The YES Youth Leadership Camp 2015 Peninsula Co-op Sponsorship Application First Name: ______________________ Initial: _______ Last Name: _____________________________ Mailing Address: _______________________________________________________________________ Telephone: ___________________________ Email: __________________________________________ Birth Date: ______________________ School: ______________________ Grade Completed: _________ Co-op Membership #: _______________ Member’s Relation to you: _____________________________ Camp I wish to attend: o o o Roots A: July 5th-11th Roots B: July 12th-18th Pathways A: July 26th - August 1st o o o Pathways B: August 2nd - 8th Roots C: August 16th-22nd Roots D: August 23rd-29th Please answer the following questions: Feel free to include answers on an additional piece of paper if you wish. 1. Why do you want to attend The YES Camp? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 2. What do you hope to gain by attending The YES Camp, and how will you apply what you learn after you leave camp? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 3. What community or school service have you done? What school clubs or committees are you involved in? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 4. When you have free time, what do you enjoy doing? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 5. What other things do you plan to do this summer? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________ Signature _________________________ Date All applications must be received by Wednesday May 27th, 2015 Please mail your application to: #1-2132 Keating X Road Saanichton, BC V8M 1K3 Attention: The YES Camp, Community Relations Committee You can also drop your application off at any of our locations. Please label: Attention: The YES Camp, Community Relations Committee Thank you for your application. You will be notified about the status of your application for sponsorship by Wednesday June 10th, 2015.
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