2005-2006 Gwinnett Student Leadership Team Application



Gwinnett Student Leadership Team2020-2022Gwinnett Student Leadership TeamThe MissionThe mission of GSLT is to develop student leaders who enhance the function of leadership throughout their local schools by shaping culture and performance. The Vision As part of a system of world-class schools, GSLT strives to…Develop and instill a leadership mindset in students.Develop a cadre of students who implement leadership skills within the local schools and communities through peer facilitation.Create a legacy of leadership that promotes student involvement and overall excellence.Possible leadership roles include but are not limited to the following:Serving on school and community councils/committees;Presenting leadership development workshops to a wide variety of audiences;Mentoring junior GSLT members as well as other students at the local schools;Assisting in selecting new members; andTeaching segments of the junior leadership development workshops.The LeaderNext CurriculumDuring the sophomore and junior years, GSLT participants are introduced to a core curriculum of leadership skills and provided opportunities to explore leadership issues through a series of nine one-day symposiums. The curriculum includes topics such as developing personal and systemic direction through application of mission, vision, goals, and core values; ensuring accountability and improvement; guiding student organizations through the change process; and building culture, climate, and community. As seniors, GSLT members continue their leadership development through monthly learning sessions and facilitate leadership development at their local schools. They also have opportunities to apply their leadership knowledge and skills in a variety of community situations. The GSLT curriculum provides opportunities for networking, collaboration, reflective processing, benchmarking, on-site coaching and feedback, advanced learning, leading and teaching others, and facilitated problem-solving.Requisite Skills for Candidates:Emotional, Intellectual, and Social MaturityInvolvement in local school and community organizations and activitiesAcademic Achievement Outstanding Communication Skills/Articulate SpeakerDemonstrated Leadership SkillsDemonstrated Academic SkillsEffective Team Member SkillsDigital CitizenshipCredibility with a wide variety of audiencesAbility to Analyze IssuesCreative ThinkingConfidenceAcademic and Emotional MaturityCommitment to Personal GrowthEmerging Civic SenseFlexibilityOpen MindEase with AdultsNegotiation/Compromise Skills 2020-2022 Gwinnett Student Leadership Team ApplicationAdministrators should send the final applications and pictures of their school’s three new GSLT sophomores to GSLT by Monday, December 9, 2019. Applications must be typed including the information below.Student (PLEASE TYPE):Name:_____________________________________________________________________________Address:_____________________________________________________________________________(Street Address)_____________________________________________________________________________________________________________________________________________(City) (Zip Code)Home Phone:___________________________________ Cell Phone: ______________________________E-mail Address: ___________________________________________________________________________School:_____________________________________________________________________________Parent or Guardian:Name:_____________________________________________________________________________Address:_____________________________________________________________________________(Street Address)______________________________________________________________________________________________________________________________________________ (City) (Zip Code)Telephone:(Residence/Cell)________________________(Business)_______________________________E-mail Address:________________________________________________________________Student Information:I. LIST school AND community activities in which you are involved. Please include leadership positions. (Response should be a list only.)II. Briefly describe yourself in a short paragraph. (Response limited to one paragraph.)III. Please identify a student leadership initiative you want to implement in your school and provide an Action Plan for implementation. Explain why your school needs this initiative as well as outline steps to ensure its sustainability. Please note there are four components to this prompt: (A) Leadership Initiative, (B) Action Plan, (C) Need for the initiative, and (D) Steps for sustainability. Response limited to one page.IV. Provide one teacher recommendation focused on your communication and leadership skills. As an applicant for the Gwinnett Student Leadership Team, I understand my selection encompasses a commitment on my behalf to attend all student leadership activities and events. If selected, I understand I am a representative of Gwinnett County Public Schools and the Gwinnett Community. I will conduct myself in an appropriate manner and represent the high standards of my school, my school district, and the Gwinnett Student Leadership Team._________________________ ________________________________ _______ Student's Signature DateParent's Signature Date_____________________________________ _______________________________________________ __________Parent's Signature DatePrincipal's Signature Date2020-2022 Gwinnett Student Leadership Team StandardsAs a member of the Gwinnett Student Leadership Team, I agree to abide by the following standards:Devote time and energy to developing my leadership skills as well as the skills of other students in my school;Implement and facilitate leadership knowledge acquired through GSLT sessions in my high school;Engage actively and positively in GSLT activities, showing respect for the input, feelings, and ideas of others; Communicate actively with teachers, school administrators, GSLT members, and GSLT Board of Directors; Adhere to the dress code for scheduled activities; Remain alcohol and drug free throughout participation in GSLT;Engage appropriately as a leader in the use of social media forums;Attend ALL scheduled GSLT activities outlined on the GSLT Instructional Calendar (two unexcused absences will result in dismissal) below. Some dates have not been selected yet, but the applicable months and years are listed below. GSLT Instructional Calendar for the Class of 2020-2022Sophomore YearEVENTDATELOCATION/TIMEOrientationTuesday, January 21, 2020The 1818 Club - 4:00-5:30 p.m.Monthly Leadership SessionMonday, February 3, 2020Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership SessionMonday, March 16, 2020Gwinnett Chamber - 7:15-11:30 a.m.GSLT Leadership Summit MANDATORYThursday, May 28, 2020Peachtree Ridge High School8:00 a.m.-4:00 p.m.Junior YearEVENTDATELOCATION/TIMEGSLT RetreatMANDATORYFriday, July 24-Saturday,July 25, 2020 ORFriday, July 31-August 1, 2020NOTE: Date tentative pending adoption of school district calendar.Location TBA Friday: 8:00 a.m. - 8:00 p.m.Saturday: 7:30 a.m. - 3:30 p.m.Monthly Leadership SessionSeptember 2020Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership Session &Networking LuncheonOctober 2020Gwinnett Chamber - 7:15 a.m.-1:30 p.m.Monthly Leadership SessionNovember 2020Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership SessionJanuary 2021Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership SessionFebruary 2021Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership SessionMarch 2021Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership SessionApril 2021Gwinnett Chamber - 7:15-11:30 a.m.GSLT Graduation for SeniorsGSLT Celebration for JuniorsApril 2021Sunday Afternoon - 2:00-4:00 p.m.Instructional Support CenterGSLT Leadership Summit MANDATORYMay/June 2021 – One weekfollowing close of schoolPeachtree Ridge High School7:00 a.m.-4:00 p.m.Senior YearEVENTDATELOCATION/TIMEGSLT RetreatMANDATORYFriday-Saturday in July or August of 2021Location TBA Friday: 8:00 a.m. - 8:00 p.m.Saturday: 7:30 a.m. - 3:30 p.m.Monthly Leadership SessionSeptember 2021Gwinnett Chamber - 7:15-11:30 a.working LuncheonOctober 2021Gwinnett Chamber - 11:30 a.m.-1:30 p.m.Monthly Leadership SessionNovember 2021Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership SessionJanuary 2022Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership SessionMarch 2022Gwinnett Chamber - 7:15-11:30 a.m.GSLT Graduation for SeniorsGSLT Celebration for JuniorsApril 2022Sunday Afternoon - 2:00-4:00 p.m.Instructional Support CenterGSLT Leadership Summit MANDATORYMay/June 2022 - One weekfollowing close of schoolPeachtree Ridge High School8:00 a.m.-4:00 p.m.Statement of Commitment to Standards:To maintain the integrity of the Gwinnett Student Leadership Team, I accept the challenges and responsibilities of being a leader and a role model in all aspects of life. I will show respect for myself, my peers, my school, my community leaders, the environments in which we meet, and GSLT. I agree to participate fully for two and a half years; attend ALL scheduled activities outlined on the GSLT Instructional Calendar; follow ALL rules and regulations; and apply my knowledge and skills to benefit my school and my community. I will fulfill my responsibilities not only to the countywide GSLT initiative but also to my local school’s student leadership team. Furthermore, I understand that failure to uphold the standards outlined for GSLT students will result in my dismissal from the organization._________________________________________ ______________________Signature of StudentDateAs parents of a GSLT student, we understand the responsibilities our son/daughter has accepted for the next two and a half years. We fully support his/her participation in the organization and attendance at ALL events._________________________________________ ______________________Signature of Parent/GuardianDate_________________________________________ _____________________Signature of Parent/GuardianDate2020-2022 Gwinnett Student Leadership TeamParent Consent/Release FormRelease Waiver and IndemnificationThe undersigned and his/her parent or legal guardian, if the participant is under the age of eighteen years, do hereby execute this release, waiver, and indemnification for him/herself, and his/her heirs, successors, representatives and assigns, and hereby agree and represent as follows: To release the Gwinnett Student Leadership Team (GSLT), and the GSLT Board of Directors and Gwinnett County Public Schools, their officers, employees, and agents from any and all liability, loss, damage, costs, claims, or courses of action including, but not limited to, all bodily injuries and property damages arising out of the sole negligence of Gwinnett Student Leadership Team.The undersigned further agree to indemnify and hold harmless the said above from any and all liability, loss, damage, costs, claims, or causes of action, including attorney fees and witness costs, arising out of the undersigned's participation in the Gwinnett Student Leadership Team.The undersigned further give permission for the participant to take part in functions and trips and to be photographed during the two-year program for use in promotional purposes._________________________________________ ______________________Signature of StudentDate_________________________________________ ______________________Signature of Parent/GuardianDateAgreement and Consent for TreatmentThis is to certify that I, the undersigned parent or guardian, hereby consent to and authorize the administration and performance of all needed medicines, surgical treatment, and the administration of any anesthetic which, in the opinion of the attending physician, may be necessary and advisable in the event of any medical emergencies regarding my son or daughter. I understand that efforts shall be made to contact the undersigned prior to rendering emergency treatment to the patient._________________________________________ ______________________Signature of Parent/GuardianDate________________________________________________________________Home PhoneWork Phone _________________________________________ ______________________Signature of NotaryDate2020-2022 Gwinnett Student Leadership TeamStudent Registration FormSchool _________________________________________________________________Name ____________________________________________ Male_____ Female_____Home Address ___________________________________________________________________________________________________________________________________Phone _________________________________ Date of Birth _____________________List Allergies (especially medications):________________________________________________________________________________________________________________________________________________________________________________________________________________________List Special Dietary Needs (including food allergies):_______________________________________________________________________________________________________________________________________________________________________________________________________________________Health and Accident Insurance Provider _______________________________________Group Number ________________________________ Policy Number _____________2020 GSLT Sophomore CalendarTuesday, January 21, 2020 - 4:00-5:30 p.m.Reception for New Students and ParentsGwinnett Chamber of CommerceThe 1818 Club (located on the third floor of the Gwinnett Chamber)Monday, February 3, 2020 - 7:30-11:30 a.m.Leadership DevelopmentGwinnett Chamber of CommerceMonday, March 16, 2020 - 7:30-11:30 a.m.Leadership DevelopmentGwinnett Chamber of CommerceThursday, May 28, 2020 - 8:00 a.m.-4:00 p.m.Student Leadership SummitPeachtree Ridge High SchoolFriday, July 24-Saturday, July 25, 2020OrFriday, July 31-Saturday, August 1, 2020Leadership Retreat (location TBA)Friday, July 24 & Saturday, July 25: 8:00 a.m. - 8:00 p.m.Saturday, July 31 & Saturday, August 1: 7:30 a.m. - 4:00 p.m.2020-2022 Gwinnett Student Leadership TeamMcClure Health Science High SchoolApplication Additions In addition to the application and questions above, complete the questions below that relate specifically to McClure Health Science High School. (TYPED)Student First and Last Name:______________________________________________________GCPS Email Address:____________________________________________________________Language(s) (not scored; information only):__________________________________________Social Media Platforms and Usernames:__________________________________________________________________________________________________________________Student ID:__________________________________________________________________Teacher Names (2) you requested recommendation forms from: _____________________________ _____________________________McClure Health Science High School is unique in many ways, including that all students choose to attend. What was your honest reason for choosing McClure Health Science? (100-150 words)Choose ONE of the following words that describes you and explain why in 15 words or less: Thinker, Doer, or Connector.What does school culture mean to you? (100-150 words)Keeping in mind that we are building our school culture both within the school building and within our community, what skills and talents do you possess that will leave a legacy on McClure Health Science High School? (150-250 words)What is one specific way you envision McClure Health Science students engaging with the surrounding community and civic leaders? (100 words)What is one immediate need you see within the student body and how could student leaders in our building begin address this need? (100-200 words)2020-2022 Gwinnett Student Leadership TeamMcClure Health Science High SchoolApplication Checklist***All parts of the paper applications must be turned into Mrs. Taylor in the B Floor Office Suite by 7:20 AM on Friday, October 18, 2019. ***All emailed portions of the application must be timestamped by 7:20 AM on Friday, October 18, 2019 sent to sally_taylor@gwinnett.k12.ga.us***Applications will not be considered complete until every part of this checklist is turned in. Checklist does not need to be included and is only for your reference. ***Please note that on page 11, there is a reference to a teacher recommendation. This is NOT needed at this time, and will be requested later in the selection process. _____ Paper Copy of Gwinnett Student Leadership Team Application (1 page + your answers)*Including TYPED answers to all questions and all signatures except for Mrs. Mosley______ Emailed Copy of Gwinnett Student Leadership Team Application______ Paper Copy of GSLT Standards Form (2 pages)*Must include signatures______ GSLT Consent Form (1 page)*Must include signatures; Notarized signatures NOT required for initial application completion ______ Student Registration Form (1 page)______ Paper Copy of McClure Health Science HS Application Additions (1 page + your answers)*Including TYPED answers to all questions ______ Emailed Copy of McClure Health Science High School Application Additions_____ Teacher Recommendation Forms should NOT be included in this packet ................
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