II. ACADEMICS
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| Year in School as of August 2019 |
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| High School |
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| Grade Point Average (round to the nearest tenth) |
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Academic honors received in high school (please use semi-colons to separate honors received)
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III. CURRENT EXTRA-CURRICULAR ACTIVITIES:
**Please use semi-colons to separate activities. (Example: Beta Club; Band; Cross Country) |
List here school activities, clubs, athletic teams, if applicable.
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List here community and volunteer activities, if applicable.
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List here 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 have a relative who is a Leadership Cobb Graduate? (This is
the adult version of Cobb Youth Leadership)
*Disclaimer: This does not guarantee acceptance into the program, but is considered.
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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?
(limit response to 100 words or fewer)
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What are your plans after high school graduation? (limit response to 100 words or fewer)
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If you are selected, how could Cobb Youth Leadership help
you in achieving the above? (limit response to 100 words or fewer)
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V. TUITION FEE:
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A tuition fee of $650 is required
to help offset the cost of materials, meals, lodging and bus expenses. Payment is due only upon acceptance into the program. The
Leadership Cobb Alumni Association may provide support
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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If yes, please indicate why on the parent/guardian commitment form.
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VI. PROGRAM PARTICIPATION:
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Are there any other potential barriers you foresee preventing you from participating in Cobb Youth Leadership?
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VII. PARTICIPATION COMMITMENT:
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1. If selected, participants will need to make a commitment
of their time and ALL program events. Students must notify Chamber staff and co-chairs at least 24 hours in advance of a conflict with a scheduled program.
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 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 Program are encouraged to share what they learned
with their fellow classmates.
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If you understand and agree to the participation guidelines, please place your initials
in the box as your signature.
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*Deadline for applications is April 19, 2019.
Selections will be made in June and all applicants will be notified of the results by the end of June.
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Your application will not be
complete without a recommendation letter (one per application, please) and the parent/guardian commitment
form. Forms may be returned by email, mail or in person. All paperwork and forms may be mailed to the address below:
Cobb Chamber
Attn: Katie Guice
P.O. Box 671868
Marietta, GA 30006
For questions please contact Katie Guice at (770) 859-2334 or
kguice@cobbchamber.org.
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