After School Program Enrollment Form

SUMMER LEADERSHIP ACADEMY APPLICATION
Program Dates: June 10, 2024 - July 3, 2025

Tuesdays - Thursdays, 9:30 am to 3:30 pm
ELIGIBILITY REQUIREMENTS

To be selected as a scholarship participant in the VLA, you must meet the following criteria:
- Must be between the ages of 14 – 19 years old
- Must be enrolled in a public school
- Must have a minimum G.P.A. of 2.00
- Must provide an unofficial copy of school transcript
- Must not have more than 10 unexcused absences
- Must not have more than one disciplinary infraction. (Please note: Type of infraction may impact final acceptance)
- Available on the scheduled days for the entire duration of the program
- Interested in learning new skills for growth in leadership
PROGRAM DETAILS

The students will be expected to engage in collaborative learning where they are able to work independently as well as in groups. We believe that leadership is not only about what you know but who you are and the characteristics that you display in how you learn and how you lead. Our students will learn the importance of Integrity, Expectancy, Ingenuity, Community, and Tenacity as they expand their knowledge of what it is to be a leader.
Application Process

Complete your applicationAttend In-Person or Virtual Interview. The selection process includes a student empathy interview. Student will receive a link to schedule.View your decision letter. The referring person and student will be notified of acceptance status. If selected, you will receive an acceptance letter with onboarding instructions.Complete Onboarding - Student and parent/guardian are required to attend the Onboarding Orientation. Documents provided include: Family Participation Agreement, Program Curriculum/Activities, Parent/Guardian Involvement Plan, Program Expectations
Application Process
- Complete your application.
- Attend In-Person or Virtual Interview. The selection process includes a student empathy interview. Student will receive an acceptance status. If selected, you will receive an acceptance letter with onboarding instructions.
- Complete Onboarding – Student and parent/guardian are requested to attend to Onboarding Orientation. Documents provided include: Family Participation Agreement, Program Curriculum/Activities, Parent/Guardian Involvement Plan, Program Expectations.
PROGRAM CRITERIA

Rising 9th - 12th grade students will be recommended to the program by school and community leaders. No students that have a history of ongoing disciplinary issues will be accepted into the program. Parents and students admitted into the program must agree to the program continuation plan. In order to be eligible for the program benefits, the student must complete the required continuing education and activities. The students must agree to return to the Summer Academy for a period of one week each year after their inaugural year to receive refresher training and ongoing leadership training.
STUDENT INFORMATION
Must be a rising 9th, 10th, 11th, or 12thQualify based on Low to Moderate IncomeMust be enrolled in school (charter, public, virtual, or home school)Must have a minimum G.P.A. of 2.00Must provide an unofficial copy of school transcriptMust not have more than 10 unexcused absencesMust not have more than one disciplinary infraction. (Please note: Type of infraction may impact final acceptance)Must be available on the scheduled days for the entire duration of the programMust be interested in learning new skills for growth in leadership
Student Information
- Must be a rising 9th, 10th, 11th, or 12th.
- Must be enrolled in school (charter, public, virtual, or home school).
- Must have a minimum G.P.A. of 2.00
- Must provide an unofficial copy of school transcipt.
- Must not have more than 10 unexcused absences.
- Must not have more than one disciplinary infraction. (Please note: Type of infraction may impact final acceptance.)
- Must be available on the scheduled days for the entire duration of the program.
- Must be interested in learning new skills for growth in leadership.
Student's Name*

First NameLast Name
Student's DOB

MonthDayYear
Date
Student's Gender

MaleFemaleNon BinaryTransgenderI do not wish to disclose.
Student's Phone Number

Area CodePhone Number
Student's Email
example@example.com
Student's Address (Leave blank if same as Parents/Guardian)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Attending
Grade in fall (2024-2025)*

Rising 9th GraderRising 10th GraderRising 11th GraderRising 12th Grader
Social Media Handles
Facebook
Instagram
LinkedIn
Upload your transcript or latest grade report.*

Browse Files

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PARENT/GUARDIAN INFORMATION
Parent's Name (1)*

First NameLast Name
Parent's Email (1)*
Parent's Phone Number (1)*

Area CodePhone Number
Parent's Work Phone Number

Area CodePhone Number
Parent's Home Phone Number

Area CodePhone Number
Parent/Guardian Address (1)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Name (2)

First NameLast Name
Parent's Email (2)
example@example.com
Parent's Phone Number (2)

Area CodePhone Number
Parent's Work Phone Number

Area CodePhone Number
Parent's Home Phone Number

Area CodePhone Number
Parent/Guardian Address (2)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which parent has approved/is overseeing your participation?*

Parent 1Parent 2Both parent 1 and 2
How did you learn about Vanguard Leadership Academy?*
How would you describe yourself/your child as a high school student? What sparked your interest in our program?*
Why should you/your child be chosen to be in the upcoming cohort for Vanguard Leadership Academy?*
REFERRALS
Referred Person*
Name of Referring Person*
Email address of Referring Person*
For all other referring persons, please provide the following;
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Referring Student*

First NameLast Name
Describe the student you are referring ?*
What are 3 strengths ?*
What are 3 areas of improvement ?*
Why do you feel that this student is a good fit for the program?*
Does this student have any disciplinary infractions? If so, Are you aware of any details that explain the behavioral or disciplinary issues with this student?*
Does this student have a history of disciplinary issues?*
Does this student have more than 10 unexcused absences?*
What qualities do you see in this student that have not been recognized or nurtured by others?*
Why does this student stand out to you as a student that would benefit from this program?*
Does this student have leadership potential? If so, what potential do you see in this student?*
How can VLA help this student come out of the shadows and maximize their potential?*
What support do you feel this student needs to maximize their potential?*
Is there anything more you’d like to share about this student that was not asked?*
STATEMENT OF POLICY
- A complete application is required for all students applying to participate in the Summer Academy.
- We have a rolling application but for the current year cohort, applications will be accepted November - March of each calendar year.
- The Summer Program is 3 days per week from 9:30 am - 3:30 pm
- Only persons authorized by the parent or guardian may pick up your child from the Leadership Academy. Please notify the Director in writing if anyone other than a parent/guardian will pick up your child.
- All students attending Vanguard Leadership Academy are required to follow all program rules.
- Behavioral problems will result in parent notification and suspension from the program.
- Students with a fever or contagious illness should not attend the Summer Academy
- Summer Academy runs from June to July.
I have read and understand the Statement of Policy contained here.*

Agree
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SUMMER LEADERSHIP ACADEMY APPLICATION

Program Dates: June 10, 2024 - July 3, 2025

ELIGIBILITY REQUIREMENTS

PROGRAM DETAILS

PROGRAM CRITERIA

STUDENT INFORMATION

Social Media Handles

PARENT/GUARDIAN INFORMATION

REFERRALS

STATEMENT OF POLICY