Real Life Academy Application

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Thank you for your interest in Girl Scouts Spirit of Nebraska Real Life Academy!

This application will take approximately 45 minutes. Your application will require:

Two Letters of Recommendation
A Parent/Caregiver Signature

References may be from a teacher, community member, coach, guidance counselor, or other non-related adult.

If you have any questions, please email us or call 402.558.8189.

Applicant Information

Real Life Academy Location Choice: *

Date of Birth: * +

First Name: *

Last Name: *

Street Address: *

Apt. #:

City: *

State: *

ZIP Code: *

Phone: *

Email: *

Name of School: *

Grade (Current School Year): *

Photo of Yourself (optional):

Parent/Caregiver Information

First Name: *

Last Name: *

Phone: *

Email: *

Racial/Ethnic Background

Girl Scouts Spirit of Nebraska is committed to serving girls from various racial and cultural backgrounds. To help us determine if we are accomplishing this, please provide the following optional information. This information will be used for monitoring purposes exclusively and will have no influence on the selection process.

Racial Background: *

Are You Hispanic or Latina? *

Reference Information

Please provide the name and contact information of your references to the best of your ability. As a reminder, references may be from a teacher, community member, coach, guidance counselor, or other non-related adult.

REFERENCE 1

First Name: *

Last Name: *

Street Address: *

Apt. #:

City: *

State: *

ZIP Code: *

Phone: *

Email: *

Relationship to Applicant: *

Upload Letter of Recommendation: *

REFERENCE 2

First Name: *

Last Name: *

Street Address: *

Apt. #:

City: *

State: *

ZIP Code: *

Phone: *

Email: *

Relationship to Applicant: *

Upload Letter of Recommendation: *

Essay Questions

Please write 2-3 sentences for each essay question. Answers must be a minimum of 100 words. Incomplete answers will not be accepted.

1. What career do you aspire to have as an adult (what do you want to be when you grow up)? *

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2. What are your personal goals over the next 1-3 years? How will this experience help you in obtaining your goals? *

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3. Describe an important experience in your life where you felt you had to make adult decisions. How has it affected you and what have you learned? *

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4. Describe your employment history (e.g. part-time job, babysitting, yardwork)? How do you plan to earn money during this program? *

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5. Why do you want to be a part of the Real Life Academy program? *

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Applicant Acknowledgement

I have read the program description below and plan on participating in the program if selected:

Real Life Academy is a fun spin on the “Game of Life” that offers practical, life-skill based experiences. Explore your future through activities like resume building and job shadowing, get an introduction to financial literacy, set goals, and learn valuable life-skills such as cooking and car maintenance.

As part of this program, you will independently save $250 through money-earning activities such as a part-time job, babysitting, dog-walking, etc. And you will earn a $1,000 scholarship for Girl Scout travel or college if you successfully complete both sessions, an 8-hour job shadow experience, and meet the $250 saving goal! This program is sponsored in part by Union Bank & Trust.

I agree to attend and participate in all of the workshops. I agree to independently save $250 or more through money-earning activities during this program. I agree to independently secure and complete in-person work study job shadows with a mentor during this program.

Applicant Signature: *

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Parent/Caregiver Acknowledgement

My daughter has my permission to participate in this program. I agree to assist my daughter in finding money-earning opportunities but will not supplement her savings for this program. I also agree to assist her in securing an 8-hour job shadow experience with a mentor during this program.

Caregiver Signature: *

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