Long Meadow Leader Application

Name:______

Teacher:______

*Step 1

Please have your parents sign below to indicate that they give you permission to apply to become a member of the Long Meadow Leaders. This signature also indicates that parents understand that not all children will be selected for this group.

Parent Signature:______

*Step 2

Please have two teachers (they can be current or previous teachers) sign below indicating that they feel that you will be a good member of the Long Meadow Leaders.

Teacher #1:______

Teacher #2:______

*Step 3

Please write a 3 paragraph letter, addressed to me, telling me a little about yourself and why you feel you qualify to be a Long Meadow Leader. Please include in this letter any experiences you may have had that you feel would benefit the Long Meadow Leaders. Please attach this letter to the back of this application.

*Step 4

Please sign below, indicating that you understand the responsibilities and requirements that will be placed upon you if you become a Long Meadow Leader.

Student Signature:______

Student Phone Number:______

Date:______