PALP Application

PALP Application

PALP Location 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 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.

- General PALP Member.
  
  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 PALS Jr. Counselor + PALP Graduate
- 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 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?

- PALS Service and Training Retreat in Orlando
  
  (For Jr Counselors in Training and Sr. Counselors Only)
- 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, Feb 12 -Mon, Feb 16 (Fri= Early Release & Mon Presidents Day) (Cost $400)Im not able to attend

- Sr. Counselors Only
  
  (Internship Invitation)
- Describe your PALS Jr. Counselor Experience
- What would you do differently?
- What should we do differently?

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*

Agreements
Program Participation*

I understand that I must attend a minimum of seven out of nine meetings, either virtually or in-person if I am local.
Service Project*

I understand that I must participate in a 6 month capstone community service project with a group of my choosing.
Monthly Events Participation*

I understand that I live in South Florida, there are several monthly in-person socials that I must attend.
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.
Payment Options*

After I hit submit my application will be submitted. I will be forwarded to Formstack where I can make a one-time payment or start a 3 payment plan. All plans must be completed by November.
Full Name of Student Signing This Form*
Signature*

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