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 the Partnership’s middle and high schools. The program seeks to reward 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, various Partnership events and a recognition ceremony. Lundquist Fellows will also receive a $500 scholarship for successfully completing the program.
IN ORDER TO BE CONSIDERED, ALL APPLICANTS MUST: ● Be enrolled in a Partnership middle or high school for the 2014‐2015 academic year ● Submit the attached application form and essay (ALL sections must be complete) ● Be available for an in‐person interview ● Maintain at least a 2.50 grade point average throughout the program
Application Deadline: Friday, October 24, 2014 For more information, please contact: Yuritzy Anaya, Family and Community Engagement Coordinator, (213) 201-2000 ext. 207, email:
[email protected] Application for the 2014-2015 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 short essay response. Application Deadline: Friday, October 24, 2014 STUDENT INFORMATION Name: Current Grade: (circle one) 6
7
8
9
10
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Most recent GPA:
Age:
Date of Birth: / /
(mm/dd/yy)
Address: Street
City
Phone Number: Home #:
State
Zip
Email Address: Cell #:
Partnership for Los Angeles Schools (select your current school): MIDDLE SCHOOLS ○ Carver Middle School ○ Gompers Middle School ○ Markham Middle School ○ Hollenbeck Middle School ○ Stevenson Middle School
HIGH SCHOOLS ○ Jordan High School ○ Mendez High School ○ Roosevelt High School ○ Math, Science, & Technology Magnet Academy (MSTMA) at 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 #:
Email Address:
Cell #:
ESSAY RESPONSE On a separate page, provide a short 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 24, 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, Manager of Family and Community Engagement, (213) 201-2000 ext. 207, email:
[email protected]