JCC Teen Leadership Council (TLC) Application Form 2017-2018
--Open to Teens in Grade 9-12---

Please make a copy for your records and answer all required questions. You can also turn in a hard copy of the TLC application to the Teen Director at the Lawrence Family Jewish Community Center, JACOBS FAMILY CAMPUS 4126 Executive Drive, La Jolla, CA 92037-1348.
A hard copy of the full TLC application can be found here www.lfjcc.org/tlcapp

Hurry! You must complete and submit the following NO LATER THAN SEPTEMBER 6, 2017. Once the council fills up, applications will no longer be accepted.

1. JCC Teen Leadership Council Application Form (this online application or a hard copy)
2. The Participant Agreement, Parent Permission and JCC Teen Program Registration Form (Hard copy only)
Those forms can be found here www.lfjcc.org/tlcagreement
JCC Member Price: $325
Non-Member Price: $325 + $180 (Includes 1 year JCC Teen Membership)
Price includes TLC events, Meetings, Speakers, T-Shirt, Retreat, Food, Etc...

If you have any questions, please feel free to reach out to Ethan Roseman - Teen Director at 858-362-1331 or ethanr@lfjcc.org

JCC Teen Leadership Council Mission Statement
The JCC Teen Leadership Council seeks to develop the leadership and social engagement potential of teens to better serve their community by providing opportunities to:
1. Develop leadership and interpersonal skills.
2. Serve the community through volunteer service.
3. Socially interact with others in engaging and enjoyable activities.
Teen Information
Name *
First and Last Name
Your answer
Home Address *
Your answer
City State/Zip *
Your answer
E-mail *
Your answer
Cell Phone *
Your answer
Home Phone *
Your answer
Birth Date *
Age *
Your answer
Sex *
High School *
Your answer
Grade in Fall 2017 *
Your answer
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