2017 L.E.A.D. APPLICATION

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1 L.E.A.D. APPLICATION For Youth Entering 9 th 12 th Grade in Fall 2017 Application is due Friday, May 5, 2017 This L.E.A.D. application must be submitted to the Windsor Locks Youth Services Bureau. The application can be mailed, faxed, or delivered in person to the Youth Services Office. Town of Windsor Locks Youth Services Bureau 50 Church Street Town Hall Windsor Locks, CT Phone: Fax: Jgriskewicz@wlocks.com

2 2 March 20, 2017 Dear Prospective L.E.A.D. Participant, We are excited that you have made the decision to apply for one of our L.E.A.D. positions for the upcoming 2017 Camp Season. The L.E.A.D. Program is brought to you by the Windsor Locks Youth Services Bureau. The L.E.A.D. program takes place at Pesci Park within the Town of Windsor Locks Parks and Recreation Day Camp. This program is designed for you to gain reallife experience and responsibilities that will help you in your schooling, and can assist you in obtaining other employment opportunities in the future. Space in this program is highly competitive and only a limited number of youth will be accepted to L.E.A.D. Once you have applied for the L.E.A.D. program if you are selected you receive a letter in the mail with a mandatory training session in order to fully qualify for the position. This session will give you valuable information regarding the Youth Services policies and expectations of duties for this camp season. This training will be determined at a later date. Please remember that this program is a 4 week commitment (with the opportunity to continue dependent on need and performance.) There is no cost to participate in this program. Please return this application no later than Friday, May 5, We must adhere to this deadline. Please fill out the attached pages completely, leaving no information blank. The more information you can provide the more informed decision we can make on choosing the right position for you. Feel free to call Joe Griskewicz, Youth Services Director, at if you have any questions. Thank you for your time and we look forward to receiving your application. Sincerely, Joe Griskewicz Youth Services Director Jgriskewicz@wlocks.com

3 3 LEAD SUMMER CAMP APPLICATION Name Age Grade in Fall 2017 School 1. Have you ever attended the Windsor Locks Summer Day Camp in the past? 2. If yes, how many years have you attended? Please answer the questions below as completely as you can (please print neatly) 1. What jobs or volunteer experience do you have? a. Supervisor: phone: Address Duties b. Supervisor: phone: Address Duties 2. List any specific skills you have (i.e. arts and crafts, computers, sports, dance, etc.) 3. Certifications (i.e. water safety, first aid, CPR) 4. List 4 strengths and weaknesses of yours. Strengths: Weaknesses: 5. What is your definition of the word fun? See next page for essay question

4 4 ESSAY QUESTION RESPONSE Essay Question: Why do you want to be a L.E.A.D. counselor this summer?

5 5 RESUME If you have one, please attach you resume. REFERENCES - We will call/check your references. Your Name Please list the names, addresses, and phone numbers of two references not related to you. a. Name Address Phone Number Relation How long have you known them? b. Name Address Phone Number Relation How long have you known them? T-shirt Size: Adult Small Adult Medium Adult Large Adult XL Adult XXL Adult XXXL

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