Say Something Join ASAP! ASAP!

Size: px
Start display at page:

Download "Say Something Join ASAP! ASAP!"

Transcription

1 Say Something Join ASAP! ASAP! What is ASAP? ASAP stands for the Asian American Student Advocacy Project, a leadership program for Asian Pacific American (APA) high school students who want to learn how to make positive changes in the APA community. ASAP student leaders identify issues and challenges facing Asian Pacific American youth and build campaigns around the identified issues. What have ASAP Student Leaders done? Raised awareness and mobilized peers to: increase opportunities to learn about APA history and literature, increase support for English language learners and mental health awareness, and create safe environments free of harassment Advocated for the celebration of Asian Pacific American Heritage Month at their high schools Offered policy recommendations and proposed specific steps for improvement Presented their advocacy projects to policymakers and public officials ASAP begins with a week-long summer orientation program the last week of August and will meet weekly during the school year from October 2008 to May 2009, 4:30 to 6:30pm in downtown Manhattan (Dates to be determined). DEADLINE FOR APPLICATION HAS BEEN EXTENDED TO FRIDAY, JULY 11, Sessions will include: Group discussions Guest speakers Skills-building workshops Strategizing to involve peers Visits to community organizations Meetings with public officials or community leaders What can YOU gain from ASAP? Develop leadership skills Learn about advocacy Work as a member of a team Get to know other students Stay connected as a member of CACF Earn a certificate of recognition, a letter of recommendation, and a stipend upon completion of the program Who does ASAP look for? ASAP seeks NYC public high school students of Asian descent. To be eligible, you must be: Currently passing your classes Enrolled as a high school student in Fall 2008 Preferably able to attend summer orientation the week of August 25, 2008 Able to attend weekly ASAP sessions from October 2008 to May 2009, 4:30-6:30pm (with breaks for holidays) Interested in creating positive change in the school system and in the community How can YOU apply for ASAP? Complete the attached application form (with recommendation letter) and return it to CACF by hand, mail, fax, or by July 11, 2008 (please see our address and fax number below). For an ed version of the application or if you have any other questions, please contact: Wendy Cheung (212) , ext. 105 or wcheung@cacf.org Coalition for Asian American Children & Families (CACF) 50 Broad Street, 18 th Floor, New York, NY / Fax: (212)

2 Asian American Student Advocacy Project (ASAP) Student Application Form ASAP is open to students who will be enrolled in NYC public high schools and are from diverse Asian Pacific American backgrounds. Applicants must be passing their classes and able to meet weekly during the school year. Application must be completed in full with an attached recommendation for consideration. Application deadline extended to Friday, July 11, 2008 Name (Last, First): Address: City, State, Zip: Phone Number: Other Phone Number: Address: What is the best way to contact you? Check One: Phone If by phone, what times are best to contact you? School: Grade Level: Parent or Guardian s Name (Last, First): Parent or Guardian s Phone Number: Student Demographic Information: Birth date: Gender: Birthplace: Languages other than English that you speak and/or write: Race/ethnicity (check all that apply): Bangladeshi Cambodian Chinese Hmong Filipino Indian Indo-Caribbean Japanese Korean Laotian Malaysian Pacific Islander Pakistani Sri Lankan Taiwanese Tibetan Thai Vietnamese African American Latino White Other (please specify): 2

3 How did you hear about ASAP? Please describe any extra-curricular/ out of school/ work/ volunteer activities you participate in, including days and times. Personal Statement On a separate sheet of paper, please answer the 2 questions below. Each answer should be ½ to 1 page long. Typed essays are preferred. Handwritten essays are acceptable, but must be neat and legible. 1. Why would you like to join ASAP and what qualities and experience do you bring? What are you hoping to learn? 2. Give an example of a problem you see in schools and explain how you would raise awareness on this issue to your school faculty and peers. Recommendation Form The recommendation form should be completed by an adult or a peer who knows you well (teacher, mentor, counselor, coach, employer, friend, etc.) and is not related to you. Once the form is completed and returned to you, please submit it along with your application. Student & Parent Agreement & Consent I, (parent/guardian s name), grant permission for (student s name) to apply for CACF s Asian American Student Advocacy Project (ASAP). If selected, we commit to full participation of the program s summer institute, weekly sessions during the school year, 1-2 hours of ASAPrelated homework every week, meetings outside of ASAP sessions, and a presentation of the group s final project. We understand that ASAP will take place in downtown Manhattan, at CACF s office and/or other locations in NYC to be determined. In order to participate ASAP, my child must be able to travel to and from the program after school. We understand that my child must stay in fair school standing and any decline in academic performance may result in dismissal from ASAP. Signature of Student: Signature of Parent/Guardian: Date: Date: 3

4 Asian American Student Advocacy Project (ASAP) Recommendation Form Name of Applicant (Last, First): The student listed above has expressed interest in participating in CACF s Asian American Student Advocacy Project (ASAP), a leadership program for Asian Pacific American high school age youth who want to learn how to make positive changes in their community. CACF s ASAP will start with a summer institute in August and run weekly throughout the school year. The application deadline is extended to Friday, July 11, Please return your recommendation to the student to be included in his/her application submission. Your Name (Last, First): Title: Affiliation: Address: City, State, Zip: Phone Number: address: May we contact you if we have further questions? Y / N If so, what is the best way to contact you? Phone / If by phone, what are the best days and times to reach you? Please respond to the following questions. Feel free to answer below or on another sheet of paper. If using another sheet, please include the applicant s name and your name on the top. 1. How long have you worked with or known the youth applicant, and in what capacity? 4

5 2. Please describe three qualities that you admire in the candidate. Please provide examples. How do you think this student can contribute to ASAP? 3. Please describe how you have seen this candidate grow or change as a person by providing a specific example. By signing below, I acknowledge that the applicant is of high moral character and demonstrates qualities of honesty, integrity, and leadership. I recommend that this applicant be considered for selection to CACF s Asian American Student Advocacy Project (ASAP). Signature Date 5

California Student Opportunity and Access Program Los Angeles Consortium Fall 2015 High School Scholarship Application

California Student Opportunity and Access Program Los Angeles Consortium Fall 2015 High School Scholarship Application California Student Opportunity and Access Program Los Angeles Consortium Fall 2015 High School Scholarship Application http://www.calstatela.edu/univ/csoap/scholarships.php The California Student Opportunity

More information

Division of Peer-Based Services 9-Month Internship Program

Division of Peer-Based Services 9-Month Internship Program Division of Peer-Based Services 9-Month Internship Program RAMS PEER INTERNSHIP PROGRAM 1282 MARKET STREET SAN FRANCISCO, CA, 94102 TELEPHONE : (415) 579-3021 FAX: (415) 941-7313 The RAMS Peer Internship

More information

PROGRAM DESCRIPTION. Program Description & Applicant Eligibility: For Summer 2017

PROGRAM DESCRIPTION. Program Description & Applicant Eligibility: For Summer 2017 Program Description & Applicant Eligibility: For Summer 2017 YOUTH AMBASSADORS PROGRAM WITH CANADA Sponsored by the Bureau of Educational and Cultural Affairs, United States Department of State Organized

More information

BONITA UNIFIED SCHOOL DISTRICT

BONITA UNIFIED SCHOOL DISTRICT 115 West Allen Avenue San Dimas, California 91773 (909) 971-8200 Fax (909) 971-8329 Superintendent Dr. Christina Goennier Assistant Superintendents Nanette Hall Educational Services William Roberts Human

More information

The completed application form and two recommendations must be postmarked or delivered by the application deadline, February 26, 2016.

The completed application form and two recommendations must be postmarked or delivered by the application deadline, February 26, 2016. Discovery Corps is a program that puts high school aged youth on the front lines of Pacific Science Center s mission to inspire lifelong interest in science. Motivated youth will delve into Pacific Science

More information

The Nat Moore Foundation Urban Scholarship Program. Invites. South Florida School Districts graduating high school seniors.

The Nat Moore Foundation Urban Scholarship Program. Invites. South Florida School Districts graduating high school seniors. The Nat Moore Foundation Urban Scholarship Program Invites South Florida School Districts graduating high school seniors to apply for its $10,000 Four-Year Scholarships ($2,500 per year for 4 years) Deadline

More information

Mayor s Youth Employment and Education Program

Mayor s Youth Employment and Education Program Mayor s Youth Employment and Education Program 2017 2018 PROJECT COORDINATOR (PC) APPLICATION MYEEP Mission As a collaborative of non-profit organizations, the mission of the Mayor s Youth Employment &

More information

UCSD Staff Association Career Experience for High School Students June 23- August 15, 2014 (eight weeks)

UCSD Staff Association Career Experience for High School Students June 23- August 15, 2014 (eight weeks) UCSD Staff Association Career Experience for High School Students June 23- August 15, 2014 (eight weeks) Program Description: The UCSD Career Experience for High School Students program, a part of the

More information

Welcome Baby Prenatal Intake

Welcome Baby Prenatal Intake Outreach Specialist: Welcome Baby Prenatal Intake Date: / / Length of visit: hour(s) minute(s) Attempted call #1: (date) Attempted call #2: (date) Attempted call #3: (date) Client name: DOB: / / Home address:

More information

Sigma Tau Omega Alpha Kappa Alpha Sorority, Inc. Collegiate Scholarship Application

Sigma Tau Omega Alpha Kappa Alpha Sorority, Inc. Collegiate Scholarship Application Alpha Kappa Alpha Sorority, Incorporated was founded on January 15, 1908 at Howard University, in Washington D.C. Alpha Kappa Alpha Sorority is the first Greek-lettered sorority established and incorporated

More information

Delta Kappa Gamma Society Scholarship

Delta Kappa Gamma Society Scholarship Delta Kappa Gamma Society Scholarship About the Donor This scholarship is awarded by the Gamma Lambda Chapter of the Delta Kappa Gamma Society International. Eligibility Criteria This scholarship is a

More information

2017 Jumpstart MS Scholarship Application

2017 Jumpstart MS Scholarship Application 2017 Jumpstart MS Scholarship Application TYPE OR NEATLY PRINT ALL INFORMATION EXCEPT SIGNATURES Application postmark Completeness and neatness ensure your application will be reviewed properly. deadline:

More information

2019 CALL FOR SESSION PROPOSALS

2019 CALL FOR SESSION PROPOSALS 2019 CALL FOR SESSION PROPOSALS Thank you for your interest in submitting an education conference session proposal for the 2019 AFP Conference, to be held March 31 - April 2, 2019, in San Antonio, TX.

More information

JETER S LEADERS APPLICATION

JETER S LEADERS APPLICATION APPLICATION ELIGIBILITY CRITERIA In order to be eligible, the applicant must Be a high school freshman in the Fall Be drug and alcohol free Have a GPA of.0 (B) or better Be involved in community service,

More information

Athens Mayor s Youth Commission New Applicant

Athens Mayor s Youth Commission New Applicant Athens Mayor s Youth Commission 2017 - New Applicant Application Deadline: Friday, Sept. 15, 2017, at 4:30 p.m. Purpose: The vision for the Athens Mayor s Youth Commission is to empower caring youth dedicated

More information

Leadership Greater Ardmore Youth Leadership Program (YLP) Application Instructions & Checklist

Leadership Greater Ardmore Youth Leadership Program (YLP) Application Instructions & Checklist 1 Leadership Greater Ardmore Youth Leadership Program (YLP) Application Instructions & Checklist Application Application must be printed in ink or typed legibly. PLEASE DO NOT USE PENCIL. The application

More information

Greg K. Monroe Foundation, Inc. Scholarship Application

Greg K. Monroe Foundation, Inc. Scholarship Application Greg K. Monroe Foundation, Inc. Scholarship Application APPLICATION GUIDELINES: Completed application form with all required documentation must reach Ms. Norma Monroe, Board Chairperson at the address

More information

National Association of Educational Office Professionals 1841 S. Eisenhower Ct. Wichita KS 67209

National Association of Educational Office Professionals 1841 S. Eisenhower Ct. Wichita KS 67209 Guidelines for Affiliates This scholarship is designed to assist a special needs high school student with an identified disability who will be pursuing a post-secondary program. ***This scholarship is

More information

Community Health Workers as an Approach to Advance Population Health Equity

Community Health Workers as an Approach to Advance Population Health Equity Community Health Workers as an Approach to Advance Population Health Equity NADIA ISLAM, PHD 2014 MINORITY HEALTH & HEALTH DISPARITIES GRANTEES CONFERENCE WHO ARE CHWs? CHWs are frontline public health

More information

CALIFORNIA STATE UNIVERSITY, STANISLAUS School Nursing Application to the Pre-licensure Nursing Program

CALIFORNIA STATE UNIVERSITY, STANISLAUS School Nursing Application to the Pre-licensure Nursing Program Updated 01/20/11 CALIFORNIA STATE UNIVERSITY, STANISLAUS School Nursing Application to the Pre-licensure Nursing Program Fall Entry Applicants Application Deadlines University Application - Priority application

More information

APPLICATION

APPLICATION MAYOR THOMAS C. HENRY CITY OF FORT WAYNE MAYOR S YOUTH ENGAGEMENT COUNCIL 2017-2018 APPLICATION Please mail, deliver or fax completed applications to: MAYOR S OFFICE, ATTN: KAREN L. RICHARDS 200 E. BERRY

More information

Charlotte Club of NANBPWC, Inc. Scholarship Program

Charlotte Club of NANBPWC, Inc. Scholarship Program February 1, 2017 Dear School Counselors: The Charlotte Club of the National Association of Negro Business and Professional Women s Clubs, Inc. (NANBPWC) is proud to offer four (4) scholarships this school

More information

THE HUTTON JUNIOR FISHERIES BIOLOGY PROGRAM 2017 STUDENT APPLICATION Application Deadline: January 31, 2017

THE HUTTON JUNIOR FISHERIES BIOLOGY PROGRAM 2017 STUDENT APPLICATION Application Deadline: January 31, 2017 AMERICAN FISHERIES SOCIETY 5410 Grosvenor Lane, Suite 110, Bethesda, MD 20814-2199 USA Phone: (301) 897-8616 www.hutton.fisheries.org THE HUTTON JUNIOR FISHERIES BIOLOGY PROGRAM 2017 STUDENT APPLICATION

More information

Manhattan-Staten Island Area Health Education Center

Manhattan-Staten Island Area Health Education Center Name: First M.I. Last Ethnicity: Date of Birth: Age: Gender: American Indian or Alaskan Native / / M F Month Date Year Asian (Cambodia, Malaysia, Pakistan, Vietnam) Asian (China, Philippines, Japan, Korea,

More information

MESA Summer Academy: Solar System Mission Possible Application Deadline: June 1, 2018 Early Bird Discount Deadline: May 1, 2018

MESA Summer Academy: Solar System Mission Possible Application Deadline: June 1, 2018 Early Bird Discount Deadline: May 1, 2018 MESA Summer Academy: Solar System Mission Possible Application Deadline: June 1, 2018 Early Bird Discount Deadline: May 1, 2018 Program Description Get a head start on your career in space exploration

More information

Mayor s Youth Council City of Los Angeles Application Year

Mayor s Youth Council City of Los Angeles Application Year Passionate about your community? Love to discuss current events? Want to give back to those around you? Interested in meeting other young people dedicated to public service? Join the, a one-year fellowship

More information

THE ZONTA CLUB OF GRAND ISLAND VERONICA CONNOR SCHOLARSHIP 2018

THE ZONTA CLUB OF GRAND ISLAND VERONICA CONNOR SCHOLARSHIP 2018 THE ZONTA CLUB OF GRAND ISLAND VERONICA CONNOR SCHOLARSHIP 2018 Two $750 scholarships will be awarded by The Zonta Club of Grand Island in honor of Veronica Connor. Zonta International was founded in Buffalo,

More information

APPLICATION TO RN TO BSN PROGRAM

APPLICATION TO RN TO BSN PROGRAM School of Nursing ONE UNIVERSITY CIRCLE TURLOCK, CALIFORNIA 95382 WWW.CSUSTAN.EDU PHONE (209) 667-3141 FAX (209) 667-3690 APPLICATION TO RN TO BSN PROGRAM Fall Nursing Application Filing Period February

More information

Kaiser Permanente Youth Exploration Academy in Healthcare (KP YEAH!)

Kaiser Permanente Youth Exploration Academy in Healthcare (KP YEAH!) Kaiser Permanente Youth Exploration Academy in Healthcare (KP YEAH!) APPLICATION OVERVIEW KP Youth Exploration Academy in Healthcare (KP YEAH!) is a paid, 4 week-long, interactive exploration program for

More information

2016 NRECA Youth Tour

2016 NRECA Youth Tour 2016 NRECA Youth Tour to Washington, D.C. TM Blachly-Lane Electric Cooperative Application deadline Jan. 11, 2016 Applications available at blachlylane.coop COMPETITION RULES AND REQUIREMENTS To be eligible

More information

APPLICATION TO TRADITIONAL RN TO BSN PROGRAM

APPLICATION TO TRADITIONAL RN TO BSN PROGRAM School of Nursing ONE UNIVERSITY CIRCLE TURLOCK, CALIFORNIA 95382 WWW.CSUSTAN.EDU PHONE (209) 667-3141 FAX (209) 667-3690 APPLICATION TO TRADITIONAL RN TO BSN PROGRAM Fall Nursing Application Filing Period

More information

Colorado Asian Health Education Program (CAHEP) Clinic Elective Curriculum Overview

Colorado Asian Health Education Program (CAHEP) Clinic Elective Curriculum Overview Colorado Asian Health Education Program (CAHEP) Clinic Elective Curriculum Overview I. Educational Purpose and Goals BACKGROUND: CAHEP is a safety net clinic that began in 2003. They deliver a broad range

More information

The Epsilon Nu Lambda Charitable Foundation Alpha Phi Alpha Fraternity, Inc. Epsilon Nu Lambda Chapter P O Box 7941 Portsmouth, Virginia 23707

The Epsilon Nu Lambda Charitable Foundation Alpha Phi Alpha Fraternity, Inc. Epsilon Nu Lambda Chapter P O Box 7941 Portsmouth, Virginia 23707 The Epsilon Nu Lambda Charitable Foundation P O Box 7941 Portsmouth, Virginia 23707 SCHOLARSHIP PURPOSE The members of the of Portsmouth, Virginia, created a scholarship program to provide financial assistance

More information

Kaiser Permanente Northwest KP YEAH!

Kaiser Permanente Northwest KP YEAH! Kaiser Permanente Youth Exploration Academy in Healthcare (KP YEAH!) Application Overview KP Youth Exploration Academy in Healthcare (KP YEAH!) is a paid, four week-long, interactive exploration program

More information

INFORMATION CERTIFICATION

INFORMATION CERTIFICATION INFORMATION CERTIFICATION This form is required for employment. Please print or type and ensure all information is provided as omissions can delay processing. After acceptance of employment, applicants

More information

2011 S.T.A.N.D. Scholarship Standing Together As one Dream

2011 S.T.A.N.D. Scholarship Standing Together As one Dream 2011 S.T.A.N.D. Scholarship Standing Together As one Dream Application Postmark Deadline: March 15, 2011 As first-generation university students in Cal State San Marcos, we know the obstacles and situations

More information

Kiwanis Club of Scranton

Kiwanis Club of Scranton Kiwanis Club of Scranton Scholarship Application Check List Dear Guidance Counselor: Please make sure that each Application for the Scranton Kiwanis Club Scholarship Award contains the following: 1. A

More information

CALIFORNIA STATE UNIVERSITY, STANISLAUS School of Nursing Application to the Pre-licensure Nursing Program

CALIFORNIA STATE UNIVERSITY, STANISLAUS School of Nursing Application to the Pre-licensure Nursing Program Revised 8.29.16 CALIFORNIA STATE UNIVERSITY, STANISLAUS School of Nursing Application to the Pre-licensure Nursing Program Fall Entry Applicants Application Deadlines University Application The Fall application

More information

Onondaga County Sheriff s Office Youth Law Enforcement Academy Application

Onondaga County Sheriff s Office Youth Law Enforcement Academy Application Onondaga County Sheriff s Office Youth Law Enforcement Academy Application Onondaga County Sheriff s Office 407 South State Street Syracuse, New York 13202 (315) 435-3006 The Onondaga County Sheriff s

More information

NFTE BizCamp. Summer 2016 Application

NFTE BizCamp. Summer 2016 Application NFTE BizCamp Summer 2016 Application Have you ever thought of starting your own business? Do you have a business already? Are you interested in learning how your hobby can make you money? Do you want to

More information

Star Scholarship Foundation

Star Scholarship Foundation Star Scholarship Foundation STAND TALL AND REACH RESPECT SUCCESS FINANCIAL INDEPENDENCE JOBS SKILLS SELF-ESTEEM CONFIDENCE EDUCATION SCHOLARSHIPS PRACTICAL ADVICE POSITIVE REINFORCEMENT STAND TALL AND

More information

CALIFORNIA STATE UNIVERSITY, STANISLAUS School Nursing Application to the Pre-licensure Nursing Program

CALIFORNIA STATE UNIVERSITY, STANISLAUS School Nursing Application to the Pre-licensure Nursing Program Updated 1/4/13 CALIFORNIA STATE UNIVERSITY, STANISLAUS School Nursing Application to the Pre-licensure Nursing Program Fall Entry Applicants Application Deadlines University Application The Fall application

More information

Applicants will be judged on: scholarship, character, school and community activities, essay, and interview.

Applicants will be judged on: scholarship, character, school and community activities, essay, and interview. Scholarship Committee P.O. Box 2626 Stockbridge, Georgia 30281 Dear Student, Alpha Kappa Alpha Sorority, Incorporated supports Historically Black Colleges and Universities (HBCU) through an international

More information

Patient Instructions for Pulmonary Function Testing

Patient Instructions for Pulmonary Function Testing PULMONARY MEDICINE, INFECTIOUS DISEASE AND CRITICAL CARE CONSULTANTS MEDICAL GROUP, INC. Patient Instructions for Pulmonary Function Testing 1. Please report to 5 Medical Plaza Dr, Suite 190 in Roseville

More information

Junior Golf Scholarship Application Supported by

Junior Golf Scholarship Application Supported by Junior Golf Scholarship Application Supported by Palm Beach County Junior Golf Association Growing Junior Golf for over 45 Years This packet contains information on the PowerBilt Junior Golf Scholarship.

More information

Dayton Power & Light and Vectren Energy Leadership Scholarship

Dayton Power & Light and Vectren Energy Leadership Scholarship Dayton Power & Light and Vectren Energy Leadership Scholarship 2018 Application Packet Deadline: April 15, 2018 Dayton Power & Light and Vectren Energy Leadership Scholarship BACKGROUND Dayton Power &

More information

The African American Hall of Fame Museum ACADEMIC SCHOLARSHIP AWARDS

The African American Hall of Fame Museum ACADEMIC SCHOLARSHIP AWARDS The African American Hall of Fame Museum 2017-2018 ACADEMIC SCHOLARSHIP AWARDS SPONSORS The African American Hall of Fame Museum supports African American graduating seniors of Bloomington and Normal high

More information

Good News Hope & Help, Inc. Scholarship Application Form DEADLINE Friday, April 26, 2019

Good News Hope & Help, Inc. Scholarship Application Form DEADLINE Friday, April 26, 2019 Good News Hope & Help, Inc. Scholarship Application Form 2018-2019 DEADLINE Friday, April 26, 2019 PROGRAM OVERVIEW Honoring the past by looking positively into the future -- that is the basis for the

More information

Zionsville Athletic Booster Club Scholarship Application

Zionsville Athletic Booster Club Scholarship Application Zionsville Athletic Booster Club Scholarship Application 1. Student Information Name Last First MI Permanent address Street City State Zip Date of birth Social Security # Male Female Telephone # Graduation

More information

Application for Employment An Equal Opportunity / Affirmative Action Employer

Application for Employment An Equal Opportunity / Affirmative Action Employer Human Resource Office MS # 40966 Application for Employment An Equal Opportunity / Affirmative Action Employer 2011 Mottman Road SW Olympia, WA 98512 (360) 596-5500 FAX: (360) 596-5706 e-mail: jobline@spscc.edu

More information

16 th Annual Nurse Camp Application Packet Checklist

16 th Annual Nurse Camp Application Packet Checklist 16 th Annual Nurse Camp Application Packet Checklist Only complete applications will be considered for Nurse Camp. Please double check your work to be sure you completed and included all required sections

More information

Welcome to Foundry Prince George

Welcome to Foundry Prince George FOUNDRY Prince George 236-423-1571 www.foundrybc.ca Welcome to Foundry Prince George DATE: Thanks for coming to Foundry Prince George today. Completing this form is entirely voluntary, fill in as much

More information

Leading Lady Public Relations STEM Scholarship Application

Leading Lady Public Relations STEM Scholarship Application Leading Lady Public Relations STEM Scholarship Application Application due date: May 31, 2018 Education is the most powerful weapon which you can use to change the world Scholarship 2018 1. DEADLINE for

More information

Ladders for Leaders is a component of the Summer Youth Employment Program (SYEP)

Ladders for Leaders is a component of the Summer Youth Employment Program (SYEP) Ladders for Leaders is a component of the Summer Youth Employment Program (SYEP) Application Overview and Guidelines What is NYC Ladders for Leaders? Ladders for Leaders is a nationally recognized program

More information

Arkansas 4 H Activity Application For Youth Leadership Roles

Arkansas 4 H Activity Application For Youth Leadership Roles Arkansas 4 H Activity Application For Youth Leadership Roles 1 FY4-H-657 01/10/2017 Name County Read Carefully. This application should be filled out in detail. Please print or type.contact your local

More information

Supervised Community Care Plan - Application and Care Plan Mental Health Act, Part II.I

Supervised Community Care Plan - Application and Care Plan Mental Health Act, Part II.I Supervised Community Care Plan - Application and Care Plan Mental Health Act, Part II.I PART I Supervised Community Care Application The Supervised Community Care Plan is to be completed by the Community

More information

UNIVERSAL INTAKE FORM

UNIVERSAL INTAKE FORM CLIENT DEMOGRAPHICS Agency Name: Fiscal Year: Funding Identifier: UNIVERSAL INTAKE FORM Title III B C1 C2 Title III D Title III E Title III E(G) 1 Linkages SNAP-Ed Applicant Last Name First Name Middle

More information

Montgomery County Agricultural Society, Inc Scholarship Application

Montgomery County Agricultural Society, Inc Scholarship Application The Montgomery County Agricultural Society offers an annual scholarship program which is available to high school students who are residents of Montgomery or Fulton County and who plan to attend college

More information

ONTARIO EMERGENCY DEPARTMENT PATIENT EXPERIENCE OF CARE SURVEY

ONTARIO EMERGENCY DEPARTMENT PATIENT EXPERIENCE OF CARE SURVEY ONTARIO EMERGENCY DEPARTMENT PATIENT EXPERIENCE OF CARE SURVEY (Ontario EDPEC) SURVEY INSTRUCTIONS Answer all the questions by checking the box to the left of your answer. You are sometimes told to skip

More information

We have attached an application package to this correspondence. Please forward this to any senior high school student that you feel may qualify.

We have attached an application package to this correspondence. Please forward this to any senior high school student that you feel may qualify. Donna Lowe Alexander, President March, 2018 Dear Parents/ Guardians/Community Members: The Friends of Urban League of Union County will host its First Annual Gentlemen s Ball. The affair will take place

More information

DUE DATE. All applications must be turned in person by the YOUTH himself/herself by Friday, April 6th, 2018.

DUE DATE. All applications must be turned in person by the YOUTH himself/herself by Friday, April 6th, 2018. Mayor s Youth Employment and Education Program 2018 SUMMER MYEEP APPLICATION Eligibility You must meet ALL of the requirements: C 14 to 18 years old on June 1, 2018 C Resident of San Francisco C Will not

More information

National After School Matters Fellowship Application

National After School Matters Fellowship Application National Afterschool Matters Fellowship Application The National Afterschool Matters Fellowship is a collaborative effort between the National Institute of Out- of-school Time (NIOST) and the National

More information

APPLICATION. Name (Last, First, MI): Address: City, State, & Zip Code: Home Telephone: Cell Telephone: Date of Birth: / /

APPLICATION. Name (Last, First, MI): Address: City, State, & Zip Code: Home Telephone: Cell Telephone: Date of Birth: / / Girls in Engineering Academy (GEA) July 10 August 4, 2017 APPLICATION A Summer Pre-Engineering Program for Middle School Girls Please print or type all information. Additional sheets may be attached if

More information

SCHOLARSHIP APPLICATION

SCHOLARSHIP APPLICATION 2018 Newton County National Association for the Advancement of Colored People Education Committee and the Freedom Fund Scholarship Committee SCHOLARSHIP APPLICATION NATIONAL ASSOCIATION FOR THE ADVANCEMENT

More information

EMPLOYMENT APPLICATION FORM

EMPLOYMENT APPLICATION FORM EMPLOYMENT APPLICATION FORM Lethbridge Primary School Lethbridge Road Swindon Wiltshire SN1 4BY Tel: 01793 535033 E-mail: admin@lethbridgeprimary.co.uk Applicant s Name Title of post applied for GUIDANCE

More information

First Capital Federal Credit Union Scholarship Program In Honor of Dennis Flickinger

First Capital Federal Credit Union Scholarship Program In Honor of Dennis Flickinger First Capital Federal Credit Union Scholarship Program In Honor of Dennis Flickinger In the spring of 2017, First Capital Federal Credit Union will award TWO Dennis Flickinger Honorable Scholarships, valued

More information

Completed applications must be received by February 1. No applications can be considered after this date.

Completed applications must be received by February 1. No applications can be considered after this date. The Dave Hefner International Exchange Fund, Inc. Awards To: Re: Students planning to visit or study in other countries in any of a variety of approved exchange/travel programs. Steps in applying for the

More information

Women's Division Scholarship

Women's Division Scholarship Joint Civic Committee of Italian Americans Women s Division 3800 Division Street, Stone Park, Illinois 60165 (708) 450-9050 - Fax (708) 450-9065 E-Mail Address JCC@JCCIA.com or visit our web site at www.jccia.com

More information

First Name Middle Initial Last/Family Name. Sample. Applicant Street Address City State/Province Zip/Postal Code Country.

First Name Middle Initial Last/Family Name. Sample. Applicant Street Address City State/Province Zip/Postal Code Country. Student Biographical Information Part 1: Student Information This form should be completed by the applicant. Mail a copy of this form, along with the appropriate application fee, to all schools to which

More information

2011 NJTL Capacity Building Program

2011 NJTL Capacity Building Program 2011 NJTL Capacity Building Program Overview The NJTL Capacity Building Program is designed to provide long-term technical assistance for selected chapters that are committed to achieving significant qualitative

More information

Developing Character, Pursuing Academic Excellence, and Service to the Community on the Journey from Boyhood to Manhood

Developing Character, Pursuing Academic Excellence, and Service to the Community on the Journey from Boyhood to Manhood October 9, 2017 Beautillion Program Dear Parents and Students: Developing Character, Pursuing Academic Excellence, and Service to the Community on the Journey from Boyhood to Manhood My name is Joshua

More information

Mayor s Youth Employment and Education Program

Mayor s Youth Employment and Education Program Mayor s Youth Employment and Education Program 2018-2019 COUNSELOR-IN-TRAINING (CIT) APPLICATION MYEEP Mission The Mayor s Youth Employment & Education Program (MYEEP) mission is to provide job readiness

More information

SOUTH CAROLINA COMMISSIONER S SCHOOL FOR AGRICULTURE

SOUTH CAROLINA COMMISSIONER S SCHOOL FOR AGRICULTURE SOUTH CAROLINA COMMISSIONER S SCHOOL FOR AGRICULTURE A partnership of: South Carolina Department of Agriculture & Clemson University s College of Agriculture, Forestry & Life Sciences GENERAL INFORMATION

More information

DELTA SIGMA THETA SORORITY, INC. Germany Alumnae Chapter

DELTA SIGMA THETA SORORITY, INC. Germany Alumnae Chapter DELTA SIGMA THETA SORORITY, INC. Germany Alumnae Chapter 2016 SCHOLARSHIP APPLICATION Enclosed you will find the 2015-16 scholarship application from the Germany Chapter of Delta Sigma Theta Sorority,

More information

Application Guidelines

Application Guidelines Harlem YMCA Black Achievers in Industry Youth Achiever Scholarship Application Guidelines Eligibility All African-American NYC college bound high school seniors that participate in NYC YMCA teen programs.

More information

Applications postmarked after Monday, April 16, 2018 will not be processed. Incomplete applications will not be accepted.

Applications postmarked after Monday, April 16, 2018 will not be processed. Incomplete applications will not be accepted. The Black Women s Educational Alliance, (BWEA) is seeking applications for the 2018 BWEA Scholarship Opportunity from college bound seniors who meet the eligibility criteria listed below. BWEA is a non

More information

2018 State Funded Youth Employment Program

2018 State Funded Youth Employment Program 2018 State Funded Youth Employment Program APPLICATION OF INTEREST Completion of this application does not guarantee a slot in the program. This program is currently PENDING funding. Youth will be notified

More information

Buchanan YMCA New Traditions Elementary School

Buchanan YMCA New Traditions Elementary School Buchanan YMCA 2017-2018 New Traditions Elementary School PROGRAM! I am enrolling my child in MONTHLY care for before and/or after school.! I am enrolling my child in DROP-IN care for before and/or after

More information

UNIVERSAL INTAKE FORM

UNIVERSAL INTAKE FORM Agency Name: Funding Identifier: Los Angeles County Area Agency on Aging UNIVERSAL INTAKE FORM Title IIIB Title C1 Title C2 Title IIIE Title IIIE(G) Linkages IDENTIFICATION DEMOGRAPHICS 1a Date: Applicant

More information

Monday, December 11th, 2017

Monday, December 11th, 2017 Presents the 2017-18 Golden Futures Scholarship This form and associated materials must be received by: Monday, December 11th, 2017 INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED In partnership with and

More information

The Global Youth Ambassadors Program 2018

The Global Youth Ambassadors Program 2018 The Global Youth Ambassadors Program 2018 Germany Munich Nuremberg Berlin 2018 Global Youth Ambassadors Program Dr. John Eaves Executive Director 404.909.3249 director@gyaprogram.org Rachel Richter Communications

More information

YOU SHOULD APPLY TO THE SUMMER INTERNSHIP PROGRAM IF YOU. enjoy working on projects as part of a team

YOU SHOULD APPLY TO THE SUMMER INTERNSHIP PROGRAM IF YOU. enjoy working on projects as part of a team A P O L L O T HEATER ACADE M Y 2 018 SUMMER INTERNSHIP PROGRAM WHAT IS THE SUMMER INTERNSHIP PROGRAM? JULY 2 - AUGUST 10, 2018 The Apollo Theater Academy Summer Internship Program provides high school

More information

Thank you for your interest in Stamford Hospital s Junior Volunteer Program. To participate in this program, you must be at least 14 years old.

Thank you for your interest in Stamford Hospital s Junior Volunteer Program. To participate in this program, you must be at least 14 years old. Dear Prospective Junior Volunteer, Thank you for your interest in Stamford Hospital s Junior Volunteer Program. To participate in this program, you must be at least 14 years old. Please read the directions

More information

Merced County Department of Mental Health

Merced County Department of Mental Health Merced County Department of Mental Health MENTAL HEALTH SERVICES ACT COMMUNITY SERVICES AND SUPPORTS THREE YEAR PROGRAM AND EXPENDITURE PLAN [Fiscal Years 2005/06, 2006/07, 2007/08] PART II, SECTION V

More information

2011 Summer Internship Application

2011 Summer Internship Application 2011 Summer Internship Application Teen Career Connection is an eight-week professional internship program. Following intensive preparation, participants complete a 5-week paid summer internship at a New

More information

All applications and transcripts must be postmarked no later than February 26, 2018.

All applications and transcripts must be postmarked no later than February 26, 2018. Application Instructions Complete sections I V. Please print clearly. Select the required essay question from Section IV and choose one other essay question listed of your choice. Answer each essay question

More information

2018 Scholarship Application

2018 Scholarship Application 2018 Scholarship Application Scholarship Applicant; Thank you for your interest in the Mercyhealth Scholarship Program! Mercyhealth has a passion for making lives better and we take great pride in encouraging

More information

Pacific & Asian Affairs Council Summer Study Tour to Bali, Indonesia Program Information Sheet

Pacific & Asian Affairs Council Summer Study Tour to Bali, Indonesia Program Information Sheet PROGRAM INFORMATION AND COST: Pacific & Asian Affairs Council Summer Study Tour to Bali, Indonesia Program Information Sheet - Tentative Trip dates: Mandatory pre-trip orientations: May 12 & 19, 2019;

More information

irtec Assessor Award Application Form

irtec Assessor Award Application Form irtec Assessor Award Application Form When complete, please forward to: bookings@theimi.org.uk A. Personal Details * indicates mandatory information Title* Surname* Forenames* Date of Birth * Gender *

More information

Fall Break Study Tour to the Philippines 2018 Program Application and Information

Fall Break Study Tour to the Philippines 2018 Program Application and Information Fall Break Study Tour to the Philippines 2018 Program Application and Information PROGRAM INFORMATION: - Trip dates: Mandatory pre-trip orientation: September 22, 2018; Travel: October 6 14, 2018 (tentative)

More information

Delta Sigma Theta Sorority, Inc. Cincinnati Alumnae Chapter

Delta Sigma Theta Sorority, Inc. Cincinnati Alumnae Chapter Delta Sigma Theta Sorority, Inc. Cincinnati Alumnae Chapter P.O. Box 37285 Cincinnati, Ohio 45222 (513) 852-0424 A Sisterhood Called to Serve Dear Community and School Partner: Each year the Cincinnati

More information

Deadline for application: April 1-29, Dear Summer Teen Applicant:

Deadline for application: April 1-29, Dear Summer Teen Applicant: Deadline for application: April 1-29, 2016 Dear Summer Teen Applicant: Thank you for your interest in the Summer VolunTeen Program at Methodist Healthcare. Positions are available at Methodist University,

More information

SCHOOL OF NURSING POLICY

SCHOOL OF NURSING POLICY SCHOOL OF NURSING POLICY SUBJECT: Academic Affairs TITLE: Graduate Program Student Scholarship Responsible Executive: Assistant Dean for Graduate Programs Responsible Office: Business Office CODING: 06-01-05-16:00

More information

2018 Edwin S. Towle, III Memorial Scholarship Southeast Nebraska Communications Scholarship Application

2018 Edwin S. Towle, III Memorial Scholarship Southeast Nebraska Communications Scholarship Application 2018 Edwin S. Towle, III Memorial Scholarship Southeast Nebraska Communications Southeast Nebraska Communications announces that, for the thirteenth consecutive year, two scholarships will be awarded in

More information

DELTA SIGMA THETA SORORITY, INC. CINCINNATI ALUMNAE CHAPTER SCHOLASTIC ACHIEVEMENT AWARD (TYPE or PRINT ALL Information with a Black Ballpoint Pen)

DELTA SIGMA THETA SORORITY, INC. CINCINNATI ALUMNAE CHAPTER SCHOLASTIC ACHIEVEMENT AWARD (TYPE or PRINT ALL Information with a Black Ballpoint Pen) DELTA SIGMA THETA SORORITY, INC. CINCINNATI ALUMNAE CHAPTER SCHOLASTIC ACHIEVEMENT AWARD (TYPE or PRINT ALL Information with a Black Ballpoint Pen) 1 I. PERSONAL DATA Name: Last First Middle Number Street

More information

Dear Summer Camp Scholarship Applicant,

Dear Summer Camp Scholarship Applicant, Dear Summer Camp Scholarship Applicant, Thank you for your interest in the Morean Arts Center s summer camp program! Scholarships are an important part of camp at the Morean, as they allow us to help your

More information

Client Registration Form

Client Registration Form Client Registration Form Today s Date / / CLIENT INFORMATION (PLEASE PRESENT YOUR PHOTO IDENTIFICATION AND INSURANCE CARD WITH THIS PAPERWORK) Mr. Ms. Mrs. Legal Name: First Middle Last Suffix (Jr, Sr,

More information

Applicants for either scholarship must also reside in Nassau or Suffolk County.

Applicants for either scholarship must also reside in Nassau or Suffolk County. Accessible text version October 25, 2017 To Whom It May Concern: Enclosed are applications and guidelines for the LI2Day Scholarship and the Maria A. Sciara Scholarship. Both scholarships are administered

More information

Abraham Scott The Janice M. Scott Memorial Scholarship Fund Post Office Box 1023 Springfield, Virginia 22151

Abraham Scott The Janice M. Scott Memorial Scholarship Fund Post Office Box 1023 Springfield, Virginia 22151 Abraham Scott The Janice M. Scott Memorial Scholarship Fund Post Office Box 1023 Springfield, Virginia 22151 Dear Westerville North High School Students, The Janice M. Scott Memorial Scholarship Fund was

More information

JEWISH FEDERATION OF METROPOLITAN CHICAGO ISRAEL EXPERIENCE SCHOLARSHIP PROGRAM 2017 MERIT SCHOLARSHIP GENERAL INFORMATION

JEWISH FEDERATION OF METROPOLITAN CHICAGO ISRAEL EXPERIENCE SCHOLARSHIP PROGRAM 2017 MERIT SCHOLARSHIP GENERAL INFORMATION JEWISH FEDERATION OF METROPOLITAN CHICAGO ISRAEL EXPERIENCE SCHOLARSHIP PROGRAM 2017 MERIT SCHOLARSHIP GENERAL INFORMATION A very limited number of merit scholarships ($1,000 each) are available for Chicago-area

More information