2014 Fraser Heights LEAD Program
Student Leader Application Form
We are recruiting for responsible senior students to act as Student Leaders for the Fraser Heights LEAD Program. This
position is perfect for any students interested in leadership opportunities or looking to enter careers related to education or
child and youth care. Student Leaders will have a choice of receiving full course credits for Peer Tutoring or Leadership.
About the Lead Program
The LEAD Program allows grade 8 and 9 students to Learn, Experiment, Advance, and Demonstrate different approaches to
their learning beyond the regular school year. These students will develop a project that allows each participant successful
completion of the program and provides each student with a C+ (67%) credit for 2 core courses at their grade level (Math,
English, Science, Social Studies).
General Information:
Program: LEAD Summer Learning Program
Times: 8:30am 12:30pm, Monday to Friday (subject to change)
Dates: July 2 to July 25,2014
APPLICATION DEADLINE: April 17th 2014 (Successful applications will be contacted the week of April 22 nd, 2014)
To be filled out by applicant:
Last Name
_____________________________________ First Name
_____________________________________
Student Number
_____________________________________ P.E.N.
_____________________________________
E-mail address
_____________________________________ Phone
_____________________________________
I would like to receive credit for (circle one only):
Peer Tutoring 11
Peer Tutoring 12
Leadership 11
Leadership 12
In 100 words or less, provide a statement of interest in this program, outlining qualities that you have that would make you a
good fit for a Student Leader position at Fraser Heights LEAD program. (You may use the space below or attach a statement to
this form)
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
Please provide a name and signature of a teacher who can provide you with a reference:
Teacher Name (printed): _____________________________________ Teacher Signature: _____________________________________
Thank you for your interest in the Fraser Heights LEAD Program!
Ms. Dolcetti
Mr. Tong
To be filled out by LEAD Staff
REGISTERED
Yes _________ No _________ Waitlist _________
Comments:
_________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________