Future Presidents of America Application Unless it is marked optional, please complete all fields to the best of your ability. Default Page Step 1: Introduce Yourself Full Name This field is required This field needs to be a valid value Address This field is required This field needs to be a valid value City This field is required This field needs to be a valid value State This field is required This field needs to be a valid value Zip Code This field is required This field needs to be a valid value County This field is required This field needs to be a valid value Date of Birth This field is required This field needs to be a valid value Gender (Optional) This field is required This field needs to be a valid value Preferred Pronouns (Optional) This field is required This field needs to be a valid value School Name This field is required This field needs to be a valid value School District This field is required This field needs to be a valid value Current Grade Level This field is required This field needs to be a valid value Step 2: Share Your Thoughts Answer the following questions in the way that works best for you. Answers should be between 5 to 10 sentences. We want to see a clear articulation of your thoughts and understand a bit more about you. If you need some time to think about your responses, you can write them in a Word document and then paste the text into the boxes below when you’re ready to submit. Think about an individual you respect or think of as a role model. What do you admire about them and why? This field is required What do you think is the most important trait of a good leader? Please explain. This field is required Describe the issues and causes that are most important to you now. This field is required What makes you the perfect candidate to participate in this camp? This field is required Who is your favorite president and why? This field is required Step 3: Provide Three References We ask that you provide three references with your application. We recommend you consider a variety of individuals (teacher, coach, pastor, mentor, etc.) who can speak to your personality, character, and fit for the camp. Be sure to check with them to make sure they’re willing to provide the reference and tell them a bit about why you want to attend before you enter their name! Reference 1 Full Name This field is required This field needs to be a valid value Email This field is required Email needs to be a valid email address. Phone This field is required This field needs to be a valid value Reference 2 Full Name This field is required This field needs to be a valid value Email This field is required Email needs to be a valid email address. Phone This field is required This field needs to be a valid value Reference 3 Full Name This field is required This field needs to be a valid value Email This field is required Email needs to be a valid email address. Phone This field is required This field needs to be a valid value Step 4: Ask Your Parent or Guardian to Complete This Section Parent or Guardian Information Name This field is required This field needs to be a valid value Address (if the same as student, please enter same) This field is required This field needs to be a valid value City This field is required This field needs to be a valid value State This field is required This field needs to be a valid value Zip Code This field is required This field needs to be a valid value Phone Number This field is required This field needs to be a valid value Alternative Number This field is required This field needs to be a valid value Email Address This field is required Email Address needs to be a valid email address. Name This field is required This field needs to be a valid value Address (if the same as student, please enter same) This field is required This field needs to be a valid value City This field is required This field needs to be a valid value State This field is required This field needs to be a valid value Zip Code This field is required This field needs to be a valid value Phone Number This field is required This field needs to be a valid value Alternative Number This field is required This field needs to be a valid value Email Address This field is required Email Address needs to be a valid email address. Additional Information Please describe any dietary restrictions, allergies, or medical conditions we should know about. This field is required Does the participant require routine medication they are capable of self-administering? (Please explain). This field is required Doctor/Clinic Information This field is required This field needs to be a valid value Name This field is required This field needs to be a valid value Phone This field is required This field needs to be a valid value Address This field is required This field needs to be a valid value Is there anything else you would like us to know about your student to ensure they have the optimal experience during Future Presidents of America? This field is required Emergency Contacts Name This field is required This field needs to be a valid value Phone Number This field is required This field needs to be a valid value Alternative Phone Number This field is required This field needs to be a valid value Relationship to Participant This field is required This field needs to be a valid value Name This field is required This field needs to be a valid value Phone Number This field is required This field needs to be a valid value Alternative Phone Number This field is required This field needs to be a valid value Relationship to Participant This field is required This field needs to be a valid value Permissions and Agreements I give permission for my child to participate in Future Presidents of America Camp at the Abraham Lincoln Presidential Library and Museum (hereafter ALPLM). I give permission for my child to be transported on field trips and to take part in all program activities, on and off-site. I hereby release the ALPLM from liability to my child or me while at Future Presidents of America Camp, during camp activities, or while being transported on field trips.I authorize photos of my child that are taken during Future Presidents of America Camp, quotes, project work and writings by my child may be reproduced for use by the ALPLM in media, publications, and promotion. (In the interest of privacy, only first names and current grade level will be used.)If my child is selected, I understand that they will receive a full scholarship ($500 value) and agree that they will attend the full Future Presidents of America Youth Leadership Camp from June 10-14, 2024, 9:00 AM to 4:30 PM.To indicate your acceptance of these terms, please sign by typing your full name in the box below. Full Name This field is required This field needs to be a valid value Need Help? If you have any questions or an issue comes up while completing the application, please contact the Education team at ALPLM.Education@illinois.gov. Please use “FPA Application” as your subject and let us know the issue you’re experiencing and the phone number and email where we can reach you.