2005-2006 gwinnett student leadership team application€¦  · web viewto maintain the integrity...

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Page 1: 2005-2006 Gwinnett Student Leadership Team Application€¦  · Web viewTo maintain the integrity of the Gwinnett Student Leadership Team, I accept the challenges and responsibilities

Gwinnett Student Leadership Team

2020-2022

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Page 2: 2005-2006 Gwinnett Student Leadership Team Application€¦  · Web viewTo maintain the integrity of the Gwinnett Student Leadership Team, I accept the challenges and responsibilities

Gwinnett Student Leadership Team

The MissionThe mission of GSLT is to develop student leaders who enhance the function of leadership throughout their local schools by shaping culture and performance.

The Vision As part of a system of world-class schools, GSLT strives to… Develop and instill a leadership mindset in students. Develop a cadre of students who implement leadership skills within the local schools and

communities through peer facilitation. Create a legacy of leadership that promotes student involvement and overall excellence.

Possible leadership roles include but are not limited to the following: Serving on school and community councils/committees; Presenting leadership development workshops to a wide variety of audiences; Mentoring junior GSLT members as well as other students at the local schools; Assisting in selecting new members; and Teaching segments of the junior leadership development workshops.

The LeaderNext CurriculumDuring the sophomore and junior years, GSLT participants are introduced to a core curriculum of leadership skills and provided opportunities to explore leadership issues through a series of nine one-day symposiums. The curriculum includes topics such as developing personal and systemic direction through application of mission, vision, goals, and core values; ensuring accountability and improvement; guiding student organizations through the change process; and building culture, climate, and community. As seniors, GSLT members continue their leadership development through monthly learning sessions and facilitate leadership development at their local schools. They also have opportunities to apply their leadership knowledge and skills in a variety of community situations. The GSLT curriculum provides opportunities for networking, collaboration, reflective processing, benchmarking, on-site coaching and feedback, advanced learning, leading and teaching others, and facilitated problem-solving.

Requisite Skills for Candidates:

Emotional, Intellectual, and Social Maturity Involvement in local school and community

organizations and activities Academic Achievement Outstanding Communication Skills/Articulate

Speaker Demonstrated Leadership Skills Demonstrated Academic Skills Effective Team Member Skills Digital Citizenship Credibility with a wide variety of audiences

Ability to Analyze Issues Creative Thinking Confidence Academic and Emotional Maturity Commitment to Personal Growth Emerging Civic Sense Flexibility Open Mind Ease with Adults Negotiation/Compromise Skills

2020-2022 Gwinnett Student Leadership Team Application2

Page 3: 2005-2006 Gwinnett Student Leadership Team Application€¦  · Web viewTo maintain the integrity of the Gwinnett Student Leadership Team, I accept the challenges and responsibilities

Administrators should send the final applications and pictures of their school’s three new GSLT sophomores to GSLT by Monday, December 9, 2019. Applications must be typed including the information below.

Student (PLEASE TYPE):Name:

_____________________________________________________________________________

Address:_____________________________________________________________________________

(Street Address)

_____________________________________________________________________________________________________________________________________________(City) (Zip Code)

Home Phone: ___________________________________ Cell Phone: ______________________________

E-mail Address: ___________________________________________________________________________

School:_____________________________________________________________________________

Parent or Guardian:Name:

_____________________________________________________________________________

Address:_____________________________________________________________________________

(Street Address)

______________________________________________________________________________________________________________________________________________ (City) (Zip Code)

Telephone:(Residence/Cell)________________________(Business)_______________________________

E-mail Address:________________________________________________________________

Student Information:I. LIST school AND community activities in which you are involved. Please include leadership positions. (Response should be a list only.)

II. Briefly describe yourself in a short paragraph. (Response limited to one paragraph.)

III. Please identify a student leadership initiative you want to implement in your school and provide an Action Plan for implementation. Explain why your school needs this initiative as well as outline steps to ensure its sustainability. Please note there are four components to this prompt: (A) Leadership Initiative, (B) Action Plan, (C) Need for the initiative, and (D) Steps for sustainability. Response limited to one page.

IV. Provide one teacher recommendation focused on your communication and leadership skills. 2

Page 4: 2005-2006 Gwinnett Student Leadership Team Application€¦  · Web viewTo maintain the integrity of the Gwinnett Student Leadership Team, I accept the challenges and responsibilities

As an applicant for the Gwinnett Student Leadership Team, I understand my selection encompasses a commitment on my behalf to attend all student leadership activities and events. If selected, I understand I am a representative of Gwinnett County Public Schools and the Gwinnett Community. I will conduct myself in an appropriate manner and represent the high standards of my school, my school district, and the Gwinnett Student Leadership Team.

_________________________ _______ _________________________ _______ Student's Signature Date Parent's Signature Date

_____________________________________ __________ _____________________________________ __________

Parent's Signature Date Principal's Signature Date

2020-2022 Gwinnett Student Leadership Team Standards

As a member of the Gwinnett Student Leadership Team, I agree to abide by the following standards:

Devote time and energy to developing my leadership skills as well as the skills of other students in my school;

Implement and facilitate leadership knowledge acquired through GSLT sessions in my high school; Engage actively and positively in GSLT activities, showing respect for the input, feelings, and ideas of

others; Communicate actively with teachers, school administrators, GSLT members, and GSLT Board of

Directors; Adhere to the dress code for scheduled activities; Remain alcohol and drug free throughout participation in GSLT; Engage appropriately as a leader in the use of social media forums; Attend ALL scheduled GSLT activities outlined on the GSLT Instructional Calendar (two unexcused

absences will result in dismissal) below. Some dates have not been selected yet, but the applicable months and years are listed below.

GSLT Instructional Calendar for the Class of 2020-2022

Sophomore YearEVENT DATE LOCATION/TIMEOrientation Tuesday, January 21, 2020 The 1818 Club - 4:00-5:30 p.m.Monthly Leadership Session Monday, February 3, 2020 Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership Session Monday, March 16, 2020 Gwinnett Chamber - 7:15-11:30 a.m.GSLT Leadership Summit MANDATORY

Thursday, May 28, 2020 Peachtree Ridge High School8:00 a.m.-4:00 p.m.

Junior YearEVENT DATE LOCATION/TIMEGSLT RetreatMANDATORY

Friday, July 24-Saturday,July 25, 2020 ORFriday, July 31-August 1, 2020NOTE: Date tentative pending adoption of school district calendar.

Location TBA Friday: 8:00 a.m. - 8:00 p.m.Saturday: 7:30 a.m. - 3:30 p.m.

Monthly Leadership Session September 2020 Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership Session &Networking Luncheon

October 2020 Gwinnett Chamber - 7:15 a.m.-1:30 p.m.

Monthly Leadership Session November 2020 Gwinnett Chamber - 7:15-11:30 a.m.

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Monthly Leadership Session January 2021 Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership Session February 2021 Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership Session March 2021 Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership Session April 2021 Gwinnett Chamber - 7:15-11:30 a.m.GSLT Graduation for SeniorsGSLT Celebration for Juniors

April 2021 Sunday Afternoon - 2:00-4:00 p.m.Instructional Support Center

GSLT Leadership Summit MANDATORY

May/June 2021 – One weekfollowing close of school

Peachtree Ridge High School7:00 a.m.-4:00 p.m.

Senior YearEVENT DATE LOCATION/TIMEGSLT RetreatMANDATORY

Friday-Saturday in July or August of 2021

Location TBA Friday: 8:00 a.m. - 8:00 p.m.Saturday: 7:30 a.m. - 3:30 p.m.

Monthly Leadership Session September 2021 Gwinnett Chamber - 7:15-11:30 a.m.Networking Luncheon October 2021 Gwinnett Chamber - 11:30 a.m.-1:30 p.m.Monthly Leadership Session November 2021 Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership Session January 2022 Gwinnett Chamber - 7:15-11:30 a.m.Monthly Leadership Session March 2022 Gwinnett Chamber - 7:15-11:30 a.m.GSLT Graduation for SeniorsGSLT Celebration for Juniors

April 2022 Sunday Afternoon - 2:00-4:00 p.m.Instructional Support Center

GSLT Leadership Summit MANDATORY

May/June 2022 - One weekfollowing close of school

Peachtree Ridge High School8:00 a.m.-4:00 p.m.

Statement of Commitment to Standards:

To maintain the integrity of the Gwinnett Student Leadership Team, I accept the challenges and responsibilities of being a leader and a role model in all aspects of life. I will show respect for myself, my peers, my school, my community leaders, the environments in which we meet, and GSLT. I agree to participate fully for two and a half years; attend ALL scheduled activities outlined on the GSLT Instructional Calendar; follow ALL rules and regulations; and apply my knowledge and skills to benefit my school and my community. I will fulfill my responsibilities not only to the countywide GSLT initiative but also to my local school’s student leadership team. Furthermore, I understand that failure to uphold the standards outlined for GSLT students will result in my dismissal from the organization.

_________________________________________ ______________________Signature of Student Date

As parents of a GSLT student, we understand the responsibilities our son/daughter has accepted for the next two and a half years. We fully support his/her participation in the organization and attendance at ALL events.

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Page 6: 2005-2006 Gwinnett Student Leadership Team Application€¦  · Web viewTo maintain the integrity of the Gwinnett Student Leadership Team, I accept the challenges and responsibilities

_________________________________________ ______________________Signature of Parent/Guardian Date

_________________________________________ _____________________Signature of Parent/Guardian Date

2020-2022 Gwinnett Student Leadership TeamParent Consent/Release Form

Release Waiver and Indemnification

The undersigned and his/her parent or legal guardian, if the participant is under the age of eighteen years, do hereby execute this release, waiver, and indemnification for him/herself, and his/her heirs, successors, representatives and assigns, and hereby agree and represent as follows:

To release the Gwinnett Student Leadership Team (GSLT), and the GSLT Board of Directors and Gwinnett County Public Schools, their officers, employees, and agents from any and all liability, loss, damage, costs, claims, or courses of action including, but not limited to, all bodily injuries and property damages arising out of the sole negligence of Gwinnett Student Leadership Team.

The undersigned further agree to indemnify and hold harmless the said above from any and all liability, loss, damage, costs, claims, or causes of action, including attorney fees and witness costs, arising out of the undersigned's participation in the Gwinnett Student Leadership Team.

The undersigned further give permission for the participant to take part in functions and trips and to be photographed during the two-year program for use in promotional purposes.

_________________________________________ ______________________Signature of Student Date

_________________________________________ ______________________Signature of Parent/Guardian Date

Agreement and Consent for Treatment

This is to certify that I, the undersigned parent or guardian, hereby consent to and authorize the administration and performance of all needed medicines, surgical treatment, and the administration of

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Page 7: 2005-2006 Gwinnett Student Leadership Team Application€¦  · Web viewTo maintain the integrity of the Gwinnett Student Leadership Team, I accept the challenges and responsibilities

any anesthetic which, in the opinion of the attending physician, may be necessary and advisable in the event of any medical emergencies regarding my son or daughter. I understand that efforts shall be made to contact the undersigned prior to rendering emergency treatment to the patient.

_________________________________________ ______________________Signature of Parent/Guardian Date

__________________________________________ ______________________Home Phone Work Phone

_________________________________________ ______________________Signature of Notary Date

2020-2022 Gwinnett Student Leadership TeamStudent Registration Form

School _________________________________________________________________

Name ____________________________________________ Male_____ Female_____

Home Address ___________________________________________________________

________________________________________________________________________

Phone _________________________________ Date of Birth _____________________

List Allergies (especially medications):

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

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Page 8: 2005-2006 Gwinnett Student Leadership Team Application€¦  · Web viewTo maintain the integrity of the Gwinnett Student Leadership Team, I accept the challenges and responsibilities

List Special Dietary Needs (including food allergies):

________________________________________________________________________

________________________________________________________________________

_______________________________________________________________________

Health and Accident Insurance Provider _______________________________________

Group Number ________________________________ Policy Number _____________

2020 GSLT Sophomore Calendar

Tuesday, January 21, 2020 - 4:00-5:30 p.m.Reception for New Students and Parents

Gwinnett Chamber of CommerceThe 1818 Club (located on the third floor of the Gwinnett Chamber)

Monday, February 3, 2020 - 7:30-11:30 a.m.Leadership Development

Gwinnett Chamber of Commerce

Monday, March 16, 2020 - 7:30-11:30 a.m.Leadership Development

Gwinnett Chamber of Commerce

Thursday, May 28, 2020 - 8:00 a.m.-4:00 p.m.Student Leadership Summit

Peachtree Ridge High School

Friday, July 24-Saturday, July 25, 2020Or

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Page 9: 2005-2006 Gwinnett Student Leadership Team Application€¦  · Web viewTo maintain the integrity of the Gwinnett Student Leadership Team, I accept the challenges and responsibilities

Friday, July 31-Saturday, August 1, 2020Leadership Retreat (location TBA)

Friday, July 24 & Saturday, July 25: 8:00 a.m. - 8:00 p.m.Saturday, July 31 & Saturday, August 1: 7:30 a.m. - 4:00 p.m.

2020-2022 Gwinnett Student Leadership Team

McClure Health Science High SchoolApplication Additions

In addition to the application and questions above, complete the questions below that relate specifically to McClure Health Science High School. (TYPED)

Student First and Last Name:______________________________________________________

GCPS Email Address:____________________________________________________________

Language(s) (not scored; information only):__________________________________________

Social Media Platforms and Usernames:________________________________________________

__________________________________________________________________2

Page 10: 2005-2006 Gwinnett Student Leadership Team Application€¦  · Web viewTo maintain the integrity of the Gwinnett Student Leadership Team, I accept the challenges and responsibilities

Student ID:__________________________________________________________________

Teacher Names (2) you requested recommendation forms from: _____________________________

_____________________________

I. McClure Health Science High School is unique in many ways, including that all students choose to attend. What was your honest reason for choosing McClure Health Science? (100-150 words)

II. Choose ONE of the following words that describes you and explain why in 15 words or less: Thinker, Doer, or Connector.

III. What does school culture mean to you? (100-150 words)

IV. Keeping in mind that we are building our school culture both within the school building and within our community, what skills and talents do you possess that will leave a legacy on McClure Health Science High School? (150-250 words)

V. What is one specific way you envision McClure Health Science students engaging with the surrounding community and civic leaders? (100 words)

VI. What is one immediate need you see within the student body and how could student leaders in our building begin address this need? (100-200 words)

2020-2022 Gwinnett Student Leadership Team

McClure Health Science High School

Application Checklist

***All parts of the paper applications must be turned into Mrs. Taylor in the B Floor Office Suite by 7:20 AM on Friday, October 18, 2019.

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Page 11: 2005-2006 Gwinnett Student Leadership Team Application€¦  · Web viewTo maintain the integrity of the Gwinnett Student Leadership Team, I accept the challenges and responsibilities

***All emailed portions of the application must be timestamped by 7:20 AM on Friday, October 18, 2019 sent to [email protected]

***Applications will not be considered complete until every part of this checklist is turned in. Checklist does not need to be included and is only for your reference.

***Please note that on page 11, there is a reference to a teacher recommendation. This is NOT needed at this time, and will be requested later in the selection process.

_____ Paper Copy of Gwinnett Student Leadership Team Application (1 page + your answers)*Including TYPED answers to all questions and all signatures except for Mrs. Mosley

______ Emailed Copy of Gwinnett Student Leadership Team Application

______ Paper Copy of GSLT Standards Form (2 pages)*Must include signatures

______ GSLT Consent Form (1 page)*Must include signatures; Notarized signatures NOT required for initial application completion

______ Student Registration Form (1 page)

______ Paper Copy of McClure Health Science HS Application Additions (1 page + your answers)*Including TYPED answers to all questions

______ Emailed Copy of McClure Health Science High School Application Additions

_____ Teacher Recommendation Forms should NOT be included in this packet

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