APPLICATION FORM

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INFORMATION AND OVERVIEW Plano Youth Leadership (PYL) is designed for 10 th grade students (who will be in 10 th grade in the Fall of 2018) who want to learn to be effective leaders.

1 INFORMATION AND OVERVIEW Plano Youth Leadership (PYL) is designed for 10 th grade students (who will be in 10 th grade in the Fall of 2018) who want to learn to be effective leaders. If you think you have leadership potential, or you have a desire to learn more about leadership and opportunities in your community, then Plano Youth Leadership is for you. You don t have to be the president of your class or a team captain or ranked high in your class to participate. You do need to be passionate about learning about leadership and be willing to give the time required. The purpose of Plano Youth Leadership is to train students in leadership techniques and community awareness so that they may become familiar with current issues, community resources, opportunities, and other factors influencing the direction of Plano s future. Participation in the program will require your time and energy. You will be expected to attend all the monthly sessions. We appreciate your interest in PYL. Before completing the attached application form, you are strongly encouraged to review all the information carefully, including all attendance requirements. If you are selected to participate, you will be required to attend the mandatory Teamwork Challenge session in early September and the Orientation & Role of Personality in Leadership session in mid October. Exceptions will not be made for these two mandatory sessions! ELIGIBILITY/CRITERIA Students who are currently enrolled in the 9 th grade (will be in 10 th grade in ) and who reside in the area served by the Plano Independent School District or within the City of Plano are eligible to apply. Participants will be selected by the Plano Youth Leadership Selection Committee based upon the information provided in their application. All applicants must: Be in good academic standing. Be enrolled in the 10 th grade for the school year. Be responsible for the $175 tuition payment if selected. Need-based scholarships are available. Receive permission to participate from parent/guardian and principal, headmaster or counselor. Please know that multiple students from the same family who are applying for the same class year will be considered independently. SELECTION PROCESS In order to be considered for selection, students must fulfill these application requirements: Complete the entire application form Get all necessary signatures on the application (see Section 2 of the application) Obtain two references (see Section 3 of the application) Provide a resume including the specific impacts you made through your participation Ensure that the completed application and completed references are ed to support@planoyouthleadership.org no later than the Friday, April 30, 2018 deadline. NOTE: Only complete applications received by the deadline will be considered. SCHOLARSHIPS Financial assistance is available in the form of a grant for tuition for those students who have a genuine need. To be considered for a scholarship, a letter should be included with the application stating why the scholarship is needed. Awards are based on need and will be granted in the order of request. Students will be notified of acceptance in the program by mid-to-late June

2 INSTRUCTIONS You can find this application online at. You may submit this application and references using an attachment to: Once an application is received by PYL, an confirmation will be sent to the student s and parent s addresses if provided. Each applicant is responsible for ensuring that the application is complete and submitted prior to the deadline. ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED. Section 1 is completed by the applicant. Section 2 is signed by the following three people: Applicant, Parent or Legal Guardian, and an Educator. Sections 1 and 2 are sent by the applicant to Plano Youth Leadership by attachment or US mail. Section 3 is completed by two references and sent directly by the references to Plano Youth Leadership by attachment or US mail. Applications must be submitted no later than April 30, Exceptions will not be made. Students will be notified of acceptance in the program by mid-to-late June SECTION 1 TO BE COMPLETED BY APPLICANT Personal Information (please print or type) First Name: Last Name: Name you prefer to be called: Date of birth: Gender: Adult T-shirt Size: High School: Student Parent Home Address: City: Zip: Home Phone Number Mobile Phone Number: Guardian 1: Name Work Phone Mobile Phone Guardian 2: Name Work Phone Mobile Phone 1. Briefly explain why you believe you have leadership potential. 3

3 2. Why do you want to be selected to be a member of the PYL class? 3. Please give an attribute you believe is important to leadership. How have you demonstrated this attribute? 4. What is a leadership attribute that you would like to strengthen or improve upon and why? 5. Name a time when you were pulled out of your comfort zone. What did you learn from the experience? 4

4 6. As a future leader, name two issues facing the community that you would like to impact and how you would attempt to do so? 7. Describe your personal definition of leadership and identify a current or former leader who exemplifies that definition.. 8. Looking into the future, how do you see yourself making a difference?_ 9. Choose one activity listed on your resume and describe how your participation has made an impact. 10. How did you learn about PYL? (Mark as many answers as applicable.) a.school b.friend c. Newspaper d. Internet/ e. PYL student or alumni if. Other (please describe) 5

5 Student Name 1234 Anywhere Street Plano, TX EXAMPLE RESUME EXPERIENCE AND ACCOMPLISHMENTS Troubleshooting and problem-solving skills Investigated and resolved visitors computer problems at Hilldale Public Library Winner of the DMC Programming Contest, 2010 Excellent organizational skills Awarded Volunteer of the Year by the Hilldale Public Library in 2010 for noted organizational skills Helped reorganize records system, saving the Tannen Blood Center $15,000 per year Organized various events for the Hilldale High School Math Club Strong computer skills Earned A or A+ in all computer classes Built personal computer from scratch VOLUNTEER HISTORY Hilldale Public Library Summer 2010, Summer 2011 Hilldale, TX Computer Assistant American Red Cross Spring 2009 Florida Relief volunteer Tannen Blood Center Summer 2008 Hilldale, TX Assistant Systems Clerk SCHOOL ORGANIZATIONS Hilldale High School Math Club Vice-president 2011 National Honor Society Clayton Middle School Library Student Librarian EDUCATION Hilldale High School Graduation Date: 2015 Clayton Middle School

6 SECTION 2 APPLICATION SIGNATURES This form supports electronic signature. Select the signature field to be directed on the creation of an electronic signature. Alternatively, you may obtain the necessary signatures, scan and then return this form as an attachment, along with the application form, to support@planoyouthleadership.org. I have read and I understand this application and the program commitment required. I am aware of the importance of attending all PYL sessions. I have read, understand, and agree to the PYL Attendance Policy (see below). I understand that should I miss more than six hours of the program or either of the two mandatory classes, I will be dropped from the program and will forfeit tuition. Signature of Student Date Print Name My son/daughter has my support and permission to participate in PYL. I have read and I understand this application and the Program commitments required of my son/daughter. I agree to the PYL Attendance Policy. I will ensure that my son/daughter attends all sessions, unless an excused absence has been given in advance. Signature of Parent/Guardian Date Print Name This student has my support to participate in the Plano Youth Leadership program. This student meets the criteria of being in good academic standing. Signature of High School Principal, Headmaster, or Counselor Date Print Name (Note: Applicant above must currently be in 9 th grade, and will be in 10 th grade in ). Plano Youth Leadership Attendance Policy Students in the Plano Youth Leadership program must attend all sessions; however, excused absences for illness, schoolrelated activities, or other circumstances beyond the student s control, will be considered on a case-by-case basis. The first two sessions (Teamwork Challenge and Orientation & Identifying Leadership Styles) are mandatory. Any class member who fails to attend two class sessions or the equivalent (six hours) or misses one of the mandatory sessions shall forfeit his/her place in the class and the tuition. 7

TEXAS-OKLAHOMA KIWANIS FOUNDATION, INC.

TEXAS-OKLAHOMA KIWANIS FOUNDATION, INC. Student Application Walter Hurst Sophomore of the Year 2018 Return this completed form to your school counselor on or before February 23, 2018 Winners Announced