LEPSL Application Evaluation

Student ID#*

Application Term*

Enrollment Advisor*

Applicant Preferred First Name*

Applicant's Formal First Name

Leave blank if same as Preferred

Applicant Last Name*

Applicant Email*

Must match the primary email address currently in Radius!

Professional Qualifications

Months of Related Work Experience

Employer/Agency Name – See Instructions / Do Not Abbreviate!

Do not abbreviate! For example, spell out Police Department rather than PD or Police Dept. Do not use all caps. Do not list City of XXX (we are looking for the name of the department or agency, not the location )

Job Title/Rank

Educational Qualifications

Degree Granting Institution*

Degree Earned

Applicant's GPA*

Please enter a number from 2.0 to 5.0.

Gray Area Review

Optional note regarding applicant's GAR

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Scholarship Essay Upload

Accepted file types: pdf, docx, jpg, png, Max. file size: 500 MB.

If the applicant is applying for scholarship consideration, please upload essay now.

Additional Applicant Information

All the information provided in the fields below will be used to update the applicant’s record in Hubspot, but will not factor into the admission decision.

Country*

Street Address*

City*

Province

State*

State/Province

Zip/Postal Code*

This field is hidden when viewing the form

Ethnicity

This field is hidden when viewing the form

List all other schools to which the applicant is applying

[MSLEPSL] LEPSL Application Evaluation

Professional Qualifications

Educational Qualifications

Gray Area Review

Additional Applicant Information