2023 Student Application Form

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Page 1 - Introduction

Student Application

Latino Student Leadership Conference
June 11 - June 16, 2023

Dear Student:

If you are an eighth- or ninth-grade Latino student, here’s your chance to become part of a very special leadership program.

We’ll be selecting 120 students to attend a summer conference from June 11 to June 16, 2023.

You’ll learn skills that will help you become an effective leader in your school, and eventually in your community, in business and in government.

You’ll learn to be proud of your heritage, develop and use your leadership skills, and be empowered to seek opportunities for educational and professional growth.

Your meals, lodging, and transportation will be paid by generous contributions from private industry, civic organizations, and individuals. If you are accepted, you will be asked to pay a $40 fee* to cover insurance, a group picture, a T-shirt, and educational materials.

*$40 fee may be paid by the student's school district in some cases, to be determined in May, 2023.

To be considered for this unique experience, you must:

1. Be fully vaccinated for COVID-19 (no exceptions).

2. Be in eighth or ninth grade this year.

3. Have demonstrated academic and leadership potential.

4. Have a 2.5 GPA or higher on your current transcript

5. Complete and submit the IEFLP application online no later than March 15, 2023 by 11:59 pm. Students will be notified the first week of May, 2023, if accepted.

If you need any additional information, email us at application@iefl.org. We also encourage you to connect with us on social media to learn more about important events.

Sincerely,

Dr. R.C. Heredia

Director

Page 3- Activities

Tell us about offices, clubs, organizations, organized sports, or hobbies in which you have been active. You may also include work experience and activities outside of school.

Activities In School

Years Involved

Grade Level(s)

Activities Outside of School

Years Involved

Grade Level(s)

How did you learn of the Inland Empire Future Leaders Program

Who encouraged you to apply?

Page 4 - Autobiography

Write a 250-word autobiographical essay. Be sure to include the items listed below in your autobiography. Each topic below counts as 1/5 of your total essay score.

1) Who you are, your place of birth, places where you have lived, and what your family is like

2) Activities in your school, at church, at home, and in the community

3) Your interests, hobbies, work experience (if any)

4) Your educational and career goals; college(s) you would like to attend

5) Tell us why you think you have leadership potential

Note: You are strongly encouraged to get help from your parents, teachers, a counselor, or a school administrator in the preparation of this essay.

** Hint: make each of the five items required be a paragraph in your essay.

Autobiography

Page 5 - Grades

Required: Upload a copy of current school transcripts. Unofficial copy will be accepted.

Note: Upload a PDF copy or take a picture with your cell phone camera of these documents (File types accepted include: .doc, .pdf, .jpg, .png)

File or Cell Phone Screenshot #1

File or Cell Phone Screenshot #2

File or Cell Phone Screenshot #3

File or Cell Phone Screenshot #4

Page 6 - Recommendations

TWO LETTERS OF RECOMMENDATION request one letter from a teacher and the other from a counselor, principal, a clergy member, or community leader. Have them write your letters of recommendation on school, organization or company letterhead. (Letters from immediate family or relatives will not be accepted).

Click here for more information on how to request a letter of recommendation.

(File types accepted include: .doc, .pdf, .jpg, .png)

Letter of Recommendation #1

Letter of Recommendation #2

Page 8 - Consent Forms

Please read the following forms and provide signatures below:

Inland Empire Future Leaders Program Consent and Release Agreement

Inland Empire Future Leaders Program Code of Conduct

Media Release

COVID-19 Liability Waiver

I acknowledge that both student and parent have read and consent to all forms listed above.

Yes

I acknowledge that if my student is selected, the student and parent agree that the student will participate the duration of the program, June 11-16, 2023.

Yes

I acknowledge that participation in the 2023 IEFLP Summer Conference is dependent on being fully vaccinated against COVID-19 and upon completion of all Health Clearance forms

Yes

Parent Guardian Consent

My signature below indicates that I have read all documents above and provide my consent for my student to apply for the IEFLP conference. I affirm that the information provided by me/ us in this application is correct, and I consent to its release to IEFLP.

Student Signature

Parent / Guardian Signature

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