info@leadershiporange.org 855-312-LEAD

Junior Leadership Orange

Junior Program Application 2019-2020

PROGRAM APPLICATION MUST BE COMPLETED BY STUDENT (NOT PARENT AND/OR GUARDIAN)
Please type or print clearly and answer each section completely.

Applicant Information
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1. Please tell us a little about yourself:

2. Please tell us why you want to join the Junior Leadership Orange Program:

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Supporting Documentation
1. Have a Teacher, Guidance Counselor or Principal certify this application by completing and signing below:

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I confirm that based on my observations, *Required
will not have trouble making up work missed while attending this program for seven separate days over the course of the school year and that this student will be entering 8th grade in September of 2019.

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2. Have your parent /guardian read this portion and sign below:

I am aware that my child,
is applying for the Junior Leadership Orange Program. If selected, I understand that we both must be in attendance at a Family Informational Session that will be scheduled over the summer months. (Please note that you will be given 2 dates and times to choose from.) I understand that this program is NOT just for traditional leaders. The basis for this initiative is to serve well behaved youth who have demonstrated leadership qualities in either a traditional or less traditional sense, and may not otherwise have an opportunity to participate in this type of program. In order to participate, my child will miss seven school days over the course of the school year and any work missed while taking part in this program must be made up. This is a participatory, interactive program for students who enjoy that type of setting. Youth are expected to be ACTIVE participants, taking part in conversations, interactive games etc.

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3. Please have an adult who is not related to you, complete the required “Recommendation Form”.
This person should be able to give examples of how you have demonstrated leadership qualities. Remember; leadership can be expressed in many different ways – whether it has been in school or out of school.

Important Checklist

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Return complete Application Packet and Recommendation Form to:

LEADERSHIP ORANGE
PO Box 26, Rock Tavern, Rock Tavern, NY 12575

Junior Leadership Orange Recommendation Form

To be completed by a non-relative adult who can speak to applicant’s strengths (in-school and/or out-of-school) and reasons for recommending youth for this leadership program.

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Junior Leadership Orange is a program for eight grade students that strives to identify emerging young leaders, providing them with knowledge and skills that foster vision that they will ultimately utilize to strengthen their local communities. This is a h ighly selective process with limited slots from each Orange County school district. Selected youth will be active participants, taking part in conversations, interactive games, etc. It is the goal of this program to be made up of a group of diverse youth leaders from both non- traditional and traditional settings.

EXAMPLES:

Non-traditional leadership: applicant might volunteer as an individual rather than with a formal group for charity events (i.e. breast cancer walk), in a band (outside of school), helps a local animals shelter, etc.
Traditional leadership: applicant might participate in school groups, sports, scouts, faith based groups, etc.

What unique skills and abilities does this candidate possess that makes them a good example of a Non-traditional or Traditional Leader (as described above). - Feel free to elaborate

You may attach up to one (1) sheet of additional information.
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For additional information, please contact Karolyn Thompson 855.312.LEAD
karolyn@leadershiporange.org

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