PALP

PALP Attendance
On a monthly basis, you will attend the meetings at which of the locations below:

Central Florida: University of Central Florida (UCF) (Orlando)South Florida: Nova Southeastern University (Davie)Virtual on Zoom (Reserved for those more than 1.5 hours from a location)

School Life and Extra-Curricular Activities
Name of School*
School Type*

PublicCharterPrivateMagnetHome school / Virtual
Name of Counselor*
Phone Number and/or Extension of Counselor*
Email of Counselor*
Grade Level*

9th10th11th12th
High School Graduation Year*
Current G.P.A
List any honors and/or awards you have received.

New to PALP? Tell us more about you and your plans while in the program.
What skills would you like to gain while at PALP?
What Leadership Experiences Have You Had So Far?
Describe a time when you demonstrated leadership skills, whether in school, extracurricular activities, or your community.
What Social or Community Issues Are You Passionate About?
Share a cause or issue that you care deeply about and how you might want to address it through your involvement in PALP.
What Strengths Do You Bring to a Team?
Describe qualities or skills that make you an effective team player and how you plan to apply these within PALP.
What Makes You Excited About Working on a Group Community Service Project?
Tell us about a community service idea or project you’d love to work on, and how you think it could make a difference.

Returning PALP Alumni
In What Areas Would You Like to Improve as a Returning PALP Participant?
Identify any leadership skills or areas of personal development you'd like to continue working on in your next term.
What Will You Do Differently in Your Role This Year as a Returning Participant?
Reflect on how you can take a more active or advanced role in the program as a returning participant.
What Personal and Professional Goals Are You Hoping to Achieve Through PALP This Year?
Whether it's related to college applications, building your resume, or personal development, share what you're aiming for in this next term.
Looking back at your time with the Peace Ambassador Leadership Program (PALP), how has this experience shaped your outlook on life, relationships, and the world around you? If we were to share your story with future participants, their parents, or funders, what would you say about the impact PALP has had on your growth as a leader and as an individual? How has it influenced the way you view challenges, friendships, or your role in the community?
Are you planning to attend PALS as a Jr Counselor in 2025? If so, which location?

UCFUFFIUGU
Are you interested in joining a planning committee for PALP or PALS? These committees work on various aspects of our programs, including event planning, service project coordination, fundraising, marketing, and outreach. If you are passionate about leadership, teamwork, and making a tangible impact, this could be a great opportunity for you!

Activity and Event Planning Committee: Help organize and execute major PALP and PALS events, from workshops to social mixers and community service days.Service Project Committee: Support and mentor PALP groups on how to successfully plan and execute their community service projects. Help guide them in developing impactful initiatives that align with leadership and community goals.Fundraising & Sponsorship Committee: Assist in identifying potential sponsors, planning fundraising events, and engaging with donors to support our programs.Program & Curriculum Development Committee: Collaborate with peers and program leaders to design and improve the curriculum for workshops, leadership training, and community engagement activities. Help ensure that the content is relevant, engaging, and impactful for participants.Marketing & Community Outreach Committee: Work on strategies to promote PALP and PALS, including social media campaigns, recruitment efforts, and community engagement.
Please tell us why you are interested in joining and what skills you would bring to the committee(s) you selected.
You may speak about multiple committees

PALS Service and Training Retreat in Orlando
Please select all dates you would be available to attend the FL college tour and service retreat in Orlando, FL. Payment is not due now.

Thur, Jan 16 - Mon, Jan 20 (Monday=MLK Day) (Cost $400)Thur, Feb 13 -Mon, Feb 17 (Fri= Early Release & Mon Presidents Day) (Cost $400)Im not able to attend

Emergency Contact Information
Name of Parent or Guardian 1*
Cell Phone of Parent or Guardian 1*

Area CodePhone Number
Email Address of Parent or Guardian 1*
Place of Employment for Parent/Guardian 1*
Name of Parent or Guardian 2
Cell Phone of Parent or Guardian 2

Area CodePhone Number
Email Address of Parent or Guardian 2
Place of Employment for Parent/Guardian 2

Payment Options
PAYMENT INFORMATION:

Option 1: Pay in Full.

Option 2: Payment Plan
- Pay the first installment of your payment plan. A total of two installments are allowed. Plans are available beginning the day of your registration and must be completed by December 8, 2024
REFUND POLICY:

Refund Policy:

Registration Fee: The $50 registration fee is non-refundable.

Full Refund: Participants are eligible for a full refund (minus the $50 registration fee) if they withdraw from the program before the first meeting or event.

Partial Refund: A partial refund (50% of the total cost minus the registration fee) is available if the participant withdraws within 30 days of the first meeting or event.

No Refund: No refunds will be provided after 30 days from the program start date.
In completing this registration, I understand there is a total of $250 and I confirm that all information disclosed is fully and completely true.

I understand and agree
Apply for Scholarship

Check this box if you would like to apply for a needs-based partial scholarship
Scholarship or Funding Support

I understand that to cover the costs and expenses of attending PALP or PALS, I can seek funding through multiple channels, including external scholarships, employer donation matching programs (through your job or your parents), and other grant opportunities. Long termpayment plans are also available upon request. Speak to our Executive Director.
Please select a payment option

Option 1: Pay in full at checkoutOption 2: Payment plan (2 months max plus $50 application fee at registration)
After completing this form, you will be directed to the Paythen website, where you will a) set up an account and b) set up your payment plan. You must pay the application fee within 24 hours for your application to be complete.

Agreements
Program Participation*

I acknowledge my interest in and intent to participate in the Peace Ambassador Leadership Program (PALP). I understand the commitment required for this program and am eager to engage in its activities. I assure PALP that I will actively participate in all program-related activities, commit the necessary time for service projects, and uphold the program's values.
Parent/Guardian*

My parent/guardian is aware of my intentions to participate in the Peace Ambassador Leadership Program (PALP), and that they will be required to complete Permission and Waiver forms.
Application Review*

I understand that all applications and scholarship requests are reviewed in the order received. The number of applications may exceed available spaces, and I may be placed on a waitlist. I understand that this is an application for participation in PALP, and enrollment is contingent upon approval by NVEEE. If not accepted, NVEEE will refund all money paid, minus the application and credit card processing fees, to the original form of payment.
Full Name of Student Signing This Form*
Signature*

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Credit Card Details
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Credit Card Number	Security Code
Card Expiration

Peace Ambassador Leadership Program (PALP) Application

PALP Attendance

Student Background Information

School Life and Extra-Curricular Activities

New to PALP? Tell us more about you and your plans while in the program.

Returning PALP Alumni

PALS Service and Training Retreat in Orlando

Emergency Contact Information

Payment Options

Agreements

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