A
APPLICATION: OPEN TO HIGH SCHOOL JUNIORS ONLY. Deadline: January 11, 2019
Name of Applicant (exactly as it is written on your driver’s license) PLEASE PRINT LEGIBLY
_____________________________________________________Male_____ Female_____
Address_____________________________________________ E-mail _____________________________
(Print e-mail legibly please)
City___________________________ Zip _____________
Home phone:____________________________ Cell: ___________________________________
Name(s) of Parent/Guardian_________________________________________________________________
Parent home/cell phone contact ______________________________________________________________
Parent e-mail address __________________________________________ PLEASE PRINT LEGIBLY
High School Attending_____________________________________________________________________
Birthdate: __________________________Grade:_______ Grade Point Average: _______________
ADDITIONAL DOCUMENTS REQUIRED:
1. Most recent high school transcript—not a recent report card.
2. Two signatures of endorsement from adults not related (endorsement form attached)
3. Resume of activities (not to exceed one typewritten page). Include the following: major school activities,
organization memberships & leadership positions; awards and recognition; sports activities; non-school & community activities, such as hobbies, volunteer work, travel, or part-time job experiences. 4. .Essay (350-500 words): TOPIC: How does being a productive member of society help to strengthen the nation?
5. Interview: You will be contacted for an interview appointment.
FINANCIAL CONSIDERATIONS:
The Pensacola Chapter Freedoms Foundation at Valley Forge provides a chaperone and funds the selected applicants’ airfare and conference registration expenses.
RETURN THIS APPLICATION & REQUIRED DOCUMENTS TO:
Pensacola Chapter Freedoms Foundation PO Box 1012 Pensacola, FL 32591.
You may also e-mail your documents to cbrown991@ if you are able to do that. You should use Microsoft Word for essay, etc.
Questions? Call or text Mrs. Connie Brown at 850-450-4227 or e-mail at cbrown991@
FFVF Signatures of Endorsement
Each applicant is required to have two endorsement signatures, neither of which are family members. One must come from the academic community and the other from the student’s activities within the community. The academic endorsement would be a teacher, counselor, or administrator. The community endorsement would be from the student’s volunteer commitments, church, job, or other organizational affiliation. Comments regarding this endorsement are encouraged, but optional.
Academic Endorsement:
____________________________________________ (Student’s Name) has my endorsement to participate in the Youth Leadership Conference sponsored by the Freedoms Foundation at Valley Forge.
Comments: (optional) ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Signature: _____________________________________________________
Academic Position: _________________________ E-Mail: _________________________
Telephone:______________________
Community Endorsement:
____________________________________________ (Student’s Name) has my endorsement to participate in the Youth Leadership Conference sponsored by the Freedoms Foundation at Valley Forge.
Comments: (optional)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Signature: _____________________________________________________
Community Position: ___________________________ E-Mail: _________________________
Telephone: _______________________
Students: Please return this form with your application
FreeF Freedoms Foundation at Valley Forge
Pensacola Chapter
Youth Freedom and Leadership Conferences - 2019
THE CONFERENCE: High school juniors from Pensacola area high schools (Escambia and Santa Rosa Counties) are eligible to apply for a scholarship to participate in the Freedoms Foundation at Valley Forge Youth Freedom and Leadership Conference. Students will spend four unforgettable days in historic Valley Forge and Philadelphia, Pennsylvania, hearing motivational speakers and participating in leadership development activities. Students will also tour historic sites in Valley Forge and in Philadelphia.
WHEN: Selected students and chaperone(s) will attend the conference scheduled for:
April 11-14, 2019
APPLICATION: Applications are open to Pensacola area (Escambia and Santa Rosa Counties) High School Juniors. Applications should include: (1) Freedoms Foundation Application; (2) Most recent high school transcript; (3) Two signatures of endorsement from non-relatives (one school person required); (4) One page resume of activities; and (5) essay. All applicants will be considered. Blank applications may be reproduced if needed. Applications must be received by January 11, 2019.
INTERVIEWS: Applicants will be contacted and an interview date will be arranged. Qualifications for selection include demonstrated leadership qualities, academic achievement, exemplary citizenship, community service, and potential to both contribute to and benefit from the experience.
NOTIFICATION: Notification of selection will be given in January 2019. Selected students and a parent will be required to attend a parent/student orientation meeting. The date of the meeting will be prior to the purchase of airline tickets probably in February 2019.
CONFERENCE FORMAT: Students and chaperones will fly to Philadelphia and be transported to the Freedoms Foundation at Valley Forge campus. Three days will be spent in intensive lecture/discussion sessions with outstanding government, business, and academic leaders, and students will tour the Valley Forge camp site, and historical buildings in Philadelphia. This is an academically challenging experience as well as an opportunity to interact with high caliber students from other states.
COST: Each student selected for the Youth Freedom and Leadership Conference at Valley Forge will receive a scholarship from the Pensacola Chapter of Freedoms Foundation which will cover conference expense as well as air travel cost.
ADDITIONAL INFORMATION:
Send Applications to: Pensacola Chapter Freedoms Foundation Applications
P. O. Box 1012, Pensacola, FL 32591
Direct questions to:
Connie Brown, Vice-President of Educational Programs
Pensacola Chapter of Freedoms Foundation at Valley Forges
cbrown991@ or 850-450-4227 cell or text
Revised Sept. 2018
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AMERICAN LEADERS YOUTH SUMMIT
April 11-April 14, 2019
(Travel dates: Thursday, April 11, 2019 and Sunday, April 14, 2019)
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