Date of Birth:
Name of Current School:
Will you need transportation assistance?
Although previous experience is not a requirement for this program, we would like to learn about any relevant experience you may have had in the past
Please list and describe any jobs you may have had, including any you currently hold:
Please list and describe any volunteer experiences you may have had, including any current experiences:
Please list and describe any leadership opportunities you may have had, including any you currently hold:
Please answer the following questions to the best of your ability. Your responses will have an influence on your acceptance into the program.
Why are you applying for this program? What do you hope to get out of this experience?
Why are you a good candidate for this program? Please highlight your strengths and relevant past experiences.
What areas do you hope to grow in? How could this program help you grow in these areas?
By submitting this form, I agree to:
I understand the importance committing myself to this program for the next nine weeks and know that if I miss more than one session, I will be automatically dropped from the program.
I am aware that if I am unable to meet any of the agreements outlined above, my participation in the program may be reviewed at any time.
I have read all of the above and accept all of the RenewLA agreements.