10th Grade LIT Program Application

Name (First & Last):*

Street Address:*

City:*

State: *

Zip Code:*

Phone Number:*

Parents' Name: *

Parents' Phone Numbers
Home: *

Cell Phone: *

Parents' Email Address: *

LIT's Email Address: *

Date Of Birth (month/day/year): *

Grade in School Next Fall:*

School Attending: *

How Did You Hear About the Program?: *

Have you ever attended Liberty Lake before?: *YesNo

Extracurricular Activities: *
List any sports, clubs or hobbies you enjoy participating in, including leadership roles.

List any awards, honors, or certificates of achievements that you have received.: *

Describe your experience with children and give ages.: *

Describe any jobs, responsibilities, volunteerism, or personal experiences that have contributed to your personal growth.: *

What are your three biggest strengths?: *

What is something about yourself you would like to improve?: *

What do you feel are two important qualities that a person must possess to be an effective leader?: *

Describe an experience in which you acted as a leader.: *

Why do you want to be a LIT?: *

Are you able to commit to at least 6 of the 8 weeks of the Regular Camp Season?: *YesNo