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Applicant Name: _______________________________School District: ________________________________122999577516100??JUNIOR LEADERSHIPOAKLANDJune 21-24, 2021?APPLICATION?DIVERSITY VALUE STATEMENTWe strive to model and promote diversity and inclusion as a means to strengthen leadership.We do this by respecting and encouraging all perspectives and engaging diverse populations in all activities.__________________________________________________________________________??1500 University Drive, Suite 203, Auburn Hills, MI, 48326 ?APPLICATION GUIDELINESApplications are being accepted by Leadership Oakland (LO) for the 14th Junior Leadership OaklandProgram. Junior LO will be a virtual three-day experience for high school students that will take place on June 21 - 24, from 8:30 a.m. – 12:30 p.m.?ELIGIBILITY:Students who will be in High School in Fall 2021 are eligible to apply. ?PROGRAM OBJECTIVES:The Junior Leadership Oakland Program is designed to:Create opportunities for students to realize their potentialExpose students to a variety of career pathsProvide access to a network of professionalsFoster a commitment to community involvementStudents will be selected for participation based on personal goals, personal/life experiences, and educational experience.?Applications are due no later than 5:00 p.m., May 21, 2021. Applications may be submitted via email to tsommer@. Applications will be reviewed by a panel of representatives from Leadership Oakland. Students will be notified by June 1st whether or not they have been selected to participate in the program. There is no application fee or cost for participation on the part of the student. For additional information, contact the Leadership Oakland by phone: 516-592-0237 or by email: tsommer@. Application DataName: ____________________________________________________ Nickname: Home Address: ____________________________________________ Telephone:City/State/Zip: _____________________________________________ Student Cell Phone: Date of Birth: __________________ Current Year of High School: __________________________________Gender: ________________________________ SYMBOL 111 \f "Wingdings" I do not wish to disclose this informationEthnicity: _______________________________ SYMBOL 111 \f "Wingdings" I do not wish to disclose this information Email Address:High School: ________________________________________ School District:Do you attend a technical center? ________ If so, which one? ?Parent/Guardian #1: ____________________________ Parent/Guardian Cell Phone #1: __________________?Parent/Guardian Email #1: ___________________________________ Parent/Guardian #2: ____________________________ Parent/Guardian Cell Phone #2: _________________?Parent/Guardian Email #2: ___________________________________ ?Is one of your parents a graduate of Leadership Oakland? (Please circle) Yes / No?If so, please indicate his/her name:Personal GoalsDescribe in 500 words or less what your personal goals are for the future and how you believe the Junior Leadership Oakland experience will help you realize these goals. Personal/Life ExperiencesPlease list internships, work experience, community service, student organizations or any other personal experiences that you believe demonstrate your leadership abilities. Educational ExperienceList three classes you have taken which you believe will help you be successful in achieving your goals and tell us why these classes will be helpful.Miscellaneous InformationWhat specific skills/knowledge do you hope to gain from your experience with Junior Leadership Oakland?Please list what you believe are the three most important issues confronting young adults today. Why do you feel that way??Applicant SignatureBy signing below, you agree that you have completed this application yourself and that all information is correct. Signature:__________________________________________________________ Date:__________________Parent/Guardian SignatureSignature:__________________________________________________________ Date:__________________Teacher/School Official SignatureSignature:__________________________________________________________ Date:__________________ ................
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