Hilton Head Island-Bluffton Junior Leadership Program

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2009-2010  APPLICATION

 

Personal Information

 

Name (Last) ________________________________ (First)__________________(Middle)__________________

 

Name you prefer to be called (Nickname)_____________________ Age ___________  M_____  F_____

 

School _______________________________  Grade ________  Date of Birth_________________

 

Home Address_______________________________________

 

City ___________________________________  Zip _________________

 

Home Phone _________________________ Cell Phone____________________________

 

Email ____________________________

 

Attendance

 

Full attendance by each participant is essential if the Junior Leadership of Hilton Head-Bluffton is to meet its objectives. School attendance credit will be granted for each session attended. Students who are accepted for the 2009-2010 class must be in compliance with the individual school rules and regulations. If the student violates the school rules and it results in a suspension, then the student will be dismissed from the Junior Leadership program immediately. Participants who do not graduate from the class will not receive credit for school days missed.  Other incidents that may occur during the school year in which disciplinary actions are taken will be left to the Junior Leadership Board.

 

Parental/Guardian (Must be signed)

 

I give my permission for my child ___________________________ to participate in the 2009-2010 Hilton Head-Bluffton Junior Leadership Program.

 

Parent/Guardian _________________________________________________________Date______________

 

Contact email ________________________________________________________

 

Phone number __________________________

 

School Representative

 

____________________________________ has met the academic requirements and standards set forth by the Junior Leadership program and is granted permission to participate in the 2009-2010 program.

 

School Administrator _______________________________________Title________________________

 

School ____________________________________________________

 

Applicants GPA (NOTE: (Must be at least 2.5 or equivalent)

 

 

APPLICATIONS WILL NOT BE ACCEPTED AFTER MARCH 13, 2009

REFERENCES:

 

Please give the attached Reference Forms to any adult who has known you for more than one year, other than a parent or relative. At least one reference must be a current or past teacher.  (These references should be returned directly to you in a sealed envelope to be included with your completed application).

 

Name of Reference

Position/Title

Place of employment

Address

Phone Number

 

Name of Reference

Position/Title

Place of employment

Address

Phone Number

 

Name of Reference

Position/Title

Place of employment

Address

Phone Number

 

Please answer each question in the space provided. (No attachments)

 

 

Please list in order of importance to you any school, employment, volunteer, religious, social, athletic or other activities/organizations in which you have participated within the past 2 years. Also, include your length of involvement in each activity.

 

 

 

 

 

 

 

 

 

 

 

Select one activity/organization listed above and briefly explain how your participation has been a benefit to you and the organization.

 

 

 

 

 

 

 

 

 

 

Recognition:

 

Please list any forms of recognition you have received for school or community-related activities and any leadership positions or offices you have held in the past two years.

 

 

 

 

 

 

 

 

 

 

 

PERSONAL  THOUGHTS AND VIEWS

 

Please attach your statement to the application.  In no more than 250 words, please address two (2) of the following topics: (This section accounts for ¼ of your application process)

 

1.     Define leadership?

2.     Why do you want to participate in the 2009-2010 Leadership class?

3.     What qualities would you bring to your class, if accepted?

4.     What leadership trait do you feel you need to develop?  Why?

5.     Who do you look up to as a leader and why? (This may be anyone in your community, or beyond, past or present; there are no limitations).

6.     How could your participation in Jr. Leadership benefit you and your school?

7.     What does being a leader mean to you?

8.     What are two challenges facing teenagers today? And what ideas do you have for addressing them?

9.     How can Hilton Head Island and Bluffton communities better serve the people of our area?

 

 

 

 

 

 

 

 

 

 

 

APPLICATIONS WILL NOT BE ACCEPTED AFTER MARCH 13, 2009

 

Applications should be delivered to the Chamber Headquarters:

1 Chamber of Commerce Dr., Hilton Head Island, SC

 

Or, mailed applications must be received in the Chamber’s P.O. Box by March 13:

Hilton Head Island-Bluffton Chamber of Commerce

P.O. Box 5647, Hilton Head Island, SC 29938

 

For additional information regarding the Junior Leadership program, please contact:

Dr. Thomas M. Conner ● 843-757-4939 ● connertb@hargray.com

 

Reference Form

You have been asked to prepare a letter of reference by an applicant for the Hilton Head Island-Bluffton Junior Leadership Program.  Please explain why you believe this applicant is a good candidate for the Program.

Please return the reference to the applicant in a sealed envelope.

Thank you.

 

 

 

 

 

 

 

 

 

Mission Statement

The Hilton Head Island-Bluffton Junior Leadership program works to effect positive change in a community by providing high school juniors opportunities to build leadership skills through service learning projects, seminars, workshops and interaction with local leaders and decision makers.