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Enrollment

Please carefully read, fill out and submit the Enrollment Forms below.
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Leadership Academy

Pay Your Leader's Tuition

Enrollment Forms

There are 3 forms that need to be submitted to complete enrollment: Personal Information Form, Strengths and Weaknesses Assessment and the Consent Form.

Personal Information Form

 

Verification

Strengths & Weaknesses Assessment

  • Leadership Skills, Anger Management, Conflict resolution, Art, History, Effective Public Speaking, Health & Wellness, Etiquette, Financial Literacy, Job Readiness, Professionalism
 

Verification

Please fill this form out AFTER you have completed the Personal Information Form and the Strengths and Weaknesses Assessment.

Enrollment Consent Form

  • Your youth leader has been invited to take part in I AM MENtality’s Leadership Academy. Participants will be involved individual skills development training, group discussions, group activities, as well as periodic off site cultural enrichment activities.
  • PERMISSION TO PARTICIPATE I, the undersigned (Parent), consent for my child to participate in the I AM Mentality Mentoring Program . I agree to hold harmless I AM MENtality against any liability, loss, or expense incurred or suffered in consequence of any action or actions, suit or suits, in law or equity, which may be brought by any person or persons in connection with, or with reference to, the administration, planning, preparation, development, conduct, and execution of the Leadership Academy.
  • I understand that my child will participate in I AM Mentality’s Leadership Academy Program during the time indicated above. With advanced notice, these times and dates may be adjusted.
  • Release of Information/Records: I, the undersigned, consent to I AM MENtality and any third party or independent evaluation team to have my child participate in program surveys and collect data about my child over the course of the . I understand that Leadership Academy. My child will complete a confidential survey about his attitudes and opinions as part of an evaluation. I understand the information obtained will be statistically analyzed and that my child's name will be withheld for confidentiality purposes. I understand that this information, in addition to the survey, will be part of a larger evaluation and only the evaluation team and I AM MENtality program staff will have access to this confidential information.
  • I understand that while there are limited risks inherent with the activities that are included in the Program I willingly assume these risks in order to allow my child to participate. If I cannot be reached in the event of an emergency, I give permission for any care or treatment by a physician, surgeon, hospital, nurse, and doctor’s assistants, or medical care facility that may be required.
  • Transportation: I fully understand that periodically my child may be invited to participate in field trips and off site events as part of the program. Program staff may transport my child in a charter or leased vehicle to and from various activities and hereby release and hold harmless I AM MENtality against any liability, loss, or expense incurred or suffered in consequence of any action or actions, suit or suits, in law or equity, which may be brought by any person or persons in connection with, or with reference to, the administration, planning, preparation, development, conduct, and execution of the Leadership Academy program.
  • Photograph: I fully understand that my child's writings, photos, and videos may be displayed on the I AM MENtality’s blog, website, and other social media outlets. I understand that my child might be in contact with the press at I AM MENtality’s special events and open houses. Also, it may be necessary for program staff to photograph or videotape program youth to advertise the Program or for other purposes. I give permission for program staff to photograph or video tape my child.
 

Verification

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