ISLI 2024 Registration Form if paying with check

Name*

First Last

Date of Birth*

Age*

Address*

Street Address Address Line 2 City State ZIP Code

Parish Name*

Town or City where Parish is located*

Name of School*

Grade Level (For summer ISLI, student must have completed 9th grade)*

Any health or dietary needs:

Are you a first time participant?*

Gender

Shirt Size

Please list any special needs or accomodations you may need in the space below.

Who will be responsible for paying registration fee? (Some parishes provide scholarships.)

Email Address*

Parent/Guardian Name*

Parent/Guardian Phone Number*

Parent/Guardian Email

Relationship to Student

Open Ended Questions - Please briefly answer at least two of the questions below.

1) What is the biggest challenge you’ve faced this past year and how did you handle it?

2) Name an activity/organization you’re involved in and briefly explain your involvement and how both you and the program have benefitted.

3) In your own words, define “leadership.” How will developing leadership skills be valuable for your future?

4) What aspect of the ISLI program appeals to you the most?

Name of Reference

Relationship to Student

Email address of Reference

Phone Number

ISLI Cost: (Fee covers program materials, meals, room and a t-shirt.)

ISLI Registration Fee Total

$0.00