BHLP Tier 4 Registration Form 2021-2022
Tier 4, The Established Leader, is open to any student who has earned a certificate for completion of Tier 3. This final tier serves as a capstone experience, providing students an opportunity to prepare for transition into life after UD, and also to provide opportunities to share their leadership experience and knowledge with BHLP participants in other tiers.

Students in Tier 4 will create a leadership portfolio, documenting their work, skills and outcomes gained during their four years in BHLP, and at the University.

Finally, Tier 4 participants will engage in a variety of workshops and seminars aimed at their transition out of the university and into the next phase of life.

Registration Fee: $25 and can be paid by credit card after July 1, 2021.  https://commerce.cashnet.com/UDELBHLP

Fee waivers and/or payment plans are available to students demonstrating need.  Please email Matthew Creasy (mcreasy@udel.edu) for more information.

Please download and print the attached Photo Release Form and bring it to the office or scan it and e-mail the form to bluehenleadership@udel.edu

Adult Photo Release:
https://www.udel.edu/content/dam/udelImages/ocm/photo-release-forms/adult-photo-release.pdf


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Student ID Number *
Last name *
First name *
Preferred Name
UD email *
Cell phone number (please list as XXX-XXX-XXX including area code and dashes) *
Major *
Which College Is Your Major In?
Gender *
Class Standing *
Race or Ethnicity
List of Food Allergies
Affiliation:  List all that apply *
Required
Indicate Your T-Shirt Size
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Tier 4 is now being offered as a semester long program or a year long program.  There is no difference in cost.  Please register for the appropriate selection below: *
Indicate if you are registering for Tier 4 with Distinction (It is recommended that you register for year-long program if you are registering for distinction) *
If you are registering for Tier 4 with Distinction, please describe your desired project below. This must include the names of any other group members you intend to work with on this project. You will be required to meet with Matthew Creasy prior to September 3rd to finalize this.
I understand that my participation in Tier 4 is contingent upon a recommendation based on my work in Tier 3. This recommendation come from Susan. If you have any questions, please request a meeting with Matthew Creasy. *
What is your mailing address? (Ex. 986 Village Circle, Newark DE 19713) *
Do you live/are you coming to a residence close (within 15 minutes) to campus for the fall 2021 semester? *
Are you available for a 1 day Tier 4 retreat on Saturday, September 25th? *
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