UNT Professional Leadership Program Membership Application

First Name *

Last Name *

Preferred Name (if applicable)

Preferred Email (That you check regularly): *

EUID *

Student ID Number *

Date of Birth

Year

Month

Day

Gender

Male

Female

Local Mailing Address

Street Address

City

State

Zip

Permanent Mailing Address

Street Address

City

State

Zip

Country

Phone

Country of Citizenship

T-shirt Size *

Please list below any food allergies you may have:

Major *

Minor

Desired career field upon graduating *

Cumulative GPA

What will be your classification Fall 2018 *

Anticipated Graduation Date *

Year

Month

Day

Please provide us with feedback regarding your awareness of PLP. How did you hear about PLP? Check all that apply. *

Signage (banners, flyers, handouts, etc.)

Social Media (Facebook, Twitter, etc)

Class or Organization Presentation

Informational Table

Personal Referral (PLP Member, Alumni, UNT Faculty/Staff, Business Professional) and Who?

Please provide us with feedback regarding your awareness of PLP. How did you hear about PLP? Check all that apply. Personal Referral (PLP Member, Alumni, UNT Faculty/Staff, Business Professional) and Who?

Resume (PDF or MS Word) *

Files must be less than 2 MB.
Allowed file types: pdf doc docx.

Unofficial UNT transcript (PDF) *

Files must be less than 2 MB.
Allowed file types: pdf.

Referral

List Two UNT staff/ faculty or professional references and their emails - A confidential survey will be sent to those deemed necessary by the PLP staff. Physical copy recommendation letters will not be accepted.

Do you have your own transportation *

Yes

acknowledge *

Read and acknowledge, you are giving us the right to verify you are in good standing with the university through Student Account and Dean of Students office.

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College of Business

College of Business

UNT Professional Leadership Program Membership Application

College of Business

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UNT Professional Leadership Program Membership Application