Ashtabula County Junior Fair Board Application

Size: px
Start display at page:

Download "Ashtabula County Junior Fair Board Application"

Transcription

1 Ashtabula County Junior Fair Board Application Deadline: September 1 (YOU MUST BE 15 YEARS OLD BY Dec. 31 st OF THIS YEAR) Name Birth Date Parent's (guardian) Name(s) Address City Zip Phone Cell Phone School Grade Please circle the organization(s) you currently belong to: (4-H, FFA, FHA, Grange, Boy Scouts, Girl Scouts, Farm Bureau Youth) Number of year(s) as a member of organization(s) Number of years as a Junior Fair Board member Number of years as a Junior Fair exhibitor Please answer ALL of the following questions: List the activities in which you have been involved in: your youth group, school, church group, etc.... List the accomplishments which you have had in activities or organizations other than the junior fair organization you represent (You may attach a separate sheet for more space):. On the back of this page, please write a 100 to 200 word essay on why you want to be a member of the

2 Junior Fair Board. Essay Space: Please read the following commitment statements carefully. You and a parent (guardian) must sign in the spaces provide for the application to be accepted. Junior Fair Board member commitment: If selected, I promise to uphold, to the best of my ability, the constitution and philosophy of the Ashtabula County Junior Fair Board. I understand, or will seek to learn, the responsibilities of my membership. I will commit to the activities and meetings of the Junior Fair Board and will participate accordingly. I further understand that my position as a Junior Fair Board member may be terminated if I fail to comply with this commitment. Signature Date Parent Commitment/Understanding: As a parent (guardian) of the youth making this application, I understand the necessity to only select individuals that will be committed to the Junior Fair Board. I will, to the best of my ability, support and encourage this youth to uphold their commitment to the Junior Fair Board if selected. Parent/guardian signature Date Return to: OSU Extension, 39 Wall Street, Jefferson, Ohio 44047

3 2019 Expectations of Junior Fair Board Members - Be courteous and polite during meetings and will refrain from private conversations and remarks. - Understand and follow basic parliamentary procedures. - Learn and use group processing skills including brainstorming and nominal group technique. - Develop a yes attitude and approach to new ideas. - Not engage in divisive behavior. - Serve as a positive role model for other Junior Fair exhibitors. - Assist in recruiting new Junior Fair Board members. - Understand and assist with conflict resolution. - HAVE FUN!!!

4 Ashtabula County Junior Fair Board Code Of Conduct Youth enrolled in 4-H, FHA/HERO, FFA, Scouts, Farm Bureau Youth, Grange, Camp Fire, and other youth serving agencies are eligible to serve on the Junior Fair Board. Youth serving on the board must agree to abide by the following Code Of Conduct. Rules: 1) The use or possession of drugs, alcohol, tobacco, and or related paraphernalia is strictly prohibited. 2) A member shall not use foul, vulgar, inappropriate language or gestures. 3) Junior Fair Board members must dress in a neat and appropriate fashion. a) Appropriate means no derogatory, foul, vulgar, indecent language or meanings. b) No inappropriate advertisements of drugs, tobacco or alcohol will be permitted for all participants. 4) No member shall steal or be in possession of stolen property. 5) A member shall not physically, verbally, or sexually harass, threaten, or behave in such a way as could cause mental distress or physical injury to any person. This includes any form of hazing and extortion. 6) Each member must accept the responsibility of creating a positive image that reflects Junior Fair ideals of respect, honesty, and sportsmanship. Always maintain a positive attitude when handling Junior Fair participants, advisors and parents. 7) A member shall not possess, handle, transmit, or conceal any object that can be construed as a dangerous weapon or instrument. 8) Members must be in good standing and have met the requirements of their club or chapter. Consequences: All consequences will be determined by the Junior Fair Board advisors based on the severity of the offense. 1) Expulsion from Junior Fair activities and Junior Fair Board for no less than a minimum of one year. 2) Possible probation on a restriction of Junior Fair Board activities as to be determined by the Junior Fair Board. 3) A formal apology to those affected by your actions and to the Junior Fair Board.

5 Junior Fair Board Requirements During Fair Week Required Meetings o The work day prior to the week of fair o The Monday night meeting the week of fair o At least four (4) out of the five (5) daily meetings Tuesday Saturday of fair o The sale night either before or after you sell your animal o Talent Show o Super Showman contest o A minimum of at least three (3) events during fair not related to member s project category or committee. Required Hours o The minimum number of hours that must be completed throughout the course of the fair week will be determined at the June meeting. o Hours must be completed in the area not in the member s project area unless approved by an advisor. o Members must sign in and out at the Junior Fair Office in Junior Fair Notebook. o Members must maintain a list of events they helped with. Required Tasks o Name tags are to be worn at all times unless circumstances will not allow (showmanship, royal court participant, style review). Name tag must be available & shown to prove identity if asked. o Length of time and number of hours will vary from year to year depending on need. o Junior Fair Board T shirts must be worn on Tuesday and for the MAC Sale. o It is strongly suggested T-Shirts be worn as much as possible during the week, especially at Junior Fair events. o Represent the board in a positive manner o To maintain the Expo Building by cleaning it regularly. o Club and specie/barn requirements must be met. Consequences o 1st offense verbal warning o 2 nd offense 1 hour added to individual s total required hours o 3 rd offense revoking privileges including but not limited to grandstand privileges, office position, chairman s potion, and holding an office the following year. o 4 th offense removal from Junior Fair Board

6

7 Expectations, Code Of Conduct & Requirements of Fair Week Agreement I,, agree to abide by the expectations, code of conduct and requirements for fair week set forth for Junior Fair Board members. I understand that any violation of these statements may result in consequences as stated or decided upon by the Junior Fair Board Advisors. Date: Youth Signature: Parent/Guardian Signature:

Guernsey County Jr. Fair Royalty Contest

Guernsey County Jr. Fair Royalty Contest Guernsey County Jr. Fair Royalty Contest Interested Guernsey County Jr. Fair members please read the following information and follow the directions when applying for the Guernsey County Jr. Fair Royalty

More information

Mercer County Junior Fair King and Queen Scholarship Contest

Mercer County Junior Fair King and Queen Scholarship Contest Mercer County Junior Fair King and Queen Scholarship Contest Applications due by 4:30 on August 1 in the OSU Extension Office. If mailing application, please ensure that it will arrive at the Extension

More information

Boy Scout Troop 692 Code of Conduct and Discipline Policy

Boy Scout Troop 692 Code of Conduct and Discipline Policy Boy Scout Troop 692 Code of Conduct and Discipline Policy The Troop expects all Scouts to behave in accordance with the Boy Scout Law. Scouting events happen in a friendly, safe and supportive environment

More information

2018 East Texas Rural Electric Youth Seminar

2018 East Texas Rural Electric Youth Seminar 2018 East Texas Rural Electric Youth Seminar June 25 June 29, 2018 on the East Texas Baptist University (ETBU) campus in Marshall, Texas Applications due Friday, April 20, 2018. To qualify please complete

More information

Rancho Mirage High School Associated Student Body Application

Rancho Mirage High School Associated Student Body Application Associated Student Body Application 2018-2019 Dear Candidates, Rancho Mirage High School ASB Application 2018-2019 We would like to thank you for your interest in running for one of the ASB positions.

More information

Healthy Texas Youth Ambassador. Information Handbook

Healthy Texas Youth Ambassador. Information Handbook 2018-19 Healthy Texas Youth Ambassador Information Handbook Table of Contents Purpose... 3 Eligibility Requirements/Program Objectives... 3 Attendance Policy... 4 Activity Requirements... 4 Dress Code..5

More information

ARKANSAS DAIRY AMBASSADOR PROGRAM 2013 APPLICATION

ARKANSAS DAIRY AMBASSADOR PROGRAM 2013 APPLICATION 2013 APPLICATION Are you a young person with a passion for the bovine dairy cow and/or the bovine dairy industry? If so, then you have the opportunity to be named the 2013 Arkansas Dairy Ambassador! The

More information

Student Participant Health Form

Student Participant Health Form Participant Name: Male Female Birth Age on arrival at program Month/Day/Year To Parent(s)/Guardian(s): Please follow the instructions below. Attach additional information if needed. 1. 2. Complete pages

More information

2018 JUNIOR POLICE ACADEMY

2018 JUNIOR POLICE ACADEMY 2018 JUNIOR POLICE ACADEMY Chief Brian Spring Academy Dates: July 9 th July 13 st Eligibility: Pequannock Students that have graduated from the 6th, 7th or 8th grade. Location: Pequannock First Aid Squad

More information

1) INFORMATION ABOUT THE PARTICIPANT AND ACTIVITY

1) INFORMATION ABOUT THE PARTICIPANT AND ACTIVITY 2016-17 South Carolina 4-H Membership and Event Permission Form for Youth (Updated 08.01.16) ALL elements of this form must be completed by youth participating in clubs, field trips, events requiring group

More information

OHIO STATE UNIVERSITY EXTENSION

OHIO STATE UNIVERSITY EXTENSION OHIO STATE UNIVERSITY EXTENSION 2018 SWINE Junior Fair Superintendents: John Isler, Ally McCurdy, Jenna Siegel, Bekah Muselin, Case Swartz, Wesley Troutman, Hunter Gandert Sr. Fair Board Superintendents:

More information

ATASCOCITA FFA CHAPTER CONSTITUTION

ATASCOCITA FFA CHAPTER CONSTITUTION ATASCOCITA FFA CHAPTER CONSTITUTION Charter 2006 **Revised Wednesday, June 15 th, 2011 ARTICLE I. Name, Purpose and Regulations The name of this organization shall be the "Atascocita FFA". Atascocita FFA

More information

College Station FFA. Executive Committee Handbook

College Station FFA. Executive Committee Handbook College Station FFA Executive Committee Handbook 2017-2018 1 Running for CSHS Chapter Office & Committee Chairs Component Date Percentage Important Information Application April 10 th Considered with Interview

More information

MARITIME COLLEGE STATE UNIVERSITY OF NEW YORK

MARITIME COLLEGE STATE UNIVERSITY OF NEW YORK MARITIME COLLEGE STATE UNIVERSITY OF NEW YORK Counselor in Training Handbook and Application 2017 I. Program Objective SUNY Maritime College s Waterfront Department Counselor in Training (CIT) Program

More information

North Carolina 4-H Application for State 4-H Office

North Carolina 4-H Application for State 4-H Office North Carolina 4-H Application for State 4-H Office Name County Address City State Zip Home Telephone Age Date of Birth Cell Phone Number Year in School Date of Graduation Years of 4-H Completed Name of

More information

Code of Conduct (Student)

Code of Conduct (Student) Code of Conduct (Student) Attendance at any DECA sponsored conference or activity is a privilege. The Conduct policies apply to all delegates: students, adults, and any authorized persons attending the

More information

Region Officer Handbook and Application

Region Officer Handbook and Application 2014-2015 Region Officer Handbook and Application Georgia FCCLA 283 Swanson Drive Suite # 204 Lawrenceville, GA 30043 Office (678) 735-0091 Fax (678) 735-0094 www.gafccla.com 1 Table Of Contents General

More information

Summer Camp Registration

Summer Camp Registration _ YMCA of the Sandhills Summer Camp Registration Fayetteville YMCA 2717 Fort Bragg Rd. Fayetteville, NC 28303 (910) 426-9622 op.4 North YMCA 3725 Ramsey Street Fayetteville, NC 28311 (910) 426-9622 op.

More information

Troop 546 Discipline Policy

Troop 546 Discipline Policy Troop 546 Discipline Policy Preface (Taken from the Rules and Regulations of the Boy Scouts of America) Youth Member Behavior Guidelines: The Boy Scouts of America is a values-based youth development organization

More information

Cooperative Extension Service Daviess County 4800A New Hartford Road Owensboro KY Fax: extension.ca.uky.

Cooperative Extension Service Daviess County 4800A New Hartford Road Owensboro KY Fax: extension.ca.uky. Cooperative Extension Service Daviess County 4800A New Hartford Road Owensboro KY 42303 270-685-8480 Fax: 270-685-3276 extension.ca.uky.edu Win A Chicken Coop! Girls In Agriculture Leadership Academy

More information

Ohio State University Extension

Ohio State University Extension Ohio State University Extension Brown County 325 W. State Street Bldg. B Georgetown, OH 45121 937-378-6716 Phone 937-378-6646 Fax Dear Potential Ohio 4-H Volunteer, Let me take this opportunity to thank

More information

STATE OFFICER CANDIDATE APPLICATION (Please Print)

STATE OFFICER CANDIDATE APPLICATION (Please Print) DEADLINE: January 31, 2017 Submit by the deadline for DECA State Conference registration materials. NO FAXES WILL BE ACCEPTED ALABAMA DECA HIGH SCHOOL DIVISION STATE OFFICER CANDIDATE APPLICATION (Please

More information

Junior Volunteer Program

Junior Volunteer Program 5126 Hospital Drive Covington, GA 30014 Tel: 770.788.6553 Andrea.Lane@piedmont.org Junior Volunteer Program Information Packet Piedmont Newton Hospital Volunteer Services Summer 2016 June 13 July 22 1

More information

General Information & Preparation

General Information & Preparation Ponderosa Retreat Parent Information Please Keep This Information Paper for your Reference All Other Forms, with $50 Payment, Turn-in by Friday, August 17 All Other Forms Must be Signed to be Valid General

More information

REGISTRATION FORM. Parent Name Relationship to child. Address (if different) . Place of employment Hours - Work phone

REGISTRATION FORM. Parent Name Relationship to child. Address (if different)  . Place of employment Hours - Work phone REGISTRATION FORM FUN FITNESS CAMP All forms can be filled electronically. Please complete forms and submit with original signature and registration fee. Child s name Age Sex Address State City Zip Date

More information

State Officer Application - SLC 2016

State Officer Application - SLC 2016 Candidate name: State Officer Application - SLC 2016 Read the following pages of information very carefully. If you have any questions, please call the Florida HOSA State Office at (386) 462-HOSA. Fill

More information

Marquette County Youth Meat Animal Program Committee Scholarship

Marquette County Youth Meat Animal Program Committee Scholarship GUIDELINES: 1. The Marquette County Youth Meat Animal Program Committee will award 2 $500 scholarships. This award must be used for programs of study at any postsecondary school accredited college, university,

More information

Georgetown Police Department 2018 Junior Police Academy Application

Georgetown Police Department 2018 Junior Police Academy Application Georgetown Police Department Application Application Deadline: Friday, April 27, 2018 by 5:00pm. There are 25 slots available for each camp, so don t delay in turning in your application. Applications

More information

CAMP KEOLA 4-H CAMP June 19-23, 2018 CAMPER REGISTRATION NAME AGE GENDER GRADE MAILING ADDRESS CITY ZIP

CAMP KEOLA 4-H CAMP June 19-23, 2018 CAMPER REGISTRATION NAME AGE GENDER GRADE MAILING ADDRESS CITY ZIP COMPLETE 1 PER CAMPER CAMP KEOLA 4-H CAMP June 19-23, 2018 CAMPER REGISTRATION Camp Fee Date Received Check Number For Office Use Only WHO MAY ATTEND: Fresno County 4-H members who are 9 years old or in

More information

C OMMUNITY, C OUNSELING, AND C ORRECTIONAL S ERVICES, I NC. WATCH West PROGRAM Visitor Application

C OMMUNITY, C OUNSELING, AND C ORRECTIONAL S ERVICES, I NC. WATCH West PROGRAM Visitor Application C OMMUNITY, C OUNSELING, AND C ORRECTIONAL S ERVICES, I NC. WATCH West PROGRAM Visitor Application Please Print Any incorrect, incomplete, false or misleading information on this application will void

More information

Welcome to High Adventure Troop 45 Boy Scouts of America Theodore Roosevelt Council

Welcome to High Adventure Troop 45 Boy Scouts of America Theodore Roosevelt Council Welcome to High Adventure Troop 45 Boy Scouts of America Theodore Roosevelt Council Welcome to the Boy Scouts and Troop 45, Mineola Troop 45 is one of the oldest and certainly the finest Troops in the

More information

OSU Livestock Judging Camp 2009

OSU Livestock Judging Camp 2009 OSU Livestock Judging Camp 2009 July 7-9 Oklahoma State University Stillwater, Okla. Participants will have the unique opportunity to work one- on- one with 3 of the most elite and successful livestock

More information

TROOP 395 POLICY January 2014 THREE FIRES DISTRICT SOUTHERN SHORES FSC BOY SCOUTS OF AMERICA (www.troop395.org)

TROOP 395 POLICY January 2014 THREE FIRES DISTRICT SOUTHERN SHORES FSC BOY SCOUTS OF AMERICA (www.troop395.org) TROOP 395 POLICY January 2014 THREE FIRES DISTRICT SOUTHERN SHORES FSC BOY SCOUTS OF AMERICA (www.troop395.org) I. GENERAL TROOP POLICY The Boy Scout Program is designed to help young men become citizens

More information

MINNESOTA PORK INDUSTRY AMBASSADOR HANDBOOK 2018 EDITION

MINNESOTA PORK INDUSTRY AMBASSADOR HANDBOOK 2018 EDITION MINNESOTA PORK INDUSTRY AMBASSADOR HANDBOOK 2018 EDITION 1 Contents of this Handbook Minnesota Pork Industry Ambassador Program Mission Statement.. Page 3 Program Objectives. Page 3 SECTION ONE: COUNTY

More information

SCREENING GUIDE: NEW 4-H VOLUNTEERS

SCREENING GUIDE: NEW 4-H VOLUNTEERS SCREENING GUIDE: NEW 4-H VOLUNTEERS There are 3 steps to becoming a 4-H volunteer. See online or paper options for each step. Step A: Application ONLINE: https://sites.google.com/umn.edu/4-h-volunteer/apply

More information

City of Pasadena HOW TO GET INVOLVED: Parks and Recreation Department. Adaptive Recreation Division: Verne Cox Multipurpose Recreation Center (VCMRC)

City of Pasadena HOW TO GET INVOLVED: Parks and Recreation Department. Adaptive Recreation Division: Verne Cox Multipurpose Recreation Center (VCMRC) 2018 City of Pasadena Parks and Recreation Department Adaptive Recreation Division: Verne Cox Multipurpose Recreation Center (VCMRC) HOW TO GET INVOLVED: Completely review, fill out and sign this packet.

More information

MINNESOTA PORK INDUSTRY AMBASSADOR HANDBOOK

MINNESOTA PORK INDUSTRY AMBASSADOR HANDBOOK MINNESOTA PORK INDUSTRY AMBASSADOR HANDBOOK 2012 Edition 2017 EDITION Minnesota Pork Board Supported by the Contents of this Handbook 1 Minnesota Pork Industry Ambassador Program Mission Statement.. Page

More information

Student Handbook MOVE-IN/OUT SCHEDULE. Session One Student Move-in, Sunday, July 9, 12-2 PM Program Closes Friday, July 21, 8:00 PM

Student Handbook MOVE-IN/OUT SCHEDULE. Session One Student Move-in, Sunday, July 9, 12-2 PM Program Closes Friday, July 21, 8:00 PM Student Handbook MOVE-IN/OUT SCHEDULE Session One Student Move-in, Sunday, July 9, 12-2 PM Program Closes Friday, July 21, 8:00 PM Session Two: Student Move-in, Sunday, July 23, 12-2 PM Program Closes

More information

Kimberly FFA. Chapter Officer Application

Kimberly FFA. Chapter Officer Application Kimberly FFA Chapter Officer Application 2016-2017 The Process: 1. Complete the attached officer application. It is highly suggested that you type your application. The application is a word document.

More information

COUNTY OF SACRAMENTO Probation Department

COUNTY OF SACRAMENTO Probation Department COUNTY OF SACRAMENTO Probation Department 9750 BUSINESS PARK DRIVE, SUITE 220, SACRAMENTO, CALIFORNIA 95827 TELEPHONE (916) 875-0273 FAX (916) 875-0347 LEE SEALE CHIEF PROBATION OFFICER COUNTY PAROLE OFFICER

More information

HILLIARD OPTIMIST CLUB SCHOLARSHIP APPLICATION GUIDELINES AND PROCEDURES

HILLIARD OPTIMIST CLUB SCHOLARSHIP APPLICATION GUIDELINES AND PROCEDURES HILLIARD OPTIMIST CLUB SCHOLARSHIP APPLICATION GUIDELINES AND PROCEDURES SCHOLARSHIP PROGRAM OUTLINE: - Applications for the scholarships are open to all Hilliard High School graduating seniors who can

More information

OHIO STATE UNIVERSITY EXTENSION

OHIO STATE UNIVERSITY EXTENSION WYANDOT COUNTY 4-H SCHOLARSHIP COURTRIGHT SCHOLARSHIP INDIAN MILL ANTIQUE ASSOCIATION SCHOLARSHIP I & D SCHOENBERGER FAMILY SCHOLARSHIP APPLICATION FORM PRESCREENING: Applications MUST include ALL of the

More information

CRANFORD POLICE DEPARTMENT YOUTH POLICE ACADEMY

CRANFORD POLICE DEPARTMENT YOUTH POLICE ACADEMY YOUTH POLICE ACADEMY June 25-29, 2018 8:00 AM 3:00 PM Available to Cranford students graduating 6 th, 7 th, and 8 th grades Learn about the Cranford Police Department and other local, state, and federal

More information

MILLBURY POLICE DEPARTMENT Youth Police Academy

MILLBURY POLICE DEPARTMENT Youth Police Academy MILLBURY POLICE DEPARTMENT Youth Police Academy The Millbury Police Department is hosting its first Youth Police Academy for the summer of 2015! Academy dates are Monday, July 27, 2015 through Friday,

More information

MESA COMMUNITY COLLEGE. Information Packet 2018 YOUTH COLLEGE. Workshop I & II - Please fill out the following forms and bring to your Audition Time:

MESA COMMUNITY COLLEGE. Information Packet 2018 YOUTH COLLEGE. Workshop I & II - Please fill out the following forms and bring to your Audition Time: MESA COMMUNITY COLLEGE Information Packet 2018 YOUTH COLLEGE Workshop I & II - Please fill out the following forms and bring to your Audition Time: o 14 years and older Need to provide picture ID for Student

More information

REFERENCES: (If applying to assist with religious activities, please include a member of the clergy as a reference.)

REFERENCES: (If applying to assist with religious activities, please include a member of the clergy as a reference.) BRRJA APPLICATION FOR VOLUNTEER SERVICES SITE: AA NA Academic Religious Other DATE: FULL NAME: Last First Middle HOME ADDRESS: Street City State Zip PHONE: Home Cell Work EMAIL ADDRESS: EDUCATION: HS Degree

More information

2017 Recruit Class. Vernon Junior Police Academy

2017 Recruit Class. Vernon Junior Police Academy 2017 Recruit Class Vernon Junior Police Academy Monday, August 14 th through Friday, August 18 th Location: Vernon Police Athletic League (PAL) 25 Church Street, Vernon NJ Academy Times: 8:00am-12:00pm

More information

CAMP STAFF APPLICATION Crater Lake Council BSA 3039 Hanley Road Central Point OR Fax:

CAMP STAFF APPLICATION Crater Lake Council BSA 3039 Hanley Road Central Point OR Fax: Thank you for your interest in joining Crater Lake Council s Camp Staff. Serving as a Staff member at a BSA summer camp is a wonderful experience! You will develop leadership skills, make a lot of friends

More information

Lambert High School DECA Officer Interest Packet & Application

Lambert High School DECA Officer Interest Packet & Application Lambert High School DECA Officer Interest Packet & Application 2016 1 Table of Contents A Letter From DECA Advisors.3 Officer Positions and General Responsibilities. 4-5 Application.....6-9 Officer Candidate

More information

2017 Bobby Sox Softball

2017 Bobby Sox Softball 2017 Bobby Sox Softball High School Scholarship Program What is the Bobby Sox Scholarship Program? The Bobby Sox Softball Program has a Scholarship Fund established for the benefit of High School Senior

More information

Boy Scout Troop 26 Lyme-Old Lyme, Connecticut Troop Handbook

Boy Scout Troop 26 Lyme-Old Lyme, Connecticut Troop Handbook Boy Scout Troop 26 Lyme-Old Lyme, Connecticut Troop Handbook About this Handbook Note: This handbook is under construction, so not all of the referenced sections exist yet. When complete, copies will be

More information

ILLINOIS CHARTERED ASSOCIATION OF DECA

ILLINOIS CHARTERED ASSOCIATION OF DECA ILLINOIS CHARTERED ASSOCIATION OF DECA CONDUCT, DRESS CODE & EMERGENCY INFORMATION FOR ALL DECA ACTIVITIES Attendance at any DECA sponsored conference or activity is a privilege. The following conduct

More information

THE HUMANITARIAN, INC. Creating Vision Through Mentoring

THE HUMANITARIAN, INC. Creating Vision Through Mentoring THE HUMANITARIAN, INC. Creating Vision Through Mentoring Mentor Interest Survey Name: Date: Please complete all the following. This survey will help The Humanitarian, Inc. Mentoring Program know more about

More information

INFORMATION TO APPLICANT EATON ROTARY CLUB SCHOLARSHIP

INFORMATION TO APPLICANT EATON ROTARY CLUB SCHOLARSHIP INFORMATION TO APPLICANT EATON ROTARY CLUB SCHOLARSHIP 1. Type of Scholarship 2. Who may apply? One year scholarship in the amount of $500.00 Any senior boy or girl in attendance in any of the Preble County

More information

Pitt County 2017 4-H Summer Fun Registration Programs are open to the public and filled on a first- come, first- served basis. Fees are NONREFUNDABLE unless the camp is cancelled. Participants are required

More information

September Dear RYLA Coordinator: Rotary Youth Leadership Awards Rotary District 6670 Southwest Ohio Fastfacts:

September Dear RYLA Coordinator: Rotary Youth Leadership Awards Rotary District 6670 Southwest Ohio Fastfacts: September 2017 Dear RYLA Coordinator: Each spring, local Rotary Clubs partner with local school districts to select one or more High School sophomores and juniors (Award Winners) to attend a leadership

More information

Applicant Name: First Middle Last. Age: Birth Date: Applicant Cell Phone: Address Phone: Number & Street Name City Zip Code

Applicant Name: First Middle Last. Age: Birth Date: Applicant Cell Phone: Address Phone: Number & Street Name City Zip Code PLEASE PRINT : Applicant Name: First Middle Last Age: Birth : Applicant Cell Phone: Address Phone: Number & Street Name City Zip Code (Applicant s) E-mail address: / Applicant s Parent s Legal Guardian/Mother/Father

More information

201 Chief Michael Feeney

201 Chief Michael Feeney 2016 Applicants please fill out this application in its entirety and return to the Ridgewood Police Desk at 131 North Maple Avenue before June 1, 2016. A fee of $50.00 per applicant will be assessed as

More information

Farm Bureau and Farm Bureau Foundation of Sonoma County 2018 Scholarship Application

Farm Bureau and Farm Bureau Foundation of Sonoma County 2018 Scholarship Application will award scholarships this year to deserving students studying agriculture or an agricultural-related field at a four year college, junior college or vocational school. The Farm Bureau Foundation s mission

More information

State Officer Application Secondary (High School)

State Officer Application Secondary (High School) State Officer Application Secondary (High School) (Note: Must be a sophomore or junior in High School of the current school year to apply for High School Officer Position.) Name: of Birth Age: Address:

More information

MERCED YOUTH COUNCIL General Guidelines

MERCED YOUTH COUNCIL General Guidelines MERCED YOUTH COUNCIL General Guidelines Background The The Merced Merced City City established established a a task task force force in in 2013 2013 to to research researchand and get get youth youth input

More information

EASTERN MIDDLE SCHOOL POLICIES AND PROCEDURES

EASTERN MIDDLE SCHOOL POLICIES AND PROCEDURES EASTERN MIDDLE SCHOOL POLICIES AND PROCEDURES ACADEMIC HONESTY All work turned in by a student should be his or her own work, reflecting what the student has learned. Using someone else s work, words,

More information

Application Deadline is Thursday April 13, Complete (include

Application Deadline is Thursday April 13, Complete (include Dear Junior Volunteer Applicant, Thank you for your interest in participating in the 2017 Junior Volunteer Program at Pardee Hospital. Your service is greatly appreciated by our staff, patients, and their

More information

Mauldin Police Youth Academy Enrollment Application

Mauldin Police Youth Academy Enrollment Application Mauldin Police Youth Academy Enrollment Application Date: Current Age: Photo of Cadet Applicant s Name: School: Rising Grade: Date of Birth: Home Address: City: State: Zip Code: Name of Parent/Guardian

More information

SAISD Volunteer Information Packet

SAISD Volunteer Information Packet SAISD Volunteer Information Packet Thank you for choosing to volunteer in the San Antonio Independent School District. We hope that the time that you spend volunteering at SAISD is both fun and rewarding.

More information

ICM Food & Clothing Bank Volunteer Application

ICM Food & Clothing Bank Volunteer Application Please print legibly. Date: / _/ ICM Food & Clothing Bank Volunteer Application Name: Email: Tel: ( ) Cell: ( ) Address: City: State: Zip: Emergency Contact Tel: 1. How did you hear about ICM? (i.e., school,

More information

TROOP 192 BY-LAWS. Revision 2 August 28, 2013

TROOP 192 BY-LAWS. Revision 2 August 28, 2013 TROOP 192 BY-LAWS Revision 2 August 28, 2013 Table of Contents Section Page Troop Charter 2 A. Purpose of the Troop 2 B. Purpose of These By-Laws 2 C. Scout Registration Requirements 2 D. Leader Registration

More information

Last Name First Name M.I. Name You Prefer. City State Zip Address. Daytime Phone Evening Phone Best Time to Call. City State If yes, where?

Last Name First Name M.I. Name You Prefer. City State Zip  Address. Daytime Phone Evening Phone Best Time to Call. City State If yes, where? GENERAL INFORMATION Last Name First Name M.I. Name You Prefer Mailing Address How long at this address? City State Zip County If less than a year, previous address How long have you resided in the county?

More information

4-H Youth Development Team Coordinator 4-H Community Educator

4-H Youth Development Team Coordinator 4-H Community Educator Wayne County 1581 Route 88N Newark, NY 14513 p. 315.331.8415 f. 315.331.8411 www.ccewayne.org Dear 4-H Families, Welcome to Wayne County 4-H! It is a very exciting time of the year to join 4-H; new projects

More information

TEXAS BRAHMAN ASSOCIATION SCHOLARSHIP APPLICATION

TEXAS BRAHMAN ASSOCIATION SCHOLARSHIP APPLICATION TEXAS BRAHMAN ASSOCIATION SCHOLARSHIP APPLICATION The Texas Brahman Association will award scholarships to worthy recipients having made outstanding contributions to agriculture and the Brahman Industry.

More information

If you are currently a High School Senior. you will complete a general volunteer application, not this one.

If you are currently a High School Senior. you will complete a general volunteer application, not this one. 2018 North Cypress Medical Center Junior Volunteer Packet Must be a Current High School Sophomore or Junior If you are currently a High School Senior you will complete a general volunteer application,

More information

Alpharetta Recreation and Parks Department 2018 Wills Park Summer Day Camp Counselor In Training Handbook

Alpharetta Recreation and Parks Department 2018 Wills Park Summer Day Camp Counselor In Training Handbook Alpharetta Recreation and Parks Department 2018 Wills Park Summer Day Camp City of Alpharetta Recreation and Parks Alpharetta Community Center 175 Roswell Street Alpharetta, GA 30009 (678) 297-6100 accprograms@alpharetta.ga.us

More information

COLORADO CTSO FALL LEADERSHIP CALL TO CONFERENCE AND ADVISER GUIDE Colorado FBLA

COLORADO CTSO FALL LEADERSHIP CALL TO CONFERENCE AND ADVISER GUIDE Colorado FBLA COLORADO CTSO FALL LEADERSHIP CALL TO CONFERENCE AND ADVISER GUIDE 2017 Colorado FBLA Table of Contents Checklist to Prepare for Colorado Fall Leadership Conferences... 2 Colorado Fall Leadership Conferences

More information

Court Referral Program YDAD REGISTRATION

Court Referral Program YDAD REGISTRATION Court Referral Program YDAD REGISTRATION Case Number# : Name: (First) (Middle Name) (Last Name) Address: City: State: Zip: Home Phone: ( ) Cell: ( ) Work Phone: ( ) Fax #: ( ) Email Address: @. Social

More information

OSU Extension 4 H Volunteer Application Revised

OSU Extension 4 H Volunteer Application Revised OSU Extension 4 H Volunteer Application Revised 7.31.17 Adults or teens should complete and submit this 2 page application if they are interested in (a) teaching, coaching, advising or chaperoning youth

More information

HIGH-SCHOOL STUDENT VOLUNTEER PROGRAM

HIGH-SCHOOL STUDENT VOLUNTEER PROGRAM HIGH-SCHOOL STUDENT VOLUNTEER PROGRAM 2017-2018 School Year Volunteer Application Becoming part of the NUMC volunteer team is a process and has many steps. Please review all the information carefully with

More information

Cal-HOSA CHAPTER OFFICER APPLICATION PACKET

Cal-HOSA CHAPTER OFFICER APPLICATION PACKET Cal-HOSA CHAPTER OFFICER APPLICATION PACKET INTRODUCTION Being a Cal-HOSA chapter officer takes hard work and dedication. You will gain experiences and relationships to last a lifetime. The skills gained

More information

2018 Wayne County 4-H Scholarship Application

2018 Wayne County 4-H Scholarship Application OHIO STATE UNIVERSITY EXTENSION 2018 Wayne County 4-H Scholarship Application DUE: February 15, 2018 by 4:30 pm to the Wayne County Extension Office For an applicant to be considered for a Wayne County

More information

My image/name may be included in print/social media Yes No

My image/name may be included in print/social media Yes No Volunteer Application 2018 Due: April 20 th for DOH & June 2 nd for WOH Volunteer Fees DOH - $10* WOH - $20* *Youth Scholarships Available Youth/Adult: Youth (age 14-20 by event date) Adult (21 or older)

More information

Attachment A: Code of Ethics for Volunteers with Vulnerable Populations

Attachment A: Code of Ethics for Volunteers with Vulnerable Populations Attachment A: Code of Ethics for Volunteers with Vulnerable Populations This Code of Ethics must be submitted along with the Application to Volunteer with Vulnerable Populations and Authorization for Release

More information

East Tipp Middle School

East Tipp Middle School East Tipp Middle School Please complete and/or send the following information to Coach Dunk at tomdunk@atlasexcavating.com or return the completed form to the East Tipp Office. Player name: Grade for 2017/2018

More information

Junior Firefighter Program New Members Booklet

Junior Firefighter Program New Members Booklet Welcome To The Junior Firefighter Program New Members Booklet New Member, As the Coordinator of the Junior Firefighter Program, I would like to take this opportunity to welcome you as a Junior member of

More information

Returning Volunteer Application

Returning Volunteer Application Returning Volunteer Application Office Use Only Application Received Brenda LeBlanc, Volunteer Coordinator 978-683-4000 x2645 Brenda.leblanc@lawrencegeneral.org Welcome! Returning Volunteers, Before returning,

More information

TEEN VOLUNTEER APPLICATION (AGES 16-17)

TEEN VOLUNTEER APPLICATION (AGES 16-17) TEEN VOLUNTEER APPLICATION (AGES 16-17) APPLICATION MUST BE FILLED OUT BY THE INDIVIDIAL APPLYING FOR THE VOLUNTEER POSITION. Completed applications can be returned to Lake Wales Medical Center Dir. Volunteer

More information

CARSON CITY VOLUNTEER/INTERN APPLICATION. Volunteer/Intern Name: City, State, Zip: Day Phone: Night Phone: Cell Phone:

CARSON CITY VOLUNTEER/INTERN APPLICATION. Volunteer/Intern Name: City, State, Zip: Day Phone: Night Phone: Cell Phone: CARSON CITY VOLUNTEER/INTERN APPLICATION Date: Volunteer/Intern Name: Home Address: City, State, Zip: Day Phone: Night Phone: Cell Phone: E-mail: Occupation: Business Name: Phone: Are you under the age

More information

YMCA OF MIDDLE TENNESSEE AUTHORIZATION AND RELEASE FOR THE PROCUREMENT OF A CONSUMER AND/OR INVESTIGATIVE CONSUMER REPORT

YMCA OF MIDDLE TENNESSEE AUTHORIZATION AND RELEASE FOR THE PROCUREMENT OF A CONSUMER AND/OR INVESTIGATIVE CONSUMER REPORT YMCA OF MIDDLE TENNESSEE AUTHORIZATION AND RELEASE FOR THE PROCUREMENT OF A CONSUMER AND/OR INVESTIGATIVE CONSUMER REPORT *This information will be used for verification and identification purposes only

More information

D E ADLINE: October 16 RELEASE T-SHIRT SIZE. (circle one) YOUTH S M L LEADER INFORMATION. Name: Male Female. Address: City: State: Zip:

D E ADLINE: October 16 RELEASE T-SHIRT SIZE. (circle one) YOUTH S M L LEADER INFORMATION. Name: Male Female. Address: City: State: Zip: Director USE ONLY : CABIN LEADER INFORMATION Name: Male Female (First) (Last) Date of Birth: m m / d d / y y Email: Address: City: State: Zip: Phone #: Secondary Phone #: MEDICAL INFORMATION Are you under

More information

2018 Recruit Class. Denville Junior Police Academy

2018 Recruit Class. Denville Junior Police Academy 2018 Recruit Class Denville Junior Police Academy Monday, July 16 th through Frida, July 20 th Morris Knolls High School 50 Knoll Drive, Rockaway, NJ 8:00 a.m. to 4:00 p.m. Fee: $50.00 (to be collected

More information

US Air Force Youth Programs AFTC Representative and Adult Advisor Application

US Air Force Youth Programs AFTC Representative and Adult Advisor Application Air Force Teen Council (AFTC) - Teen Representative and Adult Advisor Application Section I: Applicant Criteria and Submission Instructions This form allows teens and advisors to serve on the 2016-2018

More information

INTRODUCTION REGISTRATION

INTRODUCTION REGISTRATION INTRODUCTION The 2017 Law Enforcement Explorer Academy is a weeklong residential career education program providing Explorers with practical, hands-on law enforcement and life-skills training. The academy

More information

POTOMAC YOUTH CAMP REGISTRATION FORM (Choose one: Week 1 Week 2 Week 3) ( ) ( ) (7.2.18)

POTOMAC YOUTH CAMP REGISTRATION FORM (Choose one: Week 1 Week 2 Week 3) ( ) ( ) (7.2.18) POTOMAC YOUTH CAMP REGISTRATION FORM (Choose one: Week 1 Week 2 Week 3) (6.18.18) (6.25.18) (7.2.18) Last name First name Sex (M/F) Birthdate / / Grade (as of 17-18 school year) Street Mailing Address

More information

FFA AGRICULTURE EDUCATION Dept. AE

FFA AGRICULTURE EDUCATION Dept. AE FFA AGRICULTURE EDUCATION Dept. AE Milford Wearley, Superintendent Choteau FFA Phone: (406) 590-7225 (cell) Email: mwearley@metnet.mt.gov Eric Tilleman, Superintendent Cascade FFA Phone: (406) 799-3969

More information

Middle Tennessee Council Boy Scouts of America. Walton Trail District. Troop 293. Formed on February 09, 2003

Middle Tennessee Council Boy Scouts of America. Walton Trail District. Troop 293. Formed on February 09, 2003 Middle Tennessee Council Boy Scouts of America Walton Trail District Troop 293 Formed on February 09, 2003 Policies & Rules: Amended/Updated March 1, 2010 Charter Organization: College Hills Church of

More information

KERR COUNTY FAIR ASSOCIATION, INC QUEEN S SCHOLARSHIP PAGEANT APPLICATION

KERR COUNTY FAIR ASSOCIATION, INC QUEEN S SCHOLARSHIP PAGEANT APPLICATION KERR COUNTY FAIR ASSOCIATION, INC. 2018 QUEEN S SCHOLARSHIP PAGEANT APPLICATION Name: Address: (street) (city, state, zip) Mailing address: (if different than above) Phone: (home) (cell) (Email) School

More information

HALESITE FIRE DEPARTMENT

HALESITE FIRE DEPARTMENT HALESITE FIRE DEPARTMENT Junior Firefighter Program BY - LAWS November 25, 2014 Page 1 of 9 Halesite Fire Department Junior Firefighter Program By-Laws ARTICLE I: TITLE AND MISSION STATEMENT SECTION I:

More information

YOUTH CONFERENCE 2012

YOUTH CONFERENCE 2012 The Arizona Indian Education Association invites you to the YOUTH CONFERENCE 2012 Northern Arizona University-High Country Conference Center www.aieacorp.com For additional information email: kathleen.frank@nau.edu

More information

Troop Policies and Procedures

Troop Policies and Procedures Boy Scouts of America Troop 870 Charter Organization: University Baptist Church Clear Lake City, Texas Troop Policies and Procedures Initial: November 3, 2001 Revision 1 January 17, 2004, 2.1 November

More information

JUNIOR AMBASSADOR SUMMER PROGRAM APPLICATION Age: Date of Birth: Parent/Guardian s

JUNIOR AMBASSADOR SUMMER PROGRAM APPLICATION Age: Date of Birth:   Parent/Guardian s JUNIOR AMBASSADOR SUMMER PROGRAM APPLICATION - 2016 Name: (Last) (First) (Middle) Date: Address: (Street) (City) (State) (Zip Code) Phone: (H) (C) Age: Date of Birth: E-mail: Parent/Guardian s Email: High

More information

COMMUNITY, COUNSELING & CORRECTIONAL SERVICES, INC. Gallatin County Re-Entry Program SPONSOR FORM

COMMUNITY, COUNSELING & CORRECTIONAL SERVICES, INC. Gallatin County Re-Entry Program SPONSOR FORM COMMUNITY, COUNSELING & CORRECTIONAL SERVICES, INC. Gallatin County Re-Entry Program SPONSOR FORM Name of Resident Being Sponsored: Name of Sponsor Applicant: Community passes are one of the most important

More information

Recovery Housing Program Agreement

Recovery Housing Program Agreement Recovery Housing Program Agreement I have made the personal choice to live in a Recovery Residence provided by the Hancock County Alcohol, Drug Addiction, and Mental Health Services Board. I am seeking

More information