Youth LEAD Program Application

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Thank you for your interest in applying to an ETC Youth LEAD Program Summer Course!

The following application should be completed by the youth applicant and a parent or guardian.

Our Steps for Admission:

Please fill out this application completely
Participate in a phone/zoom interview (this step applies for youth applying as Individuals and not through an organization)*
Complete a secondary participation packet with your parent/guardian
Receive an acceptance email with your course itinerary and important course details!

*Course payment details: If you are an individual and are interested in applying for a scholarship, please fill out the scholarship form HERE and send to ylp@etctrips.org within 10 days after your interview. Your course deposit (50% of your course cost) is due two weeks after your acceptance. If you are applying with an organization, payment will be organized through the partner organization/agency.

If you have any questions or would prefer to speak with an ETC Staff member, please contact Isabela Celedón, the Youth LEAD Program Manager, at 415.474.7662 ext. 16 or ylp@etctrips.org.

APPLICANT

Are you applying through an Agency/Organization or as an Individual?

What organization are you applying through?

Which course are you interested in?

How did you hear about ETC's Youth LEAD Program?

Have you attended an ETC trip before?

If you have been involved with ETC in the past, please tell us about your past ETC experience.

PARENT/GUARDIAN 1 INFORMATION

Parent/Guardian First Name:	Parent/Guardian Last Name:
Parent/Guardian Email Address (if none, leave blank):	Parent/Guardian Primary Phone
Parent/Guardian Alternate Phone Parent/Guardian Relationship

PARENT/GUARDIAN 2 INFORMATION

Parent/Guardian 2 First Name:	Parent/Guardian 2 Last Name:
Parent/Guardian 2 Email Address (if none, leave blank):	Parent/Guardian 2 Primary Phone
Parent/Guardian 2 Alternate Phone Parent/Guardian 2 Relationship

EMERGENCY CONTACT INFORMATION

Emergency Contact First Name

Emergency Contact Last Name:

Relationship to Participant:

Emergency Contact Phone

GET-TO-KNOW-YOU QUESTIONS

1.What interests you about joining ETC's Youth LEAD program and what do you hope to gain from the experience?

2.What leadership qualities & personal attributes will you contribute to the program?

3.What is one of the greatest challenges you have faced in your life and what did you learn from the experience?

4. What sort of experience, if any, do you have with camping, being in nature, and hiking? (No experience needed!)

5. How have things been for you and your family during Covid? What feels scary, if anything, about leaving home for your adventure course?

4. Anything else you would like to share with us?

AGREEMENTS

Youth Agreement (participant please read and type name below):

As the youth applying for this program, by typing my name below, I have read the course description and I understand that the Youth LEAD course could be physically and emotionally challenging, involves living with a group of diverse participants, and not being in cell phone communication for extended periods of time (5-7 days).

Parent Agreement (parent/guardian please read and type name below):

As the legal guardian of the above mentioned participant, by typing my name below,
I give the permission for them to participate in a Youth LEAD course. I have read the course description and I understand that the Youth LEAD course could be physically and emotionally challenging, involves living with a group of diverse participants, and not being in cell phone communication for extended periods of time (5-7 days).

If you have any questions, or would prefer to speak with an ETC Staff member regarding this application, please contact Isabela Celedón, the Youth LEAD Program Manager, at 415.474.7662 ext. 16 or ylp@etctrips.org.

Once you are ready to submit this application, please click the "Submit" button at the bottom of this page! The next page will provide information on next steps.

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