marion barry yout hleaders ip marion barry m a r i …...entertainment and media technology science...
TRANSCRIPT
MARION BARRYYOUTH LEADERSHIP INSTITUTE
MARION BARRY YOUTH
LEADERSHIP INSTITUT
E
FIRST-YEAR PARTICIPANT APPLICATION 2020Applicants for the Marion Barry Youth Leadership Institute (MBYLI) must be residents of the District of Columbia, 14 to 19 years of age and complete the current year’s Mayor Marion S. Barry Summer Youth Employment Program (MBSYEP) process. To apply to MBSYEP, visit summerjobs.dc.gov. For information on MBYLI, please email [email protected] or call (202) 698-3492.
MARION BARRY YOUTH LEADERSHIP INSTITUTE
MBYLI
FIRST-YEAR PARTICIPANT APPLICATION 2018 Applicants for the Marion Barry Youth Leadership Institute (MBYLI) must be residents of the District of Columbia and 14 to 19 years of age and complete the Mayor Marion S. Barry Summer Youth Employment Program (MBSYEP) process. To apply to MBSYEP, please go to summerjobs.dc.gov. For information about MBYLI, please call (202) 698-5826.
PERSONAL INFORMATION (Please print or type) Name
(Last) (First) (Middle)
Home Address Apt. #
(City) (State) (Zip Code)
Ward
Last four of SSN: Participant Email
Birth Date Age Gender Race ____________
(Male) (Female)
Telephone No. ( ) ( ) (Home) (Cell)
Parent/Guardian Name Relationship
Telephone No. ( ) ( ) (Home) (Cell)
Parental Email: __________________________________________________________________________
Name of School Grade
In case of emergency, whom should we contact?
Name Relationship
Address Telephone No. ( )
(City) (State) ( Zip Code)
How did you learn about the Institute?
GOVERNMENT OF THE DISTRICT OF COLUMBIA
MURIEL BOWSER, MAYOR
Current Grade
Last four of SSN
Parent/Guardian Email
In case of emergency, provide a secondary contact.
(street address)
(Ward)
MARION BARRY YOUTH LEADERSHIP INSTITUTE PAGE 2Marion Barry Youth Leadership Institute
Page 2
WORK EXPERIENCE/VOLUNTEER EXPERIENCE List work experience(s) (include dates of employment, volunteer, and community service).
TALENTS AND INTERESTS List your extracurricular activities, hobbies, and interests.
HONORS AND AWARDS List your honors and awards.
POST-SECONDARY PLANS Please tell us your plans upon graduation. Check all fields that apply.
Two-Year College
Four-Year College
Vocational /Trade Training
Military
Full-Time Employment
Not Sure
FUTURE CAREER INTERESTS Please check all fields of interest that apply.
Business
Entertainment and Media
Technology
Science
Government
Entrepreneurship
Hospitality
Education
Other
MARION BARRY YOUTH
LEADERSHIP INSTITUT
E
MARION BARRY YOUTH LEADERSHIP INSTITUTE PAGE 3
MARION BARRY YOUTH
LEADERSHIP INSTITUT
E
Marion Barry Youth Leadership Institute
Page 2
WORK EXPERIENCE/VOLUNTEER EXPERIENCE List work experience(s) (include dates of employment, volunteer, and community service).
TALENTS AND INTERESTS List your extracurricular activities, hobbies, and interests.
HONORS AND AWARDS List your honors and awards.
POST-SECONDARY PLANS Please tell us your plans upon graduation. Check all fields that apply.
Two-Year College
Four-Year College
Vocational /Trade Training
Military
Full-Time Employment
Not Sure
FUTURE CAREER INTERESTS Please check all fields of interest that apply.
Business
Entertainment and Media
Technology
Science
Government
Entrepreneurship
Hospitality
Education
Other
Marion Barry Youth Leadership Institute
Page 2
WORK EXPERIENCE/VOLUNTEER EXPERIENCE List work experience(s) (include dates of employment, volunteer, and community service).
TALENTS AND INTERESTS List your extracurricular activities, hobbies, and interests.
HONORS AND AWARDS List your honors and awards.
POST-SECONDARY PLANS Please tell us your plans upon graduation. Check all fields that apply.
Two-Year College
Four-Year College
Vocational /Trade Training
Military
Full-Time Employment
Not Sure
FUTURE CAREER INTERESTS Please check all fields of interest that apply.
Business
Entertainment and Media
Technology
Science
Government
Entrepreneurship
Hospitality
Education
Other
Marion Barry Youth Leadership Institute
Page 3
RECOMMENDATION FORM This recommendation must be completed by a community leader, teacher, employer, adult mentor, or leader from the faith-based community. The individual cannot be a family member or a personal friend. Please return this form to the MBYLI office by close of business on April 27, 2018.
This form can be mailed to: Attn: MBYLI 4058 Minnesota Avenue, NE, Washington, DC 20019 or scanned and emailed to [email protected].
Applicant Name
Please rank the applicant on a scale of 1 to 10, with 10 being the highest, in the following categories:
Attitude
Personality
Initiative
Friendliness
Creativity
Discipline
Leadership
Communication Skills
Academics
Listening Skills
Punctuality
Work Habits
How long have you known the applicant?
What is your relationship to the applicant?
Why are you recommending the applicant for MBYLI? (You can add an attachment)
Signature Date
Your Name (Please Print)
Telephone Number
Affiliation/Organization
All recommendations are due no later than Friday, April 27, 2018.
RECOMMENDATION FORMThis form is to be completed by a teacher, employer, adult mentor, or a faith-based community leader. The individual may not be family member or a personal friend. Please return this form to the MBYLI office by close of business on Friday, April 24, 2020.
This form can be mailed to: MBYLI/Office of Youth Programs, 4058 Minnesota Avenue, NE, Washington, DC 20019 or scanned and emailed to [email protected]. ONLY THE RECOMMENDATION FORM PAGE 3 CAN BE MAILED OR EMAILED! The other pages can only be submitted in person to a MBYLI staffer.
All recommendations are due no later than Friday, April 24, 2020
Listening Skills
Why are you recommending the applicant for MBYLI? (You can add an attachment)
Recommender’s Signature
MARION BARRY YOUTH LEADERSHIP INSTITUTE PAGE 4
MARION BARRY YOUTH
LEADERSHIP INSTITUT
E
Marion Barry Youth Leadership Ins tute
Page 4
2010
PERSONAL STATEMENTS Please note that there are no right or wrong responses, so feel free to answer openly and honestly. Please answer with a minimum of 5 sentences or more, attach additional sheets if necessary.
What are your reasons for applying to MBYLI?
Imagine you are the Mayor of D.C. What two actions would you take to make the District of Columbia a better place to live for youth?
What do you think is the most important characteristic(s) of a good leader?
1. Have you previously applied to MBYLI? Yes No
2. Did you participate in the 2017 Mayor Barry Summer Youth Employment Program MBSYEP)? Yes______ No ______
3. Please check your T-shirt size (one size only)
Small _____ Medium _ Large X-Large XX-Large XXX-Large ____
Applicant Signature Parent/Guardian Signature Date
NOTE: To be considered an applicant for MBYLI, youth must apply to the Mayor Marion S. Barry Summer Youth Employment Program. To apply, please go to summerjobs.dc.gov. For additional information about MBSYEP, please call (202) 698-3492.
This completed application must be received in the Office of Youth Programs by the deadline date. The Office of Youth Programs is located at 4058 Minnesota Avenue, NE, Washington, DC 20019.
The Department of Employment Services is an Equal Opportunity Employer/Provider. Auxiliary aids and services are available upon request to persons with disabili es.
PERSONAL STATEMENTS Pleaese note that there are no right or wrong responses, so please answer openly and honestly. Please answer with a minimum of five sentences and attach additional sheets if necessary.
2019
Imagine you are the mayor of the District of Columbia, what two actions would you take to make DC a better place to live for youth?
What do you think is the most important characteristic of a good leader?
MBSYEP
t-shirt .
NOTE: To be considered an applicant for MBYLI, you must also apply to the current year’s Mayor Marion S. Barry Summer Youth Employment Program. To apply, please visit summerjobs.dc.gov. For additional information about MBSYEP, please call (202) 698-3492.
MBYLI Applications must be completed and received by the Office of Youth Programs, 4058 Minnesota Avenue, NE, Washington, DC 20019, by Friday, April 24, 2020.
2. Please select your shirt size (Uniform shirts are unisex sizes).
Small______ Medium______ Large_______ X-Large_______ XX-Large_______ XXX-Large______