Leadership Corps Application Leadership Corps Application Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Gender*MaleFemalePrefer Not to AnswerDate of Birth*Resume*Short Answer*In 200-300 words, tell us: 1. Why you are interested in the program; 2. What relevant experiences you've had that will contribute to your participation in the Leadership Corps; 3. What you hope to gain from thisexperience.Short Answer*What do you like to do for fun? (1-2 sentences)Are you willing to camp for 12 days in Rocky Mountain National Park?*YesNoAre you able to hike 3-5 miles with a backpack?*YesNoAre you able to lift 30 lbs?*YesNoIs there anything that would affect your ability to participate?*NoOptional: With which race do you identify?American Indian or Alaska NativeAsianBlack/African AmericanWhite/CaucasianHispanicTwo or moreUniform Shirt (Adult Unisex)*Extra SmallSmallMediumLargeExtra LargeUniform PantsFor example: Mens 32x30; Womens 8. Only use even number sizing. Which session best fits your schedule? (Please select all sessions you are available. )* June 15-26 July 6-17 July 27 - August 7 How did you find out about this opportunity?*High School Counselor or TeacherConservancy WebsiteNature Kids/Jovenes de la Naturaleza - LafayetteGoodwill Industries of DenverOther Community GroupSocial Media/NewsletterPhoneThis field is for validation purposes and should be left unchanged.