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Leadership Experience Petition Form

Please submit this form if you would like to request that an experience count toward your Leadership Certificate. This certificate focuses on experiences related to a student’s education at the University of Kansas. Experiences need to happen under guidance or KU faculty/staff member or be affiliated with KU. Please be prepared to provide the following information in the petition form below:

  • Describe what your project(s), activities, and/or responsibilities will be during this experience. How does this project/activity work toward creating positive change(s) for the broader community?
  • How does the experience being petitioned provide you practice doing at least one of the following: recognizing the value of others perspectives/interpretations, seeking input from others, and or/working cooperatively with others? 

If you have completed leadership coursework, please be prepared to respond to the following question:How will this experience provide you with an opportunity to apply what you are learning in your leadership classes? Be specific and provide at least one example of how something you have learned in class can be applied to the experience being petitioned.

If yes is selected, students need to provide the following information:
I have completed at least one leadership related class. If students have completed a leadership class, the following questions should be displayed with text boxes for each response:

Global Women's Leadership Engagement

Dates:
Planned for January 2021

Qualifies as Leadership Engagement Certificate Experience Hours and Leadership Studies Minor Elective Credit.