SVM Teen Leadership Experience Application Form

Teen Leadership Experience Application

Please direct any questions about the program or application process to storrow@thebige.com or call Storrowton Village Museum at 413.205.5051. Priority application deadline May 1, applications accepted through June 1. If you'd like to save your progress and return to complete the application, a SAVE button is at the bottom of the form.
Applicant's Full Name:*

First NameMiddle InitialLast Name
Preferred Name:*
E-mail:*
example@example.com
Phone Number:*

Area CodePhone Number
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
If you are also interested in becoming a counselor for Early American Summer Days, click here.Click here if you are a returning TLE Participant
Education
Name of School Currently Attending:*
Please write "Home School" if applicable
What year (or equivalent) will you be in this fall?*
Program Information

Up to 15 students will be selected with a maximum of 5 in each program.
insert blurbs

Please rank your morning program preferences*

	1	2	3
Blacksmithing: Basics of the Trade
Open Hearth Cooking: From Fire to Table
Writing Workshop: Building Worlds Historic and Modern

Please include a letter of reference from a teacher or other non-family mentor, such as a coach, program instructor, camp counselor, etc.*

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In 200 words or less please tell us why you're interested in being a part of the Teen Leadership Experience. Please be sure the applicant completes this section in their own words:*

0/200
In 200 words or less, please tell us how your past work at TLE, either from your 19th century skills or leadership sessions, has made an impact in your life since completing the program. How do you intend to use these skills moving forward?
Parent/Guardian Acknowledgement

Please ensure your parent/guardian completes this form with you. There is a $125 fee to enter this program if selected; this fee covers supplies and resources. If selected for the program, I am aware that transportation is not provided. Students must bring their own lunch. Additional policies and procedures will be sent to selected students with registration details.
Does the cost of the program create a barrier for you to participate? Please click here if you would like to be considered for financial support and we will send you additional information about our scholarships offered by the ESE Foundation.

Yes, please contact me and my parents regarding scholarships
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature *

Clear
Should be Empty:

	1	2
STEM: Small Machines 19th Century to Today
Textiles: Cloth Production to Clothing Design

Teen Leadership Experience Application