AIA Student Leadership Advisory Committee Application (SLAC)

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* 1. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Parent/Guardian

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 3. School Information

School Name:

School Grade/Level:

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* 4. Please indicate t-shirt size.

XS

S

M

L

XL

XXL

XXXL

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* 5. Please list school based Unified actvities you have been apart of.

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* 6. Why is Unified programs important to you?

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* 7. Why is inclusion on campus important?

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* 8. How many years have you been a part of Special Olympics?

Less than 1

1-2 years

3-5 years

over 5 years

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* 9. What other community service activities are you involved in with your local school and/or community?

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* 10. Please describe your leadership experience within Special Olympics, your school, and/or community.

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* 11. Do you have additional work-related or personal skills that would help us in identifying if you are right for this position?

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* 12. How did you hear about this opportunity?

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* 13. I confirm that all of the information provided in this application has been completed with accuracy and honesty to the best of my ability.

Yes

No

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* 14. If I am selected as one of my state’s delegates, I agree to attend the 2019 NFHS National Student Leadership Summit, July 22-24, 2019, in Indianapolis, Indiana.

Yes

No