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Permanent Address

Street
City
State
Zipcode
Telephone

First Name
Middle Initial
Last Name
Intended major
Year

Local Address

Street
City
State
Zipcode
Telephone

E-mail Address

Academic Record

QPA
SAT score (Math)
SAT score (Verbal)

Essay

To give us a sense of your interest in CPLE, please answer the following question in the box below. Please limit your response to about one page/500 words.

What is the most important thing someone could know about you? How does it relate to your interest in the CPLE?

Leadership Background

Please briefly describe your most important past or present leadership role.

All student applications will be reviewed by the Berg Center after academic criteria and standards are approved by the CBA Admissions office.

I certify that everything I have included in this application is a reasonable and accurate portrayal of my academic and leadership record. I also certify that I have discussed the CPLE with my CBA advisor to ensure that this opportunity will fit with my program-of-study.