2018 PROGRAM DATES Wednesday, April 4, 2018 - Friday, April 6, 2018
2018 DROP-OFF/PICK-UP LOCATION Mission College, 3000 Mission College Boulevard, Santa Clara at 7:30 AM
2018 PROGRAM LOCATION 1440 Multiversity, 800 Bethany Dr, Scotts Valley
2018 APPLICATION DEADLINE Friday, February 9, 2018
2018 RECOMMENDATION DEADLINE Friday, February 16, 2018
MESSAGE HOTLINE (408) 695-3994
SUPPORTING ROTARY CLUBS: Campbell, Los Altos, Mountain View, Santa Clara, Saratoga, Sunnyvale, and Sunnyvale Sunrise
2. Ensure that a Teacher or School Representative provides a recommendation for you and submits the recommendation online by the due date. With the submittal of your application, a message will be automatically sent to them asking them to access, complete, and then submit the online Teacher/School Representative Recommendation Form via the link available on the ELC Program website noted above. Only one Recommendation is required; additional ones will not be used.
[Please NOTE that you will need the name of this person and their email address in order to complete this application. Therefore, you should confirm this information with the Teacher or School Representative before you begin filling in the application.]
3. Attend one of the two Orientation Sessions with your parent or guardian.
4. At one of the required Orientation Sessions, pickup, review, sign, and submit the Rotary Participation Agreement and Release Form with the required signatures.
All FOUR of these steps are required for an Applicant to be considered for participation.
There is NO requirement for a certain GPA or for set of completed courses.
ATTEND A PRE-CONFERENCE ORIENTATION SESSION:Accepted ELC students and their Parent or Guardian MUST ATTEND one of the two Conference Orientation Sessions held after work in the early evening. This is your opportunity to learn more about the conference and to meet the Rotary Team Advisors or RTAs, other accepted students, and Conference Committee leaders, as well as have questions answered. At the session, you will also receive, review, sign, and hand in two forms: (1) the Rotary District 5170 Youth Services Event Permission Slip & Waiver Form and (2) your ELC Student Participation Agreement. Your attendance and these two signed forms, along with the submittal of a Recommendation for you, WILL COMPLETE YOUR APPLICATION PROCESS.
COMPLETE TWO ONLINE SURVEYS:Each applicant will be expected to complete two online surveys, one prior to and one following the event, which should take the less than 10 minutes each. The first survey will be used to gather anonymous information from the students that will be shared with the students as part of the curricula and the second survey, to collect anonymous information to assess the results of the program, as well as feedback to adjust the curricula.
PARTICIPATE IN A POST CONFERENCE PRESENTATION :The applicants should be willing to share their experience in a short presentation at a meeting of one of the sponsoring Rotary Clubs, if asked.
ATTENDANCE:Selected conference students are expected to arrive at the drop-off location on time and attend all scheduled sessions of the Conference with their team. Being on time and prepared to participate with peers is a sign of respect for your team, the Conference and the RTAs. At the end of the Conference, students must be picked up at the pick-up location by time noted.
CLOSED CONFERENCE CAMPUS:Once signed into the Conference, a student may not leave the Conference early. In the case of an emergency or special situation, a signed approval is required from one of the Conference Co-Chairs and the student must be picked up by a parent/guardian with appropriate identification.
ROTARY TRANSPORTATION:All Conference students, once signed into the Conference, must use Rotary-arranged transportation to and from the venue. Transportation is provided by contracted bus. Under no circumstance are personal vehicles of students or friends for driving allowed at the Conference.
NOTIFICATION OF SPECIAL NEEDS/MEALS:Information regarding physical limitations requiring special accommodations or special medical dietary must be included in the application and in the Rotary District 5170 Youth Services Event Permission Slip & Waiver Form to enable Rotary personnel to inquire into the necessary accommodations prior to arriving at the venue. Vegetarian options are available for all meals.
MEDICATIONS, ALCOHOL, WEAPON POLICY:Any medication, whether prescribed or “over-the-counter/retail”, must be fully identified on its original container. This information must be included in the application and in the Rotary District 5170 Youth Services Event Permission Slip & Waiver Form. In addition, the student must inform the RTA of the need to take medicine. Students may not have in their possession or in their rooms any unapproved medicine or alcohol/wine/beer or other controlled items, or weapon. A student confronted by another student with any of these items or any other dangerous practice is required to seek out adult help (usually their RTA) in distancing him/herself from the situation.
PARTICIPATION AND CONDUCT - The end of each Conference day may vary, but “lights out” and sleep time are strictly supervised and enforced. Any Conference participant disturbing the group or other venue guests (the public) is subject to disciplinary action, which could include having the parent or guardian pick them up immediately. Conference participants are to conduct themselves at the Conference so as to bring credit to themselves, their school, their parents and the Rotarians. Violation of these rules may result in termination of participation in Conference activities at any time, day or night.
WHAT CONFERENCE PARTICIPANTS SHOULD BRING: - An open, inquisitive, and creative mind with a winning attitude. - Personal toiletries, necessary medications, hair dryers and other grooming products.- Casual, comfortable, and appropriate clothing for both the working and team-building sessions at the Conference. (Please keep in mind that there can be cool winds and fog, therefore warm outerwear may be necessary.)- Pens and pencils. (Other materials such as flip charts, markers, and tape are provided.)
PARENT/GUARDIAN (PG) INFORMATIONParent/Guardian Name Secondary Contact NameParent/Guardian Relationship Secondary Contact RelationshipParent/Guardian Phone 1 Secondary Contact Phone 1Parent/Guardian Phone 2 Secondary Contact Phone 2
MEDICAL CARE INFORMATIONAllergies, if any, to Food or Environment Dietary requirements, if anyMedical Care Provider Policy NumberSubscriber Insurance Company Phone- List of medications, if any, the applicant needs to bring and take, while attending the Conference; information required includes Medication Name, Date Started, Reason for Taking, When Given, Amount/Dosage, and How Given. - List of Non-prescription Medications not to be given to applicant. Some non-prescription medications will be available, if needed; however, if any on the list should not be given to the student, these can be noted.
RESPONSES TO THE FOLLOWING THREE QUESTIONS:- Why are you interested in applying to this business conference?- How do you think attending this conference will influence your future goals?- In ten years, at your high school reunion, what would you like to be able to tell your classmates? (Please note that the response to each of the three questions will be limited to 1000 characters, which is about 10 lines, so you will need to be brief.)
In addition, each Applicant will need to provide the name and email address of a Teacher or School Representative, who will be automatically contacted by the ELC Program to complete an online Recommendation for the Applicant.
[Please NOTE that you will need the name of this person and their email address in order to complete this application. Therefore, you should confirm this information with the Teacher or School Representative before you begin filling out the application.] [October 15, 2017]
With my signature, I hereby:
1. Confirm that I have received, read and understood the contents of the Rotary Expectations of Accepted Students and application information.2. Confirm that the information provided in this application is accurate at the time of my signature.3. Confirm that I understand the nature of the ELC experience and the requirements for the students’ participation.4. Confirm that the student is available to participate on all of the stated dates for the Enterprise Leadership Conference.5. Confirm that the student is now a high school junior in credits and expects to be a high school senior in the fall following the event.6. Grant to The Rotary Clubs permission to copyright, use, reuse, publish and republish any photograph/video taken of the student by The Rotary Clubs or those commissioned by The Rotary Clubs. This right applies to any reproductions in any form, used alone, in a composite or with any printed matter or advertising copy, for any purposes of trade, advertising, publicity, promotion or education, without restrictions or limitations. We release The Rotary Clubs and its agents from liability resulting from any distortion, blurring, alteration, optical illusion or placement in a composite, intentional or otherwise, which may occur in the taking, processing, reproduction, publication or distribution of such image(s). I waive the right to approve the image(s) or use. I have read this agreement and release all liability and understand the terms.7. Grant to The Rotary Clubs permission to share the student’s e-mail address with other event participants for the purposes of preparation and team building. I understand that this information will not be sold or used in relation to any commercial activity.8. Acknowledge the requirement to attend one Orientation Session and agree to do so.
STUDENT CONSENT AND WAIVERWith my signature, I hereby:1. Acknowledge and agree to the points outlined above.2. Confirm that I will abide by the rules and expectations of the Conference, including conducting myself in a manner that will bring positive credit to my school, my parents, the sponsoring Rotary Clubs, and myself.3. Agree to participate in two anonymous, relatively short online surveys, one before the Conference and one after.4. Agree that once I am signed into the Conference, I will not leave without the permission of an ELC Co-Chair and the permission of my parents/guardians.
Thanks for applying for the conference.