Teen Leadership Team application

Teen Leadership Team Application

Teen Leadership Team Application

The Teen Leadership Team plans and hosts Teen Science Cafés during the school year. Activities include creating themes, preparing presenters, marketing, and building leadership skills.

Applicants for the Teen Leadership Team must be in grades 9-12. The program runs through the school year, August through May.
Applications are due May 15, 2023

Applicant Information

Name
Name
First
Middle
Last
Address
Address
City
State/Province
Zip/Postal
Is this phone number:
Is this phone number:
2023-2024 Grade Level

Parent/Guardian Contact Information

Name
Name
First
Last
Is this phone number:
Is this phone number:

Availability

Confirm your availability for planning meetings, café presentations, and overall commitment to attend.
Group Meetings
We will meet once a week for 1.5 hours, date and time to be determined. Please indicate which days of the week you are most available to attend meetings. Keep in mind clubs, sports, practices, games, etc.
Commitment: We expect a certain level of commitment from all members of the Teen Leadership Team.

Motivation & Science Interests

Do current events about science and technology interest you?

Experiences

Think about experiences you have had at paid jobs, volunteer positions, clubs, or doing school projects. Choose one or two experiences that you feel developed skills relevant to being a Teen Leader. Please complete at least one.
Add another experience Remove

Communications Interest

Are you interested in learning more about any of the following topics? Check all that apply.
What social media outlets do you regularly use? Check all that apply.

References

Please provide two references OTHER THAN family or friends. These could be a teacher, coach, music or dance teacher, scout leader, youth group leader, club advisor, etc.
Reference 1: Name
Reference 1: Name
First
Last
Reference 2: Name
Reference 2: Name
First
Last

Emergency Contact Information

Name
Name
First
Last
Is this phone number:
Is this phone number:

Signature

I hereby certify that I completed this application by myself, and that my answers and assertions set forth in this application are true and complete to the best of my knowledge. If I am selected to join the Teen Leadership Team at the Delaware Museum of Nature and Science, I will attend all necessary trainings and do my best to make the experience positive for myself, museum staff, and museum visitors. I understand that any false statements on this application shall be considered sufficient cause for dismissal. I hereby authorize the Delaware Museum of Nature and Science to investigate any aspect of my educational and employment history.
I, the parent or guardian of the applicant, certify that I give my permission for the applicant to apply for the Teen Leadership Team, and that I will support his/her participation if accepted. By submitting his online form, I am agreeing to this statement.
Name of Parent/Guardian (if applicant is under 18 years of age)
Name of Parent/Guardian (if applicant is under 18 years of age)
First
Last
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It is the policy of the Delaware Museum of Nature and Science to provide equal opportunities to all qualified persons without regard to race, color, religious belief, gender, sexual orientation, marital status, veteran status, ancestry, national origin, age, genetic information, disability, or any other characteristic protected by law.