North Carolina State Grange Junior Leadership Application

North Carolina State Grange

2023 Junior Leadership Application
Applications are DUE by FRIDAY, MAY 10, 2024
SECTION 1: Personal Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Birthday*

MonthDayYear
Age at Camp*
Phone Number - Home
Phone Number - Cell
E-mail - Personal (if you have one)
E-mail - Parents*
Grange Name
Number of years as a Junior Granger
Number of years you have attended Grange Camp*
Name of School*
Grade*
Tee Shirt Size*
Consent and Release of Photos *
Please email me a headshot or a school photo to ehartsell@ncgrange.com

by May 10, 2024.
SECTION 2: Leadership Experience and Community Involvment:
Please list School, Grange, Church, and Community Activities in which you are involved:*
Please list Hobbies and Interests:*
List 5 words that best describe you:*
Tell me what you love about the Grange:*
Why would you like to serve on the Junior Leadership Team?*
SECTION 4: Commitment

One of the requirements to be chosen to serve on the Junior Leadership Team; you have to be able to attend camp (July 7-13). If you are chosen, will you be at camp to serve on the team?
Commitment*
SECTION 5: National Junior Ambassador

The National Grange has a program where Juniors can apply to the National Junior Ambassador.

What does that mean? You and a parent will get a chance to attend the National Grange Convention November 13-17. The NC State Grange pays for your way to go.

How can I become the NC Junior Ambassador? 1) you have to be selected as one of the Junior Leadership Members. 2) During Grange Camp you will have an interview, Counselors and other Leaders will be watching at how well you are as a leader. 3)You must be a member of a Grange for atleast 3 years.

What do you need to do? If this sounds like something you would be intrested in, then let me know by selecting yes. More details will be sent to you.
Junior Amassador?
Applicant Signature*

Clear
Parent Signature*

Clear
Should be Empty: