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