MAKE CONNECTIONS. LEARN TO LEAD.

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MAKE CONNECTIONS. LEARN TO LEAD. The University of California Summer Institute for Emerging Managers and Leaders (SIEML) is an allexpenses paid, career-building fellowship that provides intensive week-long training to students from Historically Black Colleges and Universities (HBCU) and Hispanic Serving Institutions (HSI). As a participant in the program, you will learn from world-class educators from six University of California graduate schools of business. You will have the chance to meet industry leaders in one of the country's most thriving hubs for enterprise and innovation. You will participate in dynamic, handson workshops that will immerse you in principles of business and entrepreneurship, and help you build analytical, technical and management expertise. You will gain exposure to opportunities for career development and pursuit of a graduate degree in business. And you ll make valuable connections with SIEML Fellows, alumni and staff. For more information contact: sieml@ucop.edu 1

PROGRAM DATES: Saturday May 20, 2018 through Wednesday, May 30, 2018 CRITERIA FOR ADMISSION Current juniors graduating between May 2019 and December 2019 3.0 GPA or above Undergraduate students enrolled at a historically black colleges or universities (HBCUs) or designated Hispanic-serving institutions (HSIs). Please contact us at sieml@ucop.edu if you have questions about whether your school qualifies. Demonstrated leadership skills Interest in a leadership/management positions in the fields of business, engineering, healthcare, government or the non-profit sector Must be able to participate for the entire program APPLY NOW! Applications must be received on or before March 9, 2018 For additional information check our website at: http://sieml.universityofcalifornia.edu/ 1

Complete Application Checklist: Completed application Most recent transcript (official or unofficial) Current resume Essay (500 words or less). How have you developed your leadership skills and how do you expect to utilize these skills in the future? Explain how using these skills relates to your career aspirations or serving your community, and describe how it ties to your interest in business, healthcare, government or non-profit. One-page letter of recommendation from a university official (professor, advisor, dean) Please note that you may be contacted by phone for a follow-up interview. PLEASE SCAN AND EMAIL YOUR COMPLETED APPLICATION TO: sieml@ucop.edu You will receive notification no later than April 13, 2018

APPLICATION: (Please Type or Print in Blue or Black Ink) Full name: First Name MI Last Name Permanent Address: Street Apartment City State Zip Code E-mail Address: Primary Phone Number: Cell Phone number (if different from primary): Date of Birth: Gender: F M Marital Status: Married Single Ethnic classification (please check all that apply): African American (not of Hispanic origin) American Indian/Alaska Native Asian Caucasian Chicano/Mexican-American Chinese/Chinese American East Indian/Pakistani Filipino/Pilipino Japanese/Japanese-American Korean/Korean-American Latino/Latin-American Native Hawaiian/Pacific Islanders Polynesian Puerto Rican Thai Other Asian Other Hispanic Other I do not wish to self-disclose 1

Are you currently a junior with a graduation date between May 2019 and December 2019? Yes No University/College currently attending: Major: Minor: College Cumulative GPA: Expected graduation date: Leadership Position(s) currently held on or off-campus organizations: Activities/Organizations Positions Held Career Goal: Name of Recommender: Title: Telephone: Email: Essay Question: Please type your answer to the following question on a separate sheet of paper and include with your application: How have you developed your leadership skills and how do you expect to utilize these skills in the future? Explain how using these skills relates to your career aspirations or serving your community, and describe how it ties to your interest in business, healthcare, government or non-profit. (500 words or less) 2

How did you initially hear about the UC Summer Institute for Emerging Managers and Leaders (SIEML)? (Check all that apply) Internet University of California business school website School Advisor Other: If other, please specify here An email sent from UC Application must be received on or before March 9, 2018 Please complete all pages of the application form. Your application will not be considered complete without all of the components listed below. Please save a copy of your completed application as a backup. Complete Application Checklist: Completed Application form Essay (see details on the application form) One-page letter of recommendation from professor, advisor or dean Most recent transcript: official or unofficial Current resume PLEASE SCAN AND EMAIL YOUR COMPLETED APPLICATION TO: sieml@ucop.edu Decisions on applications will be made by April 13, 2018 for all applicants. 3