JEFFERSON LEADERSHIP INSTITUTE SCHOLARSHIP PRESENTATION PACKET JEFFERSON LEADERSHIP INSTITUTE SCHOLARSHIP. Key Points

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2018 JLI Attachments: JEFFERSON LEADERSHIP INSTITUTE Key Points APPLICATION FORM ACADEMIC RECOMMENDATION CIVIC ENGAGEMENT RECOMMENDATION KEY POINTS (info only, not part of application) (Please have the documents listed above in a hard copy as well as in a pdf format for immediate email release. The Application Form summarizes required qualifications.) This is the sixth and final year of the JEFFERSON LEADERSHIP INSTITUTE. Unique in two ways: awarded to high school juniors & mentorship core component. JLI Scholarship Core Components 1) Financial: Two $1,000 scholarships will be awarded. 2) Mentor Program: The mentorship is to be tailor made for each recipient and mentor. The hours, location, and subject matter of the mentorship sessions will depend on the availability of both, where they live, where the mentor works, etc. The mentorship will occur during senior year. More general guidelines for the mentorship will be distributed to awardees and mentors. JLI Scholarship Background 2018 JEFFERSON LEADERSHIP INSTITUTE PRESENTATION PACKET Inspiration from key targets: a) Harness the energy of Jefferson County youth (high school juniors) toward civic engagement in the future; b) Counteract the "brain drain" of youth from leaving Jefferson County. Mark Your Calendar for JLI Scholarship Important Dates April 1 st May June Return Applications to NNY Community Foundation Scholarships Awarded Awards Banquet and begin to pair Students with Mentors What is The Jefferson Leadership Institute (JLI)? JLI is a leadership development program offered through the Greater Watertown North Country Chamber of Commerce that immerses participants in community issues through eleven full-day sessions. The curriculum enables participants to develop their leadership capabilities build strong relationships and encourage involvement in affecting positive change in the community. Established in 1991, an average class size of 20 each year has led to over 400 people who are now part of our growing alumni.

2018 JEFFERSON LEADERSHIP INSTITUTE FOR HIGH SCHOOL JUNIORS The Scholarship The Jefferson Leadership Institute (JLI), in partnership with the Northern New York Community Foundation, offers a unique scholarship opportunity for high school juniors in Jefferson County. Two scholarships will be awarded in June 2018, which is the final season for JLI scholarship. Each scholarship will consist of a minimum of $1,000 in financial assistance for postsecondary education as well as mentorship from one or more alumni of the JLI program. The financial award will be disbursed upon high school graduation. The mentorship would take place over the course of the recipient(s) senior year of high school. Each recipient would be paired with one or more mentor(s) based on his or her expressed interests and the mentor(s) availability. The chance for mentorship from local business and community leaders distinguishes this scholarship from all others available to Jefferson County students. Participation in the mentorship would serve as a great resume builder for the recipient(s) and would provide valuable contacts and guidance for the recipient(s) future education and career. The scholarship was created by the JLI Class of 2013 to encourage local civic engagement among Jefferson County youth and foster their return to our community upon completion of their education. Qualifications Applicants must be residents of Jefferson County. Applicants must be high school students in eleventh grade. Applicants must physically attend school in Jefferson County during both eleventh and twelfth grades. Public, parochial, and home school students are eligible. Applicants must enroll in a full-time accredited two-year or four-year college or university in the United States or Canada in the year immediately following high school graduation. (A deferment of up to one year may be granted subject to the discretion of the selection committee.) Applications must be received or postmarked by April 1, 2018. Applications postmarked after that date will not be considered. Selection Criteria Applicants will be evaluated by and selected in accordance with the following criteria: o Demonstrated history of and commitment to local civic engagement and community service; o Personal character; and o Academic potential. Scholarship selections are made on the basis of: o Completed Jefferson Leadership Institute Scholarship Application Form (attached); o Civic engagement recommendation (form attached); o Academic recommendation (form attached); o Certified academic transcript; and o In-person interview (at the discretion of the selection committee). Recipient(s) will be selected by a committee of five current and/or past participants of the JLI program. ANY APPLICATION MAILED AFTER APRIL 1 WILL BE NOT BE CONSIDERED

APPLICATION FORM Instructions Complete the attached Jefferson Leadership Institute Scholarship Application Form. Detach the attached Civic Engagement Recommendation Form and provide it to an adult who can speak to your history of and commitment to civic engagement and community service as well as your personal character. Detach the attached Academic Recommendation Form and provide it to an adult who can speak to your academic potential and personal character. Your civic engagement and academic recommenders must be two different individuals. Include a copy of your certified academic transcript to the following address: Northern New York Community Foundation 131 Washington Street Watertown, NY 13601 ATTN: JLI Scholarship Mail your completed application and two recommendation forms to the NNYCF above address before April 1, 2018. Name: Phone: E-mail: Mailing Address, City, State, Zip: High School in Attendance: Anticipated High School Graduation Date: How You Heard About This Scholarship: Please list your most important extracurricular or community activities/organizations (maximum of 5) and mention any leadership positions that you have held:

Please thoroughly answer each of the five short essay prompts in the space allotted in less than 250 words. 1. What do you consider to be your most important local community service accomplishment to date and why? 2. Describe your favorite aspect about living in Jefferson County. 3. If you could change one thing about Jefferson County life, what would it be and how might you go about making that change?

APPLICATION FORM 4. Who or what inspires you? Why? 5. What interests you academically? Why? Name of civic engagement recommender: Phone: E-mail: Name of academic recommender: Phone: E-mail: In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information may result in termination of any scholarship granted. Applicant s Signature: Date:

ACADEMIC RECOMMENDATION Name of Applicant: Name of Recommender: Title and Organization: Please describe the applicant s academic potential and personal character in the space allotted in less than 750 words. Signature of Recommender: Date:

ACADEMIC RECOMMENDATION PLEASE RETURN THIS COMPLETED FORM TO THE APPLICANT TO ENSURE THAT IT IS MAILED WITH THEIR APPLICATION TO THE ADDRESS BELOW BEFORE APRIL 1, 2018: Northern New York Community Foundation 131 Washington Street Watertown, NY 13601 ATTN: JLI Scholarship

CIVIC ENGAGEMENT RECOMMENDATION Name of Applicant: Name of Recommender: Title and Organization: Please describe the applicant s history of and commitment to civic engagement and community service as well as his or her personal character in the space allotted in less than 750 words. Signature of Recommender: Date:

CIVIC ENGAGEMENT RECOMMENDATION PLEASE RETURN THIS COMPLETED FORM TO THE APPLICANT TO ENSURE THAT IT IS MAILED WITH THEIR APPLICATION TO THE ADDRESS BELOW BEFORE APRIL 1, 2018: Northern New York Community Foundation 131 Washington Street Watertown, NY 13601 ATTN: JLI Scholarship