Junior Leadership Johnston County
Junior Leadership Johnston is a program to assist emerging youth in their efforts to prepare for
Leadership positions in business, community, education and government affairs.
*At least one student will be selected from each high school.
*The summer program will be held June 19-23, 2017
*A mandatory orientation will be held prior to the program week to familiarize parents/guardians
with the specifics of the program.
*There will be five days of programmed activities including (but not limited to):
Public Safety/Government
Presentation preparation
*There will be classroom exercises each day (self-assessments, teambuilding, communications,
ethics, etiquette, presentation skills, etc.) and tours of local businesses/agencies as well as panel
*Students will work in teams to produce a project related to the week of activities, to be
presented at the banquet on June 23, 2017.
*Must be a sophomore/rising junior in high school
*Must have a A/B grade average
*Must attend one of the nine public high schools, Neuse Charter School or be home schooled in
Johnston County
*Must participate in all sessions if selected
*Must complete application electronically and submit application and reference letter to:
Junior Leadership Advisory Board
135 Best Wood Drive
Clayton, NC 27520
Participants will receive a binder of materials, lunch provided each day, a t-shirt as well as a
certificate of completion at the end of the week-long program..
Participants MUST agree to attend ALL 5 days of the summer program and the banquet to
graduate with a certificate from the program.
For questions or concerns regarding the application, contact the Career Development
Coordinator (CDC) at the high school.
For other inquires or additional questions, contact Joy Callahan at 919-209-2027
The deadline to submit an application is March 3, 2017.
(Please type or print legibly)
Name: ________________________________________________________________________
Last First MI Preferred Name
Age: ________ Race: ____ Male: Female:
Home Address: ____________________________________________________________
City State Zip
Applicant Home Number: _______________ Applicant Cell Number: _______________
School: ________________________________________________ Grade: ____________
E-mail address: _________________________________________________________________
Parental/Guardian Commitment Statement
I have reviewed the Junior Leadership Application and agree to support this educational project.
I am aware that if my child is selected, he/she will be involved in Junior Leadership Johnston for
five (5) days during the summer.
______________________________________________ ______________________________
Parent/Guardian Signature Date
1. List honors and awards you have received for school and non-school related activities
during your high school career:
2. What do you consider your highest accomplishment, skill or achievement so far?
3. List up to three community, school, religious or other organizations of which you have
been a member:
Organization Date Highest Position Held
_________________________ _________________ __________________________
_________________________ __________________ __________________________
_________________________ __________________ __________________________
4. What have you accomplished or learned through these opportunities that you think is
5. List any work experience (volunteer or paid).
6. What do you hope to gain from participating in the Junior Leadership Johnston program?
7. Describe your career goals:
8. Name one (1) person (non-related) who is knowledgeable of your leadership performance
and potential. Attach a reference letter from this person which addresses your leadership
Name: _________________________________________ Phone: _________________
9. In your opinion, what are the three most important issues facing young adults in Johnston
County today? What leaders or groups do you think should address each issue? Explain
why. (You may answer this question on a separate sheet of paper and include when
submitting your application.)