Volunteer Connection  

2014 Leadership Development Camp (LDC) Delegate Application

Thank you for your interest in applying to attend Leadership Development Camp 2014! The deadline to submit applications is 11:59pm on July 18, 2014.

Please read the entire LDC Delegate Information Packet prior to completing the application below.

You will be contacted within 5 business days after completing the application with payment instructions:

Delegate Application Fee Scale:
Early Bird Discount by May 30:                      $360

General Tuition by June 20:                            $400

Late Application by July 18:                            $450

DELEGATE INFORMATION
*BAD FIELD: "z_t_2774__first_name"
*BAD FIELD: "z_t_2774__last_name"
BAD FIELD: "z_t_2774__nickname"
*BAD FIELD: "z_t_2774__address"
*BAD FIELD: "z_t_2774__city"
*BAD FIELD: "z_t_2774__state"
*BAD FIELD: "z_t_2774__zip_code"
*BAD FIELD: "z_t_2774__email_address"
*BAD FIELD: "z_t_2774__home_phone"
BAD FIELD: "z_t_2774__cell_phone"
*BAD FIELD: "z_t_2774__dob"
*BAD FIELD: "z_t_2774__age"
*BAD FIELD: "z_t_2774__gender"
BAD FIELD: "z_t_2774__ethnicity"
BAD FIELD: "z_t_2774__ethnicity_2"
*BAD FIELD: "z_t_2774__tshirt_size"
*BAD FIELD: "z_t_2774__school_affiliation"
*BAD FIELD: "z_t_2774__grade_level"
*BAD FIELD: "z_t_2774__extracurricular"
*BAD FIELD: "z_t_2774__arc_chapt"
*BAD FIELD: "z_t_2774__rc_experience"
BAD FIELD: "z_t_2774__ldc_past"
*BAD FIELD: "z_t_2774__valuable_experience"
*BAD FIELD: "z_t_2774__outside_leadership_exp"
BAD FIELD: "z_t_2774__last_comments"

BUS TRANSPORTATION

Bus transportation will be provided to the camp site on Monday, August 4, 2014 from the West Los Angeles Headquarters of the American Red Cross. 

Delegates that do NOT select to ride the bus MUST provide their own transportation to camp.

*BAD FIELD: "z_t_2774__bus_spot"

PARENT/GUARDIAN INFORMATION 

(We will be sending major LDC updates and payment instructions to this contact)

*BAD FIELD: "z_t_2774__parent_first_name"
*BAD FIELD: "z_t_2774__parent_last_name"
*BAD FIELD: "z_t_2774__parent_email"
*BAD FIELD: "z_t_2774__parent_phone"
*BAD FIELD: "z_t_2774__relationship"

CONFIRMATION

I agree that all the information submitted above is true and correct.

I agree to send COMPLETE payment prior to July 18 in order to attend camp. (Payment details will be sent shortly have application is submitted)

*BAD FIELD: "z_t_2774__confirmation"


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