Skip to main site navigation
Skip to main content
Switch to text-only view
Switch to default view

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
  • /
  • /
  • Ethnicity
  • Gender
  • Graduation Year
  • /
  • Are you currently employed?