Teen Conservation Leadership Corps

Group of teenagers in a rocky desert landscape, holding their hands up so as to appear to be supporting a large rock above (and behind) them

Parent Form
Teen Conservation Leadership Corps: Earth Ambassadors and Junior Docents
To be completed by Parent

Before beginning, please be aware that you may not save information to this form. Parents of applicants are required to answer three essay questions. The selection committee weighs these answers very heavily in their decisions. It is suggested that answers are first typed into a word processor and then copied and pasted into this form for submission.

Student Name: First Last
Preferred first name
Student's Ethnicity:

This information is used for federal reporting and to secure grants to support this program. It is optional for you to respond, but your response is helpful for fundraising purposes.

How do you describe your child?

American Indian or Alaska Native
Asian
Black or African American
Hispanic of any race
Native Hawaiian or Other Pacific Islander
White
Two or more races
Other

Student Mailing Address:
Student Email Address:
School currently attending:
Current grade level 6 7 8 9 10 11
Birthdate:
Mother or Guardian Name: Relationship:
Phone Numbers: Home Work Cell
Mother Email Address:
Father or Guardian Name: Relationship:
Phone Numbers: Home Work Cell
Father Email Address:

Participants for the Arizona-Sonora Desert Museum's Teen Conservation Leadership Corps will be selected based on demonstrated interest in science and conservation, willingness to learn and ability to work in teams with other students. Committee members will consider parent form, and student form and teacher recommendation forms in making their selection.

Describe your child's abilities to

  1. work within a cooperative group setting including comments on their ability to work as a team member
  2. follow directions
  3. show respect for staff, peers and others property

Include at least one strength and one weakness in each category:

Describe your child's eagerness to learn about the different branches of science and to learn how to improve the state of the environment:

How will this program and the other participants benefit from your child's attendance:

Many of our activities (hiking, camping, biking, running scientific experiments and interpreting to museum visitors) are conducted during the heat of the day. Is your child prepared for this type of strenuous physical activity?
Yes Maybe No Comments:

Tell us how you heard about our programs:

To complete the application process:

  1. Have your child submit the Student Application
  2. Be sure your child asks two of their teachers to write recommendations by sharing this link Teacher Recommendation Form. Two teacher recommendations are required.
  3. Submit the Payment Form and Scholarship Application

Questions? Contact Amy Orchard 520-883-3083 or aorchard@desertmuseum.org

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