Public Service Application

Application for Public Service Certificate Program

PLEASE RETURN YOUR COMPLETED APPLICATION TO: WILSON CENTER, BOX 854, H-SC

Name___________________ Major__________ Faculty Advisor___________________  

 

GPA_______ Career Aspirations (Brief) _______________________________________

 

________________________________________________________________________

 

 

List leadership positions, as well as membership in service-oriented clubs, in secondary school.

 

 

 

 

 

 

List leadership positions, as well as membership in service-oriented clubs, at Hampden-Sydney.

 

 

 

 

 

List public service and/or political activities in your local community or state (or here in Prince Edward County).

 

 

 

 

Attach a brief (approximately 200 words) explaining your reasons for seeking admission to and certificate program.