DONALD A. WILSON SECONDARY SCHOOL
P LEASE FILL IN THE FOLLOWING APPLICATION AND RETURN TO M R .
J EFFS NO L ATER
THAN T HURSDAY M AY 1
Name: ______________________ Grade: ____________ Homeroom: _________
Email ________________________________ Have you signed up for our Remind101? YES/NO
Why would you like to attend Leadership Camp in 2014?
What skills and strengths would you contribute to Leadership Camp?
What skills do you hope to improve upon or personally develop at this year’s Leadership Camp?
What is one GREAT BIG NEW idea you have to improve the school?
Please check the activities below that you have participated in THIS YEAR: o Student Parliament o DECA o Gay-Straight Alliance o Eco Club o Impact o Prom Committee o Arts/Music Council o Relay for Life o Braver than Brave sportathon o S.A.S.S. o Sears Drama Festival o Athletic Teams o Wilson Bands o Wilson Choir o SLAM Mentor o Yearbook o Cultural Mosaic o Gator Vision o Visual Art Club o Other…
If you chose OTHER, please explain:

Explain your role/responsibilities or tasks completed for any of the above activities that you have checked off.
How do you intend to use your Leadership Camp experience to improve student life and involvement at DAWSS next year?
Do you have interest in being a S.L.A.M. Mentor?
YES NO
Will the cost of camp (approximately $220.00) be an issue for you?
YES NO
Are you interested in fund-raising opportunities to reduce the cost of attending camp?
YES NO
P
LEASE FEEL FREE TO ATTACH A SEPARATE PIECE OF PAPER IF NEEDED FOR FURTHER EXPLANATION OR DETAILS OF YOUR APPLICATION
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DONALD A. WILSON SECONDARY SCHOOL
Steps to Application:
1.
Complete this entire application with completed teacher references by Thursday May 1.
Give to Mr. Jeffs.
2.
On Tuesday May 6, invitations will go out
3.
If invited, full payment due June 2 (unless special arrangements are made)
Name: _______________________________ Grade: ____________ Homeroom: _________
By referring to your report card, please fill in the chart below based on your SEMESTER ONE grades.
Course
*Note: information will be verified
Teacher Final Grade Absences Lates
1.
2.
3.
4.
Please have two teachers endorse your application for camp by signing below:
Teacher #1: ________________________________
Print Name
____________________________
Signature
Teacher #2: ________________________________
Print Name
____________________________
Signature