Reference Form

Students must submit two reference forms to support their application to the Leadership Academy. References can be professors, advisors, employers or any other individual (excluding family members) who has first-hand knowledge of a student’s work ethic and character. Another UNC Charlotte student may serve as a reference for an applicant only if that student has supervised him or her (example: officer of a student organization, ENGR/ETGR 1201 TA). No applicant should use more than one UNC Charlotte student as a reference.


Reference forms can be hand delivered in a sealed envelope or sent to the Leadership Academy director via US mail or submitted in person to The Office of Student Development and Success (Smith 228).


Mr. Don Blackmon, Professor of Practice and Leadership Academy Director
Lee College of Engineering—UNC Charlotte
Smith 273
9201 University City Blvd. Charlotte, NC 28223