LP 2023 PARTICIPANT Application

PARTICIPANT Application

Leadership Project 2023
The Leadership Project is designed to provide today’s college student with a leadership intensive situated in a life-giving environment. The combination of length, location, and leadership enables the Leaderhsip Project to meet the need for spiritual growth while also satisfying the desires for rest and enjoyment.

This application is for those desiring to participate in the 2023 Campus Outreach Leadership Project from May 24th - July 20th in Orlando, FL. If you have any questions, please contact your campus staff person. Thank you!
Part I: Contact Information
Full Name*

First NameLast Name
Gender*

FemaleMale
Birthdate*

MonthDayYear
E-mail
Please use preferred email to receive important LP updates!
Cell*

Area CodePhone Number
Ethnicity*

American Indian or Alaska NativeAsianBlack or African-AmericanHispanic or LatinoWhite
Home Address*

Home Address Line 1

Home Address Line 2

Home CityHome State

Home Zip
Parents'/Guardians' Name(s)*
Parents'/Guardians' Email(s)*
School*

Davidson CollegeElon UniversityHigh Point UniversityNC A&T UniversityUNC - CharlotteUNC - GreensboroWingate UniversityCollege of CharlestonCharleston SouthernThe CitadelCoastal Carolina University
Year in School*
Expected Graduation*

MonthDayYear
Major*
T-Shirt Size*
Do you play an instrument?*

YesNo
If so, what instrument?
Are you a gifted singer?*

YesNo
Are you an NCAA athlete?*

YesNo
If so, what sport?
Part II: Project Information
Briefly describe your involvement with Campus Outreach.*

0/500
What do you believe is the purpose of the Leadership Project?*

0/500
What are some reasons you desire to be a part of the Leadership Project?*

0/500
Part III: Work Information

These questions are necessary for job placement in Orlando, FL.
Do you have any tattoos or brandings? (This will affect your job placement)

YesNo
If any part of the tattoo might be visible while wearing shorts and a t-shirt, please note below.
Please select the number of weekly hours you would prefer to work:
Are there any reasons why you will be unable to work the hours from 2-11pm during the work week and Saturdays? (ex: internships, summer classes, service projects, etc...)
Part IV: Personal Information
Given the scope of leadership responsibility and the highly relational nature of the Leadership Project, personal information is important for discerning whether this is the best context for one's spiritual growth and care. This is private and confidential information and will only be viewed by project administrators of the same sex.
Do you have a medical, physical, or psychological condition for which you are currently being treated? If yes, please explain.*
Do you consistently take any medications or prescriptions? If yes, please explain.*
Please check if you have ever:*

Been arrested on felony chargeWorked through or are currently working through substance abuse or dependenceReceived psychological/psychiatric treatment and/or counselingHad suicidal thoughts in the past yearEngaged in any self-harming behaviors (cutting, burning, etc.) in the past yearWorked through or are working through any patterns of disordered eatingNone of the above
Explanation
Part V: Payment Information
If accepted, do you commit to attend support raising training and work towards securing 100% of your goal by the end of the LP?*

YesNo
Please upload a recent head shot of yourself.*

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LP 2023 Application fee$15.00

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Total $0.00

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Your submission of this application affirms that you have, to the best of your knowledge, honestly and fully answered all questions. In the event the above information should be found to be untrue, it could result in forfeiting the opportunity to be a part of the Leadership Project.
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PARTICIPANT Application

Part I: Contact Information

Part II: Project Information

Part III: Work Information

Part IV: Personal Information

Part V: Payment Information