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Application for LEAD Civic Engagement Summer Camp of CHS
Hello! Thanks for your interest in the LEAD Civic Engagement Summer Camp of CHS. Through team building, community service projects, field trips, and meetings with local elected officials, students will be cultivated and empowered to be champions for the issues they are most passionate about. By equipping the campers with ideas, tools and a vision, the LEAD summer camp will help reconnect a group of young people to the broader world around them.  

We have an amazing group of Leaders and an exciting itinerary. Please complete the following application. There will not be enough slots for every student that applies so take your time and answer the questions as best you can. This is going to be a great camp and I hope to meet you soon.

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Trevor Smith, Camp Director
tsmith@chscorp.org
412-246-1615
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Student's Name
Student's Date of Birth
City, State, Zip
Student Address
Parent/Guardian's Name
Parent/Guardian's Primary Phone
Does your child receive free or reduced lunch at school?
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Does your child have any health or dietary restrictions?
Does your child require any special accomodations?
To be completed by the student:
What are three things you care about in your community?
To be completed by student:
What are some things you find really interesting?
To be completed by student:
What are three things you're really good at?
To be completed by student:
What are some things you would like to get out of summer camp?
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