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* 1. First name

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* 2. Last name

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* 3. What school and program do you attend? Eg: Chimacum Pi Program

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* 4. Why do you you want to take the Environmental Science and Leadership Class? (3-4 sentences).

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* 5. What is your Parent or Guardian's Name - Enter all (Mother, Father, Guardian)?

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* 6. In this class, we often communicate with email. What is your best email address? What is your parent or guardian's email address?

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* 7. Cell phone numbers - list ALL that apply. These will be emergency contacts.

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* 8. We currently organize events and communicate with event sponsors using Facebook. Do you use Facebook?

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* 9. What is your gender identity?

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* 10. What grade will you be in next year? (2018/2019)

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* 11. The course begins with a 6-day intensive overnight class from Sunday July 15 at 2PM - Friday, July 20th at 4PM. Summer field course is based at Fort Flagler, on Marrowstone Island.  We'll be in the field (forest, shorelines, wetlands, etc.) all day and staying at a dorm, with additional activities, every evening. Overnight stay is expected. Transportation and all meals are provided.

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* 12. If you take this class, you'll spend 30 hours during the academic year serving as Crew Leader and/or assistant organizer on at least FIVE Youth Environmental Stewardship (YES) Leadership events such as "The Plant-A-Thon," Salmon habitat restoration, and beach clean-ups from September toMay. The events are usually on Saturdays, but some are on weekdays, with school permission. Transportation and snacks are usually provided. There will be many events to choose from. Some flexible weekday positions are also available. Required for credit.

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* 13. I see myself:

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* 14. Note the topics you are most interested in (check all that apply, and use "other" to add more):

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* 15. By attending the intensive 5-day summer course AND serving 30 hours on approved Youth Environmental Stewardship (YES) Leaders events, I will earn a .5 "contract" credit at my high school. This elective credit is:

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* 16. If you successfully complete the Environmental Science and Leadership Class, you'll be eligible to create an individual or small group project around the theme of environmental restoration and protection for an additional .5 elective credit (Second semester). You would work with a professional mentor as you complete your project. If approved, you may also use this project as a topic for your "Senior Project."

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* 17. The summer intensive will be five days and nights with a group of 20 students and 4 adults living together at Fort Flagler, working hard all day and eating meals together. We'd all pitch in to make it work.

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* 18. What Science classes have you taken?

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* 19. One goal of the program is to encourage students who are keenly interested in the environment. Another goal is to support students who might otherwise not graduate (for whatever reason). The phrase that best describes me is:

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* 20. Have you ever hiked more than three miles?

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* 21. Check all that apply:

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* 22. The class will welcome all student regardless of previous outdoor experience. Please choose an answer that describes you, or write your own under "other"

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* 23. This course focusses on developing leadership skills. I:

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* 24. The course also offers pre-professional training. Check the ones you are interested in.

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* 25. This course is a "Contract Class Credit" elective, which means that both you and your parent or guardian will sign a contract that says you're signing up for 90 hours of time. Applicants will not be accepted without parent/guardian contact information. Important: Be sure you have entered your parent/guardian's name, BEST phone number and e-mail address in the questions above.

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* 26. If you want to take the class, but have a learning, social, dietary, medical or religious issue, please explain below.

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* 27.  Donors to our program are interested in involving all youth, regardless of financial circumstance. For this reason, we ask the following optional question: My family qualifies for free/reduced price school meals and/or government assistance. (Answers will not influence whether students are accepted!)

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* 28. Do you have any other comments, questions, or concerns?

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* 29. YES has a gear lending closet for students who don't have outdoor gear. Which of the following gear would you need to borrow?

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