Leadership Application

Leadership Application

The Foundation for Second Chances Leadership Program is a 40-week program that focuses on higher education, financial literacy, leadership, social justice, and health. Our mission is to utilize hands on education, mentoring, health awareness, and community service to maximize the potential of youth.
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student E-mail
Parent E-mail
example@example.com
Mobile Number

Area CodePhone Number
Parent Phone Number

Area CodePhone Number
Applicants must currently be enrolled in school, be available for the entire 40-weeks, and attend an orientation and interview.

Leaders will participate in:

·       Impactful leadership community service projects that will be in partnership with other community-based nonprofits in Los Angeles.

·       Panels and workshops with community leaders, corporations, or nonprofits that will help build important skills.

·       Skill building expeditionary trips that will result in students having a better understanding of different cultures.

· Completing vision boards, group projects, and speeches.
Leadership Questionnaire
Please explain why you would like to participate in the Leadership Program?
Please provide us with an idea of who you are. List any hobbies, anticipated goals, and interests.
Please explain why impactful leadership is important? What are some key leadership qualities?
What can you do this year to improve your community?
Leaders will be selected after review of their application, report card/transcripts, interviews, and references.

All applications must be submitted by:

Friday August 30th, 2019
Academic References
Reference 1
Name
Relationship
Phone
Email
Reference 2
Name
Relationship
Phone
Email
Reference 3
Name
Relationship
Phone
Email
Agreement Disclosure
In order to participate, all students must agree to the following:

·       I will attend scheduled sessions and events unless I have a reasonable excuse (school related, family death, or illness are permissible).

·       I will have an open mind and accept all cultures and ethnicities I encounter.

·       I will be punctual to all sessions and community projects.

Additionally, chosen students will also be required to partake in several trainings, and service projects throughout their educational careers. They will be serving as school and community ambassadors, leaders, and role models.

Please bring your most recent report card or transcript to orientation.

Orientation:

Saturday September 7th, 2019 @ 10:00am to 1:00pm
Student Signature

Clear
Parent/ Guardian Signature

Clear
Should be Empty: