2020 GMAC Leadership Program and Debutante Cotillion Application

2020 GMAC Leadership Program and Debutante Cotillion Application

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HEADSHOT
Please upload your headshot. It should only be a picture of the applicant. (JPEG or JPG Format)*

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ACADEMIC INFORMATION
High School *
High School (City)*
GPA (Please include your GPA and your school scale( i.e. 4.0, 100, etc)*
2020 - 2021 HIGH SCHOOL CLASSIFICATION. You must be a HS Junior or HS Senior at the time of the Cotillion Ball in December 2020. *

ACTIVITIES
Be sure to include name of activity, grade level of participation, accomplishments and positions held.
School Activities (Please list all the clubs you participate in and dates involved)*
Leadership Roles (Please indicate if you have served in a leadership capacity and dates)*
Other Extracurricular Activities*
If you attend Church, please indicate which one (name & city) and all the activities you participate in*
Honors/ Awards/ Achievements*
Special Talents and Hobbies*

ESSAY QUESTIONS (Please explain in 100 words or less)
1. What field of study and/or career are you interested in pursuing? *
2. Why are you interested in participating as a Debutante? *
3. Describe one of your family "Traditions" and why is it meaningful to you? *
4. What aspect of African American "Culture" are you most proud of OR which cultural icon do you most admire most and why? *
5. If selected to participate in our Leadership Program and Debutante Cotillion, what "Promise" do you envision making to your community, your family or yourself upon completion? *

OFFICIAL HIGH SCHOOL TRANSCRIPT
I understand that I must submit an official SEALED transcript from my school documenting that I have at least a 2.8 GPA (or equivalent). Without it, my application will be incomplete.

It must be submitted by October 21, 2019.
AGREED

FINANCIAL HARDSHIP
Prospective Debutantes will be considered for financial hardship assistance with the program entry fee on a case-by-case basis IF a financial hardship statement is submitted here that includes:

·       Reason for requesting assistance

·       Amount of support requested

·       Household composition (total number of people living with the Debutante)

In addition, please provide documentation of your financial hardship. Some acceptable examples include, but are not limited to, school financial award letter, parental unemployment certification, or parental disability certification.
Please upload your STATEMENT of financial hardship here.

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Please upload your DOCUMENTATION of financial hardship here.

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JACK AND JILL OF AMERICA, INC. CHAPTER AFFILIATION
Please indicate if your mother/guardian is a member of the following chapters of Jack and Jill of America, Inc.*
Please indicate how you learned of our Leadership Program and Debutante Cotillion*

APPLICANT SIGNATURE
By signing this form I agree that all of the above statements are true and accurate.
Applicant Signature*

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PARENTAL CONSENT
Parent/Guardian Statement: If selected, I give permission for my daughter to participate in the Greater Metropolitan Atlanta Chapter’s 2020 Leadership Program and Debutante Cotillion. I understand that it will be my financial responsibility to provide the fees necessary to cover the cost of participation for my daughter and to meet all deadlines in order to ensure proper inclusions in Program materials. This includes, but is not limited to, the non-refundable application fee and non-refundable program entry fee. Also, I am aware that our inability to meet required fundraising minimums will result in my daughter being omitted from any special financial awards given to those participants who meet the program requirements.
Parent/Guardian Signature*

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Application Fee*

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