2013 Summer Leadership and Character Development Academy

Application

Welcome to the 2013 Summer Leadership and Character Development Academy application process. Please download the SLCDA application and fill it out it. A completed application package will contain the following:

1. Application and Essay

2. High School transcript

3. Letter from your parents authorizing collection of the information below (last page)

4. Letter of recommendation (minimum of one, max of three)

5. Copy of your School Sports Physical activity form from your Doctor

Once you have completed this application, you can save it as a .doc or .docx (ex. SLCDABELL.docx) and email the entire application package to [email protected]

1. Legal name (Last, First, Middle)

a. ______

b. Nickname______

2. Date of birth (you must be at least 16 years old by 21 July ‘13). Month, day, year. ( Ex March 2, 1996)

a. ______

3. Gender

a. ______

4. Height (inches) and weight (pounds)

a. ______

5. Citizenship type (Native born American, naturalized citizen, legal immigrant alien)

a. ______

6. City and State you were born or City and Country if not the USA

a. ______7. Race and ethnicity (you may decline to answer, please state “decline”, but if you do answer, we ask that you are truthful so that we can be statistically accurate)

a. ______

8. Contact information (Address)

a. ______

b. Email______

c. Home #______

d. Cell #______

e. Parents email______

f. Parents Cell#______

9. Current high school you are attending (name of high school, city and state)

a. ______

b. Previous high schools (or NA)______

c. Highest grade completed______

10. Cumulative High School grade point average (GPA)

a. ______

b. Current class rank (percentile or raw number)______

11. Standardized test scores if you have taken them

a. PSAT ______

b. SAT (math reading)______

c. ACT(math English)______

12. Submit your High School Transcript (or your most recent report card) along with at least one letter of recommendation from an adult who knows you. Please scan a copy of these and send back as an attachment with this file at [email protected] .

13. Leadership activities (position and brief description)

a. ______b. ______

c. ______

d. ______

e. ______

14. Athletic participation

a. Varsity high school______

b. Special recognition (all-county/state)______

c. Club/travel______

d. Special recognition______

15. Civic oriented/volunteer service participation

a. ______

b. ______

c. ______

16. Other extra-curricular activities not previously noted such as part time work and hours per week

a. ______

b. ______

c. ______

17. Physical Evaluation Test (PET) MUST BE ADMINISTERED BY YOUR GYM COACH

Run: 1.5 mile time: ______

Pullups: for Men:______

Flex arm hang for Females:______

Verified by: ______Signature:______

Printed name and Title______Phone ______18. Please attach a copy of your School Sports Physical Activity Medical Permission form from your doctor that you use to participate in any sports activity at your school.

Uniform size request:

T-Shirt______

Pants (waist, length, inseam)______

Long sleeve shirt (XS, Small, Medium, Large, X- Large ______

Essay Topics. Pick one based on the topics listed below and write a brief essay (1-2 page essay). It can be typed on this form below.

1. What does leadership mean to you?

2. What is character and what does it mean to “have integrity”?

3. Tell us about a challenge you’ve experienced and how you overcame it.

4. Why is education important to you?

5. How do you make tough decisions?

6. Who inspires you, and why? I hereby consent to the release of the information contained in the enclosed application to be used for consideration of my son or daughter’s application to attend the 2013 Summer Leadership and Character Development Academy. This information will only be used by Marine Corps Recruiting Command.

Date: ______

______

Parent/Guardian Printed Name

______

Parent/Guardian Signature Essay Below, feel free to use one or two pages: