LDP Application Camp Northern Lights Participant Information First Name Last Name Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Phone Number Email Address Gender Identity* Female Male Non-binary Transgender Intersex Let me define Enter your gender identity Housing Arrangements* I prefer to have a bed in the male identifying bedroom I prefer to have a bed in the female identifying bedroom Please contact me regarding sleeping arrangements. Pronouns (check all that apply)* she/her/hers he/him/his they/them/theirs Ze/Zem My pronouns are: Enter other… T-Shirt Size Birthdate Grade you will be entering in Fall 2025 Age you will be in Summer 2025 School Parent/Guardian Information Name(s) Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Parent Phone Number Parent Email Address Participant Questionnaire Are you a returning LDP? - Select -YesNo, this will be my first time in the program Have you applied to be an LDP previously* Yes No Why do you want to participate in the Leadership Development Program? The LDP Program requires a commitment to teamwork, it’s a focal point of the program and something required every day at camp. Please tell us what you think is the most important part of being on a team. What do you think are the most important characteristics of a leader? If you have someone who is a strong leader in your life use them as an example. What personal strengths will you bring to the Leadership Development Program? Which leadership and character traits would you like to develop and learn more about? Please share any leadership opportunities that you have had that could contribute to your success as an LDP? (Optional) Summer 2025 Session Dates Session 1: June 8 - 22 Session 2: June 22 - July 6 Session 3: July 6 - 20 Session 4: July 20 - August 3 Session 5: August 3 - 17 Please rank your preferences 1 to 5 below, 1 being the highest, 5 being the lowest. If there is a session that wouldn’t be an option for you please select N/A. *Please make a selection for each session Week Preference Session 1: Session 1: - Select -12345N/A Session 2: Session 2: - Select -12345N/A Session 3: Session 3: - Select -12345N/A Session 4: Session 4: - Select -12345N/A Session 5: Session 5: - Select -12345N/A Anything else you want us to know? Regarding your application, availability or needs you may have as an LDP. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. submit