Lakeshore Youth Leadership Connections Application
Name *
Your answer
Address *
Your answer
City/Zip *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
School *
What school do you attend?
Grade Level *
List up to four organizations or groups which you are/have been a member. *
This can include school related activities (student council, athletics, etc...) as well as those outside of school (religious, service groups, etc...).
Your answer
What are the characteristics of a leader? How have you demonstrated these qualities in your own leadership experience? *
Your answer
Reflect on a time when you challenged a belief or idea. What prompted you to act? Would you make the same decision again? *
Your answer
Describe a place or environment where you are perfectly content. What do you do or experience there, and why is it meaningful to you? *
Your answer
Attendance: The program runs throughout the school year culminating in March. There are monthly meetings that will cause you to miss school. There is also an additional commitment outside of the school day for service or other related activities. Can you commit to participating in all dates of the program? *
Letters of Reference: Each applicant must also have two recommendations for the program. The forms are available electronically. Who will be filling out forms on your behalf? *
References should be an adult that knows you well. This can be a teacher, counselor, principal, coach or other school personnel. It can also be someone that you have experience with outside of school. (This person should not be a direct relative.)
Your answer
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