you have been involved with and/or honors received. Be specific as to dates or duration of involvement. Additionally, please list activities and/or honors in order of personal importance. Please do not use acronyms.

Student-Athlete Statement*

Please describe in 300 words or less the graduate program you wish to follow as well as information on your future plans. Please do not use acronyms.

Please read the following statement and sign where indicated.

By signing below, I understand that being a participant in the L.E.A.D. program is contingent upon my attending all L.E.A.D. events. I may be removed from the program and/or unable to compete for a graduate assistantship if I fail to participate fully.