2019 Arkansas State University-Mountain Home
1600 South College St.
Mountain Home, AR 72653

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Step Up, Reach Back Intern Application



An important part of the Leadership Intern program is service to others. Reaching back after you have been through the program and helping a new member of the program is encouraged. Consider the list of ideas below and mark at least two things you would be willing to do.

Statement of Commitment
By signing this form, I agree to the following:
  1. I will enroll in at least 6 credit hours per semester.
  2. I will maintain at least a 2.0 cumulative GPA.
  3. I will attend orientation, retreat, by-monthly meetings with my mentor(s), and any other required activities on the attached required activities list.
  4. I will participate in planning and executing a leadership event.
  5. I will provide feedback to the mentors.
I confirm that all information on my application is accurate and I give the Women’s Business Leadership Center permission to verify any information included in this application. My signature below represents an awareness of my commitment and responsibilities to my mentor(s) and the Leadership Intern program.
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