Illinois 4-H Leadership Conference Application for Planning Committee

Transcription

1 Illinois 4-H Leadership Conference Application for Planning Committee Committee Criteria: Applicants must be 4-H members ages as of September 1, Applicants under the age of 18 must have parental or guardian support. The adult s signature is required on the application. This Committee will be responsible for helping to plan the Illinois Leadership Conference for Illinois 4-H ers, scheduled for January 13-14, 2018 (Committee arrive Jan 12; Conference on Saturday/Sunday). Committee members will be expected to attend the entire event and assist with tear-down. Committee members will be expected to attend at least 75% of the committee meetings, including at least one faceto-face meeting. The majority of the planning meetings will take place via teleconference. The face-to-face meeting will take place during the summer of 2017 and MAY be a 2-day meeting with an overnight stay. Teleconferences will take place in the evenings during the fall. Alternates will be named in case a committee member cannot fulfill these responsibilities. Selection: The committee will consist of 6-7 young adults from throughout the state. Applicants are sought from throughout the state to represent the best of Illinois youth leadership. For the 2018 event, we will be looking for teens who attended the 2017 event. Selection will be based on a completed application, and Reference Evaluations. One reference must be from an Extension staff member OR 4-H volunteer leader; a second must be from some who can testify to the member s leadership abilities in one of the above mentioned competencies and their commitment to following through with responsibilities. Reference evaluations from family members are not appropriate and will not be considered. Completed applications must be received by May 15 in order to be considered. University of Illinois * U.S. Department of Agriculture * Local Extension Councils Cooperating University of Illinois Extension provides equal opportunities in programs and employment.

2 Illinois Teen Leadership Conference Planning Committee Application Completed applications MUST BE RECEIVED BY May 15. Applications must include the following items: Typed application form Current photo of applicant (A professional photo is not required.) A minimum of two Reference Evaluations (RE), as described on attached. At least one of the RE s must be a current Extension staff member or a 4-H volunteer leader; second must be from some who can testify to the member s leadership abilities in one of the above mentioned competencies and their commitment to following through with responsibilities. Reference evaluations from family members are not appropriate and will not be considered. Recommendation Evaluations s MUST be placed in a sealed envelope by the person completing the evaluation, with the signature of the evaluator across the seal. Applications should be sent to: Debra Stocker, Teen Leadership Conference, 801 N. Country Fair Drive, Suite E, Champaign, IL Applications must be typed. Name Address City/State/Zip College Address (if applicable) Home Phone ( ) Cell Phone ( ) (if you have 2, list them both) Birthdate (xx/xx/xxxx) No. Years in 4-H County Name of 4-H Club Please attach a current photograph to this application. Indicate the Teen Leadership Competency(ies) in which you have experience. Provide the name of the group or a brief description of the experience (i.e. Planning 4-H Federation or High school club; Promoting Speaking for Illinois 4-H, High School Ambassador; Advocating Development of local skate park, etc.) Planning Promoting Advocating Mentoring Teaching Advising Which words come closest to describing your personality style/interests (Select a maximum of three): Enjoy science, analytical, check out all the alternatives before making decisions Fun-loving, risk-taker, enjoy coming up with new ideas Love technology, robotics, engineering, etc. Outdoors whenever possible, love to camp, be with nature Organized, live by the calendar Relationship-oriented, enjoy being with friends Competitive sports Music, Dance, the Arts

3 What other types of activities/groups will you be involved in over the next year that would also require your time? Band/Orchestra/Choir activities School Club(s): (please list) Other Community Organizations: (please list) Religious Activities: (please list) Employment: (please list) Other: (please list) Please limit your responses to each question to the space provided. Please do not use type smaller than Times New Roman 10 point. How would you describe your leadership style? How do you get others involved? Describe an experience where you have taught your peers (teens) and/or adults specific skills.

4 IF it works out, would you be willing to co-teach one of the sessions to a group of your peers and their adult partners? What would be some leadership topics that you would feel comfortable teaching? What skills do you feel you would bring to this planning group? Tell us about your action plan from the 2017 Teen Leadership Conference and what you have accomplished so far.

5 We are opening this conference to non-4-h ers. What type of leadership workshop/skill sessions do you feel would be most helpful and/or needed by teen leaders? Why do you want to participate on this planning committee? If selected to the Teen Leadership Conference Planning Committee, I realize that I am required to attend at least 75% of all planning meetings, plus a face-to-face (possibly overnigh) meeting. I realize that should I fail to meet these requirements that I may be dismissed from the planning committee. Applicant Signature: If applicant is under 18 years of age: As a parent/guardian of the applicant, I support their application for the Teen Leadership Conference Planning Committee and understand the commitment they are making to the group. I will provide support as necessary for them to fulfill their commitment. Parent/Guardian Signature:

6 Illinois Teen Leadership Planning Committee Reference Evaluation One reference must be from an Extension staff member OR 4-H volunteer leader; a second must be from some who can testify to the member s leadership abilities in one of the competencies noted below and their commitment to following through with responsibilities. Reference evaluations from family members are not appropriate and will not be considered. Name of Applicant Name of Evaluator Address City, State, Zip Signature: Circle one: Extension Staff 4-H Volunteer Other: This teen has indicated that they have experience in the following teen leadership competencies (to be completed by the TEEN.): Planning Promoting Advocating Mentoring Teaching Advising (serving as a youth voice in an adult group) Evaluator, please rate the applicant on the following (U - unknown and 1-poor to 5-excellent) in response to the teen leadership role the teen checked above. Each evaluator should place the completed form in a sealed envelope with the applicant s name on the front and the evaluator s signature across the seal. Envelopes should be returned to the 4-H member for attachment to the application. Leadership and Teamwork Unknown Poor Excellent Willingness and Ability to work w/ different and diverse U audiences (i.e. adults, younger children, ethnic groups, etc.) Actively participates in meetings and discussions U Does fair share of work on joint projects U Serves as an appropriate role model for peers and younger youth U Communicates ideas effectively U Ability to get others to work together; compromise U Carries through with responsibilities to end of commitment U Attitude (i.e. positive, professional, not arrogant) U Exhibits enthusiasm in trying new experiences U Exhibits appropriate behavior in public venues U Demonstrates a respect for authority U Please answer the additional questions on the reverse side of this page.

7 Please describe what you see as the applicant s best leadership quality in relationship to the teen leadership competency(ies) checked on the other side? What skills would the applicant need to build upon to become a better leader?