Cobb Youth Leadership Application 2012-2013
Before filling out the online application, please read over the documents provided in the links below.
*In case of technical difficulties, may we suggest answering and saving your responses in Microsoft Word. Then copy and paste your answers in the fields below.
II. ACADEMICS |
| Year in School as of August 2012 |
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| High School |
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| Grade Point Average |
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Academic honors received (please list)
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III. CURRENT EXTRA-CURRICULAR ACTIVITIES:
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List here (1) school activities, clubs, athletic teams; (2) community and volunteer activities;
(3) employment, if applicable.
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IV. LEADERSHIP EXPERIENCE:
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List offices/leadership positions held in clubs or organizations, projects you directed/initiated if applicable.
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Do you know a Leadership Cobb Graduate? (This is the adult version of Cobb Youth Leadership)
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| If yes, name and relationship: |
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What personal characteristics/qualities do you have that you feel give you the potential to be a leader?
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How would you complete this sentence? In 10 years I see myself...
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| If you are selected, how could Cobb Youth Leadership help you in achieving the above?
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V. TUITION FEE:
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A tuition fee of $400 is required to help offset the cost of materials, meals, lodging and bus expenses. The Leadership Cobb Alumni Association may provide a scholarship (one per year) to someone requiring financial assistance based on need.
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Will you be needing financial assistance in order to participate?
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VI. PARTICIPATION COMMITMENT:
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1. If selected, participants will need to make a commitment of their time and ALL program events.
Participants that fail to attend any activity for any reason, may not be allowed to complete the program and his/her tuition fee will be forfeited.
2. Applicants for the Cobb Youth Leadership Development Program must have the support and commitment of their parents or guardians.
Click here for the parent or guardian commitment form.
3. Participants in the Cobb Youth Leadership Development Program are encouraged to share what they learned with their fellow classmates.
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If you understand the participation guidelines, please place your initials in the box as your signature.
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*Deadline for applications has been extended to Friday May 4th, 2012
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Your application will
not be complete without a recommendation letter and the parent/guardian commitment form. Forms can be returned by
email, mail or in person.
For questions please contact Charlotte Ryerse at (770) 859-2348 or
cryerse@cobbchamber.org.
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