Leadership Academy Application Form

To be eligible to participate in the Leadership Academy, you must be a graduating minority or 21st Century Scholar student from a high school in South Bend or Mishawaka who has been accepted into IU South Bend.

In addition to submitting the online form, you will also need to send in a copy of your admissions certificate to provide confirmation of your acceptance into IU South Bend. You can mail this in or bring it in-person to the Making the Academic Connection Office.

  • Birth Date
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  • Ethnicity
  • Gender
  • Graduation Year
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  • Are you currently employed?
  • In the six week Academy you will learn about the history of the Black and Chicano Civil Rights Movement, with a special focus on the local South Bend movement.  As you think about past Civil Rights struggles, what do you believe are the current civil/human rights challenges that young people face in our community today? (minimum 200-400 words) *