WISE Participant Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Women Inspiring Scholarship through Empowerment (WISE) is an initiative that is dedicated to the education and support of the professional career interests of students who self-identify as women students at Lansing Community College. WISE seeks to inspire, support, and empower women by offering educational opportunities for the development of knowledge and leadership skills, the building of professional and personal connections, promoting the presence of professional women, and fostering mentoring relationships.

Name (First, Last)* *

Mailing Address*

Phone Number*

What is your LCC email?*

What is your LCC ID number (X00...):

What is your race or ethnicity? *

Hispanic/Latinx

White (Non-Hispanic)

Black or African-American

Asian or Asian Indian

American Indian or Alaska Native

Middle Eastern or North African

Native Hawaiian or Other Pacific Islander

Prefer not to say

Other:

Required

What is your gender? *

Male

Female

Transgender

Non-Binary

Prefer not to say

Other:

What term and year did you start at LCC?* *

What is your major or area of study?*

WISE is a two semester commitment. Are you planning to attend LCC spring 2022 and fall 2022? *

Yes

Required

Who is your Academic Success Coach? *

What is your educational goal? *

Associate degree

Certificate

Transfer

High School Completion

English for Speakers of Other Languages (ESOL)

Other:

Required

Did your parents attend and graduate from a college or university? *

Yes

Not sure

Other:

Please tell us a little bit about yourself (interests, hobbies, etc.):

Through my involvement in this program, I would like to (please indicate all that apply):

Develop advanced interpersonal and communication skills

Increase knowledge and awareness about campus and community resources and activities

Obtain insight into navigating the academic and professional spheres

Gain a personal contact for support and encouragement

Develop and enhance strong leadership Skills

Promote the presence of professional women

Other:

What topics would you like to address during our meetings? Please check all that apply and/or add any of your own interests.

Living authentically

Learning constantly

Advocating fiercely

Fostering collaboration

Building relationships

Giving back

Celebrating

Other:

Letter of Recommendation Requirement

A Letter of Recommendation from LCC faculty, staff, or a Leader in your community is required as part of your application. Letters can be emailed to cclc@lcc.edu, please indicate for whom the letter is intended in the email.

LCC Anti-Discrimination Policy

Lansing Community College is committed to providing equal employment opportunities and equal education for all persons regardless of race, color, sex, age, religion, national origin, creed, ancestry, height, weight, sexual orientation, gender identity, gender expression, disability, familial status, marital status, military status, veteran's status, or other status as protected by law, or genetic information that is unrelated to the person's ability to perform the duties of a particular job or position or that is unrelated to the person's ability to participate in educational programs, courses services or activities offered by the college.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of LCC Student Email. Report Abuse

Forms