EmailMe Form - Youth Conservation Conference 2013 Application

Youth Conservation Conference 2013 Application

The deadline for this application is May 1, 2013 @ 9pm;
Please answer all questions completely and accurately.
Please acquire all other forms requested by Fishin Buddies, the forms are listed in this application.
Your application will not be considered unless it is completely filled out.
Incomplete applications WILL NOT BE CONSIDERED.

INSTRUCTIONS:
Mandatory documents to acquire:
• High school transcripts (You must bring an Official Copy if you are Granted an Interview)
• Letters of recommendation (3 required and also must be present at the time of your interview)
1. recommendation from a Community leader
2. recommendation from a Math teacher
3. recommendation from a Science teacher

Failure to present your transcripts and 3 letters of recommendation at your interview will result in immediate disqualification from the interview process.

Applicant's Demographic Information
Name *
First Last
Date of Birth *
Gender *
Male
Female
Address *

Street Address City State / Province / Region Postal / Zip Code Country

Please make sure contact information is accurate and the best place to reach you.
Phone Number *
### - ### - ####
Phone Number *
### - ### - ####
Email *
Have you participated with Fishin' Buddies Programs? *
Yes
No
If you answered yes, what is the most recent FB Event you have attended?
EDUCATION:
Name of Current School *
School Address *
What will be your Grade Level in September 2012 *
GPA (Current) *
Graduation Date *
List any work experience you have
Please list your extracurricular activities
List any Honors or Awards you have received in the past two years.
Who referred you to the YCC Program *
Please include the name of the Person and the Organization if any. Enter N/A if no one referred you.
What are your Educational Career Goals and Why? *
Choose an Essay topic to write about.
Choose one topic and write a minimum 500 word essay about that topic. Use Microsoft Word for your essay and attach the completed essay to this application by using the file upload below.
Make sure you spell check and correct grammatical errors!
There are plenty of resources at your local library and on the internet to assist you in building a strong essay, please use them. This is a very important piece of your application process.
File Upload
Remember:
To review your application before submission.
Do not forget to include any extracurricular activities, awards or work experience if you have any.
All applications must be complete to be considered, check that you have provided all the necessary documents along with the application form.
All complete applications will be processed and reviewed for consideration.
“FISHIN BUDDIES!” reserves the right to refuse or revoke any application. By signing this form you are also giving
“FISHIN BUDDIES!” permission to record your child’s or your image and voice on film and video, and to use same for
“FISHIN BUDDIES!” public relations/media efforts; print, photographic, film and video, at no fee.
I certify that I have read this form in its entirety and all information on this application is correct and complete.
Do you agree with the terms and conditions? *
Yes, I agree.
Student's Initials *
Parent's Name *
Parent's Phone Number *
Parent's Initials *
By applying my initials I verify that all of the information in this application is accurate. I also understand that if my child is granted an interview I must be in attendance with him/her throughout the entire interview.
Date *
MM / DD / YYYY

Applicant's Demographic Information

EDUCATION: