Applications by Tommydorman

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									                       PROGRAM INFORMATION: 2009-2010
                                                                        The Blueprint Leadership Program is an innovative semester-long
                                                                        leadership course coupled with a spring semester service
                                                                        experience. Through a series of engaging workshops, small and
                                                                        large group interactions, and one-on-one leadership coaching,
                                                                        students will graduate from the program with a better
                                                                        understanding of the leader within and how to make a positive
                                                                        impact in the world.


               Community                     Justice                Growth                    Integrity                     Courage

     1. Integrity
"Blueprint is a program that really shows you not only how to be a strong leader, but also what it means to be a leader in a multi-cultural world. I
     2. Courage
have learned that strong leadership does not stem from a savvy orator, but from a person who recognizes and aligns their own personal values with
     3. Justice
the needs of the community in which they work." --Jessica Smith, junior, Business Major


                                           Students In The Program Will:
         Gain personal insight through an exploration of one’s leadership style, constructing a personal leadership
     philosophy, and learning how to design and implement a personal development plan.
         Expand one’s core leadership skills through active participation in experiential workshops, retreats, one-on-
     one leadership coaching, and a leadership conference. Participants will put theory into practice by collaborating in
     small groups to design and execute a social justice project.
         Develop cross-cultural competency by participating in small cohort dialogues in which participants explore
     the relationship between one’s salient social identity and one’s personal values. With this increased awareness,
     participants will have new insights on how they can create a more inclusive community.
         Reflect on one’s experiences and interactions while thinking critically about the responsibilities of leaders in
     today’s increasingly diverse and interconnected society and how one can work towards socially responsible
     leadership.


                                             Additional Program Benefits

          Exposure to campus and Bay Area distinguished                                    Opportunity to become a member of the
          leaders                                                                          Leadership Advisory Board in the Center for
                                                                                           Student Leadership
          Networking opportunities with other student
          leaders and peer advisors                                                        Internship opportunities in the Center for
                                                                                           Student Leadership and information about other
          Free admittance to Cal Leadership Symposium, a
                                                                                           leadership opportunities
          leadership conference on campus
                                                                                           Optional training on how to facilitate team
          Fall two-day leadership retreat
                                                                                           builders
          Immersion in a spring semester service
                                                                                           Campus recognition upon completion of the
          experience with peers
                                                                                           program
          Access to leadership books, models, theories, and
          tools through the Center for Student Leadership



                                                               Continued on reverse side
                        PROGRAM APPLICATION: 2009-2010
                                                               The Blueprint Leadership Program is an innovative semester-long
                                                               leadership course coupled with a spring semester service
                                                               experience. Through a series of engaging workshops, small and
                                                               large group interactions, and one-on-one leadership coaching,
                                                               students will graduate from the program with a better
                                                               understanding of the leader within and how to make a positive
                                                               impact in the world.

                Community             Justice              Growth                 Integrity                  Courage

                            Application Deadline: Friday, Aril 10th 2009 before 4:00 pm
                             Applications may be submitted to 102 Sproul or Online

Application Process: For full consideration, completed applications must be received by Friday, April 10, 2009 before
4:00 pm. Selected applicants will be notified of they have been selected to participate in the program on April 17th and
must confirm participation in the program by April 24th (email Connie at blueprint@berkeley.edu).

Class Schedule: Blueprint classes take place each Wednesday 3:00-5:00pm during the fall semester. CCN will be
distributed first week of class. Participants are required to attend (in addition to classes):
              Indaba Leadership Weekend Retreat (beginning of fall semester): date and location TBD
              Cal Leadership Symposium (beginning of spring semester): date and time TBD
              Servant Leadership Experience (anytime during the spring semester; type/length of service will vary)

Please Type:

Name:                                                                                            Student ID #:            __
                 Last                       First                    MI

Preferred Name (if different than above):                                                        Date of Birth:     / /


Local Address:
                         Street                     City                                State             Zip
Phone: (     )                                      Email:


Major(s):                                                    Are you a transfer student: Yes/No
Year at Berkeley in Fall 2009 (circle one): 1st 2nd 3rd 4th …other

Reference (a friend, family, coworker, teacher, supervisor, resident assistant, etc.)

Please list the name and contact information of one reference that can speak to your leadership ability and
experiences.

Reference Name:                                                                                       Phone: (       )      ______

Title:                                              Company/School (if applicable):
          Please respond to the following questions on a separate piece of paper:
     1. Attach a resume or a list of your most significant leadership and service experiences (formal and informal), including
        position, organization, duration of involvement, and duties. Examples may include athletic teams, residential
        communities, student organizations, religious groups, employment, community and/or political involvement, etc.
     2. What unique attributes would you bring to the Blueprint program? What do you hope to gain by participating in
        the program? (500 word maximum)
     3. How did you learn about the Blueprint Leadership Program?
     4. What types of leadership activities or other commitments do you have planned for next year? How might these
        activities conflict with or enhance your commitment to Blueprint? (150 words maximum)


                                                Demographic Information (OPTIONAL)
One of the most valuable aspects of the Blueprint Leadership Program is the opportunity to learn from others, whose experiences and
backgrounds may be very different from your own. Therefore, during the selection process, we try to integrate as much diversity
possible into each class in order to enhance this element of the program. To assist in reaching that goal, we invite you to share
information about yourself, such as your race, ethnicity, disabilities, sexual orientation, political affiliations, religion, socioeconomic
background, military experience, etc. This is an addendum to the above questions.

Please know that any information you provide will be kept strictly confidential and that those who choose not to complete this section will not be
penalized in any way.


Please read the following statement and then sign and date below.
I have carefully read the materials provided to me regarding the commitment required and agree to fulfill all of my obligations to the
program should I be selected. I certify that the information I have provided is accurate.

Signature: _____________________________________________ Date: _________________________



                 THE APPLICATION DEADLINE IS Friday, April 10, 2009 before 4:00 pm!
                                               Please send all materials to:
                                   Blueprint Leadership Program Selection Committee
                                              Center for Student Leadership
                                                     102 Sproul Hall
                                                       UC Berkeley
                                               Berkeley, CA 94720-2430
                                          or email to blueprint@berkeley.edu
               *For more information, please contact Jamie Thompson at jamiethompson@berkeley.edu

								
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