Richard and Melanie Lundquist Fellows Program
Are You Ready to Be a Leader?
ABOUT THE PROGRAM: The Richard and Melanie Lundquist Fellows Program started in 2010 to help identify young leaders in middle and high schools of the Partnership for Los Angeles Schools network. The program seeks to further develop students who have demonstrated outstanding leadership and commitment to their schools, education and communities with an academic scholarship and opportunities for professional growth. As a Lundquist Fellow, students will have the opportunity to participate in the Partnership’s Student Advisory Board, career shadowing opportunities, a mentoring program, various Partnership events and a recognition ceremony. Lundquist Fellows will receive a $500 scholarship for successfully completing the program.
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IN ORDER TO BE CONSIDERED, ALL APPLICANTS MUST:
Be enrolled in a Partnership middle or high school for the 2015-2016 academic year. Submit the attached application form (ALL sections must be complete) and typed essay. Be available for an in-person interview. Maintain at least a 2.50 grade point average throughout the program.
Application Deadline: Friday, October 16, 2015 For more information, please contact: Yuritzy Anaya Peraza (213) 201-2000 ext. 207, email:
[email protected] Application for the 2015-2016 Richard and Melanie Lundquist Fellows Program Application Requirements: Current students enrolled in a middle or high school of the Partnership for Los Angeles Schools with a GPA of at least 2.50 are encouraged to apply. To apply, students must submit: (1) a completed application and (2) a 1-2 page typed essay response. Application Deadline: Friday, October 16, 2015 STUDENT INFORMATION
Name: Current Grade: (circle one) 6
7
8
9
10
11
12
Most recent GPA:
Age:
Date of Birth: / /
Address: Street
City
Phone Number: Home #:
Email Address:
State
(mm/dd/yy)
Zip
Cell #:
Partnership for Los Angeles Schools (select 1 - your current school): MIDDLE SCHOOLS HIGH SCHOOLS ○ Carver Middle School ○ Jordan High School ○ Gompers Middle School ○ Mendez High School ○ Markham Middle School ○ Roosevelt High School ○ Hollenbeck Middle School ○ Math, Science, & Technology Magnet Academy (MSTMA) at ○ Stevenson Middle School Roosevelt ○ Santee Education Complex Please list Clubs, Sports, and Extra-Curricular Activities you are currently involved in: ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ PARENT/GUARDIAN INFORMATION Relationship to Student:
Name: Address: Phone Number: Home #:
Cell #:
Email Address:
SUBMIT A 1-2 PAGE TYPED ESSAY RESPONSE On a separate page(s), provide an essay response to the following question: Describe the world you come from — for example, your family, community or school — and tell us how your world has shaped your dreams and aspirations. Student Signature: _________________________________ Parent/Guardian Signature:___________________________________ Submit your completed application by Friday, October 16, 2014 via email, fax, mail, or in-person. EMAIL:
[email protected] FAX: ATTN: LUNDQUIST FELLOWS PROGRAM (213) 201-2088 MAIL OR DROP-OFF TO: Lundquist Fellows Program, Partnership for Los Angeles Schools 1541 Wilshire Blvd., Suite 200, Los Angeles, CA 90017 For more information, please contact: Yuritzy Anaya Peraza, Manager of Advocacy, Parent and Student Leadership, (213) 201-2000 ext. 207, email:
[email protected]