2015 Ocean Lakes Leadership Workshop
Delegate Application
[PLEASE KEEP THIS PAGE FOR YOUR OWN INFORMATION]
APPLICATIONS MUST BE RETURNED TO THE STUDENT ACTIVITIES OFFICE (ROOM 161)
BY 2:30pm on
Friday, February 6, 2015.
Who is eligible? ---- Any student in grade 9, 10, or 11 who would like to enhance his/her leadership ability and
who is interested in a weekend of fun should apply. Approximately 100 students will be selected.
What happens during Leadership Workshop? ---- Workshop is two nights and three days of spirit with handson activities and practical leadership experiences. Delegates will meet new people and form close ties with fellow
Dolphins. When they return from Workshop, delegates should be prepared to lead effectively at Ocean Lakes
High School and in their community.
When and where is Workshop? ---- Workshop will be held at Triple R Ranch, a retreat center located in
Chesapeake, from Friday, March 20th through Sunday, March 22nd (one “B” day of classes will be missed).
On Friday morning, we will meet at Ocean Lakes, and we will return on Sunday afternoon by 1:00pm and be
ready for parent pickup at 2:00pm. Transportation to and from Triple R Ranch will be provided by VBCPS school
buses. Delegates will be responsible for providing transportation to and from Ocean Lakes High School.
What is the cost? ---- Upon selection, delegates will be asked to pay a fee of $60 to attend Workshop. This
money will cover room and board, supplies, meals, a t-shirt, and a handbook. Students who anticipate having
difficulty paying the $60 should see Ms. Conaway or Mrs. Pohl in the Social Studies office for scholarship
information.
How can I apply? ---- If you would like to attend, please complete the attached application and return it to the
Student Activities Office (Room 161) by 2:30pm on Friday, February 6th, 2015. The list of selected delegates will
be posted on Monday, February 23rd, 2015 outside of the Student Activities Office (Room 161). When completing
the application, please type or print neatly in blue or black ink and attach a recent picture of yourself.
TIMELINE OF EVENTS
Thursday, January 22nd
Round-Up Assembly at 8:00am in Auditorium / Applications are available
Friday, February 6th
Applications due to the Student Activities Office (Room 161) by 2:30pm
Monday, February 23rd
List of selected delegates posted on the door of Room 161
Friday, February 27th
Mandatory meeting for all selected delegates in the Auditorium at 1:45pm
Friday, March 13th
$60 (Checks made payable to OLHS) and permission slip due to the
Student Activities Office (Room 161)
Friday, March 20th
Delegates check in between 7:15am and 7:25am at OLHS Café
Sunday, March 22nd
Delegates return to OLHS by 1:00pm with Parent Pick-Up at 2:30pm
2015 Ocean Lakes Leadership
Workshop Delegate Application
[Please type or print neatly in blue or black ink]
Application is also available on the OLHS website
Office Use Only
Application: __________
Please attach a recent
photograph of yourself
in the upper right
corner.
THIS APPLICATION IS DUE TO THE STUDENT ACTIVITIES OFFICE (ROOM 161)
BY 2:30pm on Friday, February 6th, 2015.
Name: __________________________ Grade Level: ______ E-mail Address: __________________________
Student Cell phone #: ___________________ Approximate GPA: _______ (Not necessarily a weighing factor.)
T-Shirt Size (circle one): S
M
L
XL
XXL
Have you attended a previous OL Workshop?
YES ___ - What year(s)?_____________NO ___
Food / Medical Concerns___________________________________________________________
Please fill in your 2014-2015 classes and have your teachers sign verifying your first & second nine weeks
grades.
Course Name
Room
Number
1st
Semester
Grades
1st
Semester
Absences
Teacher’s Signature
1A
2A
3A
4A
1B
2B
3B
4B
Please list the school/community activities and/or work experiences in which you are, or have
been involved. Please also provide the year/grade level in which you were most recently involved.
5.
1.
6.
2.
7.
3.
8.
4.
2015 Ocean Lakes Leadership Workshop
Delegate Application
Please answer the following questions so that we can get to know you. Please answer
the questions as thoroughly as possible. Please type or print your answers neatly in
blue or black ink. This application is also available on the OLHS website.
1. Draw your name creatively in the shape provided. Please use colored
pencils, crayons, markers, or any other drawing utensils you wish.
Make sure your name is legible and that the image is colorful.
2. Please answer the following questions by writing your answers in the space
provided.
Who is your favorite faculty/staff member currently working at Ocean Lakes High
School?
_______________________________
What publicity influenced your decision to apply for Leadership Workshop? (Circle
all that apply)
Attended Previous Leadership Workshop
Clock Signs
Round-Up
Teacher Recommendation (By whom?)
Peer Recommendation
_______________________________
Social Media
Any others? (Please Specify) ______________________________________
Please Rank your top 4 instructional topic choices.
Public Speaking
Icebreakers
Leadership in Sports
Clubs 101
________
________
________
________
Get Involved
Preparing for College
Leaving your Mark
________
________
________
Please respond to the question that is relevant to you. Your response should be on
a separate piece of paper and can be given in the form of your choice. Options of
responses include but are not limited to: free response, artistic interpretations,
poems, etc.
New Delegate: Why do you want to attend the 2015 Leadership Workshop, and what do
you hope to gain from the weekend?
Returning Delegate: How has your past experience with Leadership Workshop influenced
your role at Ocean Lakes and in the community, and what do you hope to gain from this year’s
Leadership Workshop?
2015 Ocean Lakes Leadership Workshop Delegate
Application Description and Information
[TO BE SUBMITTED WITH YOUR APPLICATION]
APPLICATIONS MUST BE RETURNED TO THE STUDENT ACTIVITIES OFFICE (ROOM 161)
BY 2:30pm on
Friday, February 6th, 2015
Who is eligible? ---- Any student in grade 9, 10, or 11 who would like to enhance his/her leadership ability and
who is interested in a weekend of fun should apply. Approximately 100 students will be selected.
What happens during Leadership Workshop? ---- Workshop is two nights and three days of spirit with handson activities and practical leadership experiences. Delegates will meet new people and form close ties with fellow
Dolphins. When they return from Workshop, delegates should be prepared to lead effectively at Ocean Lakes
High School and in their community.
When and where is Workshop? ---- Workshop will be held at Triple R Ranch, a retreat center located in
Chesapeake, from Friday, March 20th through Sunday, March 22nd (one “B” day of classes will be missed).
On Friday morning, we will meet at Ocean Lakes, and we will return on Sunday afternoon by 1:00pm and be
ready for parent pickup at 2:00pm. Transportation to and from Triple R Ranch will be provided by VBCPS school
buses. Delegates will be responsible for providing transportation to and from Ocean Lakes High School.
What is the cost? ---- Upon selection, delegates will be asked to pay a fee of $60 to attend Workshop. This
money will cover room and board, supplies, meals, a t-shirt, and a handbook. Students who anticipate having
difficulty paying the $60 should see Ms. Conaway or Mrs. Pohl in the Social Studies office for scholarship
information.
How can I apply? ---- If you would like to attend, please complete the attached application and return it to the
Student Activities Office (Room 161) by 2:30pm on Friday, February 6th, 2015. The list of selected delegates will
be posted on Monday, February 23rd, 2015 outside of the Student Activities Office (Room 161). When completing
the application, please type or print neatly in blue or black ink and attach a recent picture of yourself.
TIMELINE OF EVENTS
Thursday, January 22nd
Round-Up Assembly at 8:00am in Auditorium / Applications are available
Friday, February 6th
Applications due to the Student Activities Office (Room 161) by 2:30pm
Monday, February 23rd
List of selected delegates posted on the door of Room 161
Friday, February 27th
Mandatory meeting for all selected delegates in the Auditorium at 1:45pm
Friday, March 13th
$60 (Checks made payable to OLHS) and permission slip due to the
Student Activities Office (Room 161)
Friday, March 20th
Delegates check in between 7:15am and 7:25am at OLHS Café
Sunday, March 22nd
Delegates return to OLHS by 1:00pm with Parent Pick-Up at 2:30pm
I have read the Workshop application packet and understand the above information.
Applicant Signature:
___________________________________
Date: ___________
Parent Signature:
___________________________________
Date: ___________