Leaders in Service: A Leadership and Civic Engagement Program 2025 Application

First Name: *

Last Name: *

Middle Initial:

Used Name

Street Address: *

City/Town: *

State: *

ZIP Code: *

Country, if other than United States:

Cell Phone Number: *

Email (Ramapo Email Only): *

R Number (R00...): *

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Emergency Contact Relationship to Student

Please indicate your gender identity:

(You may select one box or multiple boxes)

Please write your Pronouns below:

Please indicate your race/ethnicity: *

(You may select one box or multiple boxes)

What is your anticipated major? *

Are you in the College Honors Program? *

Yes

No

Have you received an academic scholarship from Ramapo? *

Yes

No

Are you a First Generation Student?

Yes

No

Are you planning on participating in the First Generation Retreat on Saturday, August 26th?

Yes

No

I Don't Know Yet

Are you an EOF (Educational Opportunity Fund Program) Scholar? *

Yes

No

Are you an International Student? *

Yes

No

Are you a Ramapo College athlete? *

Yes

No

Are you a Commuter? *

Yes

No

What is your building assignment?

What is your room assignment?

Are you a Transfer student? *

Yes

No

Please list any allergies, dietary restrictions or any other accommodations you may have that we need to be aware of. If you have none please put N/A. *

What is your T-Shirt Size? *

List leadership positions you’ve held (in high school or the wider community): *

List any community or other service experiences: *

How did you hear about this program?

Leadership Question

Please answer one of the following questions:

1. If you could make one change to improve K-12 education in your district or region, what would it be and why? (150-300 words)

2. If you could improve something in our country or the world overnight what would it be and why? (150-300 words)

Please enter your response below:

Public Official Letter (350-500 words)

Please draft a letter to one of your current public officials (municipal, county, state or federal) who represents you. For example, a member of your town council, a county commissioner, your state senator, your member of Congress, etc. If you are an international student, please address your letter to a public official - municipal, regional, provincial, or national - in your country.

Identify the name and position of the official. Be certain that this person represents your town, district, county or state.
Please do not address any letters to Governor Murphy, Governor Hochul, Governor Malloy, or any governor, or to Vice President Vance or President Trump.
Select an issue of concern or interest to you. If possible, connect your letter to current legislation under consideration. If it is a piece of legislation that you are in favor of or opposed to, identify the legislation and state why you are in favor or opposed.
The letter should clearly state who you are, your hometown, that you are a first-year Ramapo College student.
It should clearly identify the issue and why it matters to you (and others).
It should offer possible solutions or creative approaches to the issue or problem.
Please make sure to thank your elected official for their time and public service and be sure to provide your contact information.
We will work with you on this draft to send a final version to the public official you selected in August/September once the program begins.

Please enter your response below: *

Thank you for taking the time to complete the Leaders in Service application. By submitting this application, you are certifying that you are able to fully participate in Leaders in Service from Tuesday, August 19 at 5 pm through Sunday, August 24 at noon.

We look forward to reviewing your application!

You gain strength, courage and confidence by every experience in which you really stop to look fear in the face. You must do the thing you think you cannot do. — Eleanor Roosevelt

Don't ask yourself what the world needs. Ask yourself what makes you come alive and then go do that. Because what the world needs is people who have come alive. — Howard Thurman

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Leaders in Service: A Leadership and Civic Engagement Program 2025 Application

Related Resources

Leadership Question

Public Official Letter (350-500 words)