Teen Leadership Troy Application

Date

First Name

Last Name

Address Line 1

Address Line 2

City

Zip/Postal Code

Shirt Size

Small Medium Large X-Large 2XL 3XL

Shirt Style Prefered

Traditional Men's Cut Women's Cut

Home Phone

Cell Phone

Email (student)

Present Employer (if currently employed)

Job Duties

Education (begin with elementary, high school, post-secondary) List name of school then dates attended.

Organizations - Please list community, civic, religious, social, athletic and other organizations in which you have been involved (while in high school)

Honors/Awards - Please list any honors or awards that you have recieved (9th grade to present)

How has your involvement in these activities helped to develop your leadership skills?

How would you describe your knowledge of community affairs?

Poor Fair Good Excellent

ON ADDITIONAL PAGES (One question per page) PLEASE ANSWER THE FOLLOWING QUESTIONS (You will be able to upload at the end of the application)

1. In your judgment, what are the (3) most pressing issues facing Troy today? Please give your reasons why and any recommendations for approaching and resolving these problems. 2. Name a leader you respect and explain what leadership qualities you see in her/him. 3. What does community involvement mean to you?

Please provide email addresses for two individuals that will provide a letter of recommendation:

Provide 2 email addresses of individuals that have agreed (be sure to communicate with them before providing their email) to provide you with a letter of recommendation. Letters of recommendations should be from community leaders, faculty members or club advisors (no more than 1 recommendation from high school academic faculty). Recommendations may not be from a current Teen Leadership Troy committee member, parent, guardian or relative. Reference request emails will be sent by Kathi Roetter (kroetter@troyohiochamber.com) Contact the Chamber office if you have any questions - 937-339-8769.

Name and Email Address #1

Name and Email Address #2

Expectations:

To ensure the success and excellence of this program, we must ask that applicants be: 1. Teachable: students will be exposed to countless learning opportunities. 2. Conscientious: exhibit a high standard of morals. These students will represent the Troy community and be looked upon as role models in the community. 3. Hard-working: assignments are a vital part of the experience. 4. Dependable: on time, with no other commitments that will interfere with attendance. Teen Leadership Troy takes place Monday - Friday for a total of 40 hours We must ask that participants commit to attend all sessions of Teen Leadership Troy. Absenteeism may result in your removal. If you are unable to make a commitment, it is not in your best interest to apply at this time. By submitting this application you acknowledge that you understand the time commitment involved.

Acknowledgement of Expectations *

I have read the expectations and will be in attendance for the full Teen Leadership Troy program.

All applications are subject to confidential evaluations. Students should be aware that there might be more applicants than class size. Candidates are selected exclusively on their own merit, including legibility and neatness of application. All applications must be received by 5 pm on April 18, 2022.

Essay Questions

Emergency Medical Form

Media Release Form

Payment

After submitting application, you may complete the payment online by going to the Events Tab and choosing Teen Leadership Troy. Visa, Mastercard and Discover accepted online. Online payment is preferred but you can mail or deliver your $35.00 Non-refundable application fee to Troy Area Chamber of Commerce, 405 SW Public Square, Suite 330, Troy, Ohio 45373 (check payable to Teen Leadership Troy) Payment must be received by 4/19/2022. If payment is not received, the application will be voided. Scholarships are available upon request. Contact Kathi Roetter at kroetter@troyohiochamber.com