Great Lakes Regional Summit – Student Leader Application

Application InstructionsThank you for your interest in being a Student Leader for the 2016 Great Lakes Native Youth in Food & Agriculture Regional Summit! The committee looks forward to receiving your application. You should submit your entire completed application to Kelsey Ducheneaux on the Indigenous Food & Agriculture Initiative staff using the contact information below. Please note: the Student Leader application is for college-aged leaders only. If you are between the ages of fifteen and eighteen, please complete the Student Application:

To send application materials via emai l: kducheneaux@outlook.com with “GREAT LAKES STUDENT LEADER APP: YOUR NAME” as the subject line of the e-mail;

To send application materials via fax : 479-575-3320, addressed to: Indigenous Food & Agriculture Initiative, c/o Emerald Hames

To send via regular mail : IAC Technical Assistance c/o Kelsey Ducheneaux, PO Box 430, Eagle Butte, SD 57625

Review ProcessThe application deadline for Student Leaders is March 15th, 2016. Materials must be emailed, faxed, or postmarked by 11:59pm CST that day to be considered for the position, unless special circumstances warrant a later application. Summit staff will review each application received by the deadline and will select the most qualified individuals for phone interviews.

Great Lakes Regional Summit – Student Leader Application

I. GENERAL INFORMATION

Name Tribal Affiliation(s)

Mailing Address City

State Zip Code E-mail address

Home Phone Cell Phone Texting Yes/ No

Date of Birth Gender T-Shirt Size

Preferred method of contact (home/cell phone, email, mail, etc):

Facebook Yes/No Twitter @ Instagram @

Will a travel stipend be needed in order for you to attend this event (circle one)?

Yes No, I have personal, local, or tribal support that can fund my attendance.

II. STUDENT INVOLVEMENT

Check all that apply

Maple Syrup Hunting Wild Rice

FFA Member 4-H Member Fishing

Horse Sheep Community Service

Crops/Grains Poultry Art

Sports Music Traditional Foods

______ Nutrition ______ Culinary Arts ______ Traditional Medicinal Plants

Student Government Community Garden Other (please specify)

I. AVAILABILITY

We ask that all Regional Summit student leaders arrive prior to the Summit for staff training and camp preparation. For the Great Lakes Regional Summit, student leaders should arrive by 3:00 PM CST (noon) on April 20, 2016, and be available on site until the event ends on April 24, 2016. Will you be available on these dates?

_____Yes No* *Unfortunately, we are unable to accept applications from

Great Lakes Regional Summit – Student Leader Application

students who are not available these dates.

SHORT ANSWER

What are you most passionate about?

Describe your background in food production and/or agriculture.

Great Lakes Regional Summit – Student Leader Application

What are your strongest leadership qualities?

How do those qualities make you a good leader for youth?

II. SUPPLEMENTARY MATERIALS

Great Lakes Regional Summit – Student Leader Application

1. Résumé that includes evidence of your academic achievement (current G.P.A.); 2. Statement of Interest:

1-2 page typed, double-spaced statement that:

o Explains your interest in being a leader at the Great Lakes Summit;o Discusses your involvement in food and agriculture activities at home, in

your Tribe, your community, at your school, or elsewhere; o Includes any membership and involvement in FFA, 4-H, or other food and

agriculture organization; and o Outlines your future plans relevant to food and agriculture.

3. Two reference contacts: One personal reference being a current or former employer or supervisor, or a

member of your family, Tribe, or community who can speak to your leadership abilities, preferably in a food/ag setting; and

One personal reference being an individual (preferably a food/ag professional) in your family, Tribe, or community who can speak to your dedication to food and agricultural production.

Please include reference names, e-mail addresses, and phone numbers in your application materials.