Dear Educators and Students,
The Muhammad Ali Center is currently accepting new applications for the
2012-2013 “Muhammad Ali Center Council of Students” (MACCS) youth
leadership program! The program is open to all high school students in
grades 9-12. Students must be available to meet two weekday evenings
per month (day/time TBD) at the Center, will complete two service
learning projects, and will participate in a youth-led Youth Rights
Conference and the end of the school year.
Our “MACCS” are a diverse group of young leaders, committed to improving themselves and their
communities through the practice of Muhammad Ali’s Six Core Values: Respect, Confidence, Conviction,
Dedication, Spirituality and Giving. As a youth-led organization, these dynamic students make decisions
that guide the course of their service work and leadership development. Participants will meet twice
monthly with Ali Center staff to learn more about civic engagement and to dialogue with their peers on
social issues of their choosing. Team-building, and the exploration of key topics such as violence
prevention, sustainable development , peace, social justice and many others, are on the agenda each
month. MACCS will also come in contact with local leaders in diverse fields to learn first-hand from their
experience and expertise.
In addition, the MACCS program fosters civic and community engagement, and connects participants to
volunteer service opportunities. Students will complete two service learning projects and will work
together as a team to contribute meaningfully to our community. Equipped with these skill sets, the
MACCS are poised to identify social and community problems, voice their concerns, and act effectively to
create resolution and change. Participating in the MACCS program opens many doors for students,
including networking with local leaders and organizations, and the possibility of a paid summer
internship opportunity here at the Muhammad Ali Center for one of them.
Please share the attached application and our contact information with any interested students, and do
not hesitate to contact us with any questions.
Sincerely,
Erin & Taylor
Erin E. Herbert
Education Manager
Muhammad Ali Center
144 N. Sixth Street
Louisville, KY 40202
502-992-5341 (office)
www.alicenter.org
Taylor Killough
Associate Educator
MUHAMMAD ALI CENTER
144 N. Sixth Street, Louisville, KY 40202
Direct: 502.992.5340
Fax: 502.589.4905
Email: tkillough@alicenter.org
Become a member of the Ali Center today and discover the Greatness within yourself!
Visit www.alicenter.org to learn more.
The Muhammad Ali Center exists to preserve and share the legacy and ideals of Muhammad Ali, to
promote respect, hope, and understanding, and to inspire adults and children everywhere to be as great
as they can be through the six core principles that continue to guide Muhammad's life: Confidence,
Conviction, Dedication, Giving, Respect, and Spirituality.
MUHAMMAD ALI CENTER COUNCIL OF STUDENTS (M.A.C.C.S.)
APPLICATION
Please complete this application and return it to:
Muhammad Ali Center
Education Department
144 N. Sixth Street
Louisville, KY, 40202
Or by email: eherbert@alicenter.org
Application Due Date: June 1, 2012
Name: ______________________________________________________________________
Address:_____________________________________________________________________
City_______________________________ State_________ Zip________________________
Home Phone: _________________________
Cell Phone: ___________________________
E-mail Address: _______________________________________________________________
School: ___________________________________________ Grade ____________________
Date of Birth ______________________________________
Please use additional paper if needed to answer these questions:
Please describe your participation (past or current) in community activities/organizations.
Have you had the opportunity to hold a leadership position in any of these activities?
Please describe your favorite community service/service learning experience.
MACCS Application, Page 2
Explain one social issue or problem (local, national, or global) that concerns you.
Why would you like to be part of the Muhammad Ali Center Council of Students?
MACCS Application, Page 3
Being a MACCS requires a minimum commitment 5 hours a month. Some months will require more
time based upon the events and activities scheduled. Are you willing to attend bimonthly meetings
and participate in service projects?
YES ____________
NO ____________
The MACCS bimonthly meetings will take place at the Muhammad Ali Center in downtown Louisville.
What time would be best for your schedule? Please keep in mind you are responsible for your
transporation to and from the Center. We will try to accommodate as many students as possible.
3:30-5:30__________ 4:00-6:00__________ 5:00-7:00__________ 6:00-8:00__________
What day of the week would be best for your schedule?
Mon____
Tues____
Wed____
Thurs____
Fri____
I understand that if I am selected as a member of the Muhammad Ali Center Council of Students I will
need to attend monthly meetings, and participate in a manner that upholds Muhammad’s 6 core
values of Respect, Confidence, Conviction, Dedication, Spirituality, and Giving.
________________________________________
Signature
_____________________
Date
I, __________________________, give permission for _____________________________ to apply for
the Muhammad Ali Center Council of Students. If selected, I will support him/her in attending
meetings, functions and participating in service projects.
__________________________________________
Signature of Parent or Guardian
____________________
Date
MACCS Application, Page 4
MUHAMMAD ALI CENTER COUNCIL OF STUDENTS (M.A.C.C.S.)
APPLICATION ESSAY
Please select a core value, Respect, Confidence, Conviction, Dedication, Spirituality, or
Giving, and discuss the role it has played in your life.
MUHAMMAD ALI CENTER COUNCIL OF STUDENTS (M.A.C.C.S.)
Letter of Reference
(Please obtain a reference from someone outside of your family)
Application Due Date: June 1, 2012
Please include the following information about yourself so that we may contact you if
necessary.
Applicant’s Name_______________________________________________________________
Reference’s Name ______________________________________________________________
Address ______________________________________________________________________
City, State, Zip _________________________________________________________________
Home phone _____________________________ Work Phone __________________________
How long have you known the applicant?
_____________________________________________________________________________
What is your relationship to the applicant?
_____________________________________________________________________________
Is the applicant dependable?
_____________________________________________________________________________
Why would you recommend the applicant for this position? (Please use additional paper if
necessary.)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_________________________________________________
Signature of Reference
_______________________
Date