Enrollment Form

Student ID:

Permanent Email*:

* Please do not list DePaul Student Account

Address:

Current School Email Address:

City:

Phone:

Cell:

Major:

Minor:

Expected Graduation Year:

2007 2008 2009 2010 2011 2012

Expected Graduation Month:

March June August November

Employer Name:

Job Title:

Work Address:

Work City:

Gender:

Choose Gender Male Female

Birth Date:

Race:*

*This field is not required.

Ethnicity:*

*This field is not required.

Please be advised that you MUST fill out the Declaration of Minor form for your college if you are NOT a Marketing Major. Failure to complete that form will mean you do not receive credit for taking the Sales classes.

Please be advised that by enrolling in the Sales Leadership Program, you are agreeing that you have read and understood the Code of Conduct. Failure to adhere to the Code of Conduct will be grounds for dismissal from the program. You are also authorizing the Sales Leadership Program to retain your information in a web-based database on salesforce.com for university purposes only.

I have read, understood and accepted the Code of Conduct that applies to Sales Leadership Program students.  Yes No

Questions? Call Sarah Laggos at 312-362-6533. Click here for a pdf version of this form.