Student Development

 

Emerging Leaders Application

 
Name:
Student ID Number:
Term: Winter  Spring  Summer  Fall
Address:
City:
Zip:
Phone:
Cell:
E-Mail:
Major:
Date you expect to graduate:
Are you involved on campus or in the community? Yes  No
If yes, what organization and what roles?  

   

  


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College of the Canyons

Valencia campus:

(661) 259-7800

• 26455 Rockwell Canyon Road, Santa Clarita, CA 91355

Canyon Country campus:

(661) 362-3800

• 17200 Sierra Highway, Santa Clarita, CA 91351