Junior Leadership Georgetown 20162017 Application
Junior Leadership Georgetown is a program created to develop the next generation of Georgetown community
leaders. This nine month program for high school juniors and seniors is designed to strengthen participants’
leadership skills, community awareness and involvement. Junior Leadership Georgetown will provide participants
with quality, relevant leadership training along with knowledge of community, needs and opportunities. It allows
participants to form effective relationships with current, past, and future leaders in the community.
Goals:
1. To prepare high school juniors and seniors for future leadership roles in the community
2. To develop and strengthen leadership skills
3. To increase understanding of community needs and opportunities
4. To develop community pride
5. To motivate students for volunteer activities
6. To prepare participants for future leadership roles in the community
Eligibility:
1. Reside within the Georgetown ISD boundaries regardless of school attending (or be attending a GISD
High School)
2. Be classified as a junior or senior for the 2016-2017 school year
3. Must have parental approval and support to attend 4:15 – 6:30 PM generally the third Wednesday each
month October 2016– May 2017
4. Must attend kickoff retreat (1/2 day Saturday/1/2 day Sunday) in September ?? (9:00 - 1:00) and
September ?? (12:00 - 5:00)
Requirements: (these are non-negotiable)
1. Complete the application and return to Chamber of Commerce
2. Must be committed to completion of the program and attendance at all meetings
3. Must actively participate in all scheduled meetings
4. Have transportation to and from activities
5. Must be committed to participate in Fall Carnival (October) and at least one other volunteer activity
with JLG during the year
Program:
1. Retreat – a local retreat will be held on a Saturday morning and Sunday afternoon in September.
2. Monthly meetings – the group will typically meet the third Wednesday of each month from 4:15 – 6:30
pm at various locations around Georgetown. These meetings will consists of tours, speakers, team
building exercises, workshops, etc. The requirements of other activities do not take priority one
Wednesday per month; participants must be committed to be on time and stay the entire length of the
meeting.
3. Volunteer Activities – the group will meet on selected days to perform volunteer work for various
organizations in the community.
Applications must be returned to the Georgetown Chamber of Commerce on Stadium Drive, attention Karen
Sheldon. Please include a $35.00 non-refundable application fee*.
For more information please contact:
Stephanie Blanck at 512-818-9545
[email protected]
Applications due: August 31, 2016 (No Exceptions)
Notification of Acceptance by: September 5, 2016
Junior Leadership Georgetown Application
Name:
Address:
City:
Zip:
Phone:
YOUR Email Address:
Cell:
Full Birth date:
Age:
Female Guardian/Parent:
Mother Email Address (required):
Cell:
Male Guardian/Parent:
Email Address:
Cell:
School Attending:
Extra Curricular Activities:
Grade:
(attach another sheet if necessary)
Are You Currently Employed?
If So Where:
Yes
No
Total Hours Per Week:
Describe your leadership experiences so far:
What are your plans after high school? (Please explain your future goals whether it is work, college, trade school, etc.)
Describe your volunteer experiences, if any (attach another sheet if necessary):
What do you hope to learn from participation in this program/why do you want to participate?
How did you learn about Jr. Leadership Georgetown?
Please note any food allergies, medical concerns, limitations/cautions, etc.:
Anything else we should know about you?
*By signing – I am aware the meetings are generally the 3rd Wed. of each month: 4:15 – 6:30 PM and will attend each one and be on
time. I am fully committed and understand a pattern of poor attendance will result in being dropped from the program. I also give
permission for my image to be posted to the Jr. Leadership GT Facebook page after each event.
Student Signature: ___________________________________________ Date: ______________________
Parent Signature: ____________________________________________ Date: _____________________