Leaders-in-Training Application

Thank you for your interest in the Leaders-in-Training program! This application is due by April 2025. Interviews will be held in late April. We will notify you by mid-May if you have been accepted into the program, and after this you will need to register. This course is $50 for one week. There are a limited number of $30 scholarships available. For financial aid, please visit: www.ebparks.org/financial-aid

Teen Last Name

Teen First Name

Teen Date of Birth

Parent Last Name

Parent First Name

Parent Email

Parent Phone Number

Parent Date of Birth

Street Address

City/Town

State

ZIP Code

Teen Phone Number

Mobile

Home

Teen Email

School

Grade Next Fall

Gender

Male

Female

Decline

Which orientation will you attend?

May 17

10am-1pm Ardenwood Farm, Fremont

May 18

10am-1pm Tidewater Boating Center, Oakland

Have you been an L.I.T. before?

Yes

If yes, which year and program:

How did you find out about the East Bay Regional Park District’s Leaders-in-Training program?

Please list any other languages you speak:

Please list any certifications you may have (first aid, CPR, Jr. Lifeguard, etc.):

Does your school require community service hours?

Yes

If so, how many?

Please list 2 references (full name, contact information, relation to reference):

Reference 1: Name

Relation:

Contact Information (phone or email)

Reference 2: Name

Relation:

Contact Information (phone or email)

What personal goals would you like to accomplish through the Leaders-In-Training program

What types of sports, recreational activities, crafts, or hobbies do enjoy and participate in?

Aside from your skills, what personal qualities make you a good, effective leader?

Please give a few examples to describe your experiences in working with groups of people (school projects, babysitting, team work, community service work, or job experience):

Please list five adjectives describing how a camper might remember you after the camp program has ended:

Is there any further information you would like us to know about you?