Your Name Street Address, City State ZIP Code | Email | Telephone
School Information	School Name, Grade Street Address, City State ZIP Guidance Counselors name, phone and email
Extracurricular Activities	List everything you have done in the past 5 years (starting Jan-2016) or are currently involved in (i.e. all clubs, sports, drama/art/music and any other outside class involvements). Please also list the years of participation and position held if applicable. For Example: Student Council 9/2016-present Treasurer (2018-2019) Vice President (2019-present) Jr High Fall Musical 2016, 2017 Blue Angel Soccer League 6/2016-present Team Captain (Summer 2018)
Awards & Honors	List any special recognitions or honors you have received in the past 5 years (starting Jan-2016) (i.e. Honor Roll and special athletic and extracurricular achievements). Please also list the date and year(s) you were recognized and a brief description of the achievement. For Example: Academic Honor Roll 2018-present Received an average of 85% or great for 4 consecutive quarters
Work Experience	List any paid work experience you have had in the past 5 years (starting Jan-2016) or are currently involved in. State what your position was, dates and summary of duties. For Example: Pet Sitter 8/2016-present Provide pet sitting services including dog walking and feeding. Child Care 1/2016-present Provide child care for several families after school.
Community service	List any volunteer work that you have done in the past 5 years (starting Jan-2016) or are currently involved in. State what your position was, the organization that sponsored the work, dates of service and summary of duties. For Example: Little League Coach, Blue Angel Rec. 6/2019-8/2019 Worked with 8-9 year old kids teaching basics of baseball Community Service Club Member, Jr High 9/2016-6/2018 Met once a week to complete a service project at a local center
special situations or personal qualities to highlight	This is an optional topic that does not quite fit any other category. Please cite personal qualities, competitions, out of school experience or affiliations that you feel are relevant to your personal growth. For Example: Registered for CSM Teen Leadership Camp in December 2020 Attended CSM as a prior camper for the past 7 summers Attended Search Weekend, my parish’s youth retreat, for the past 3 years
Non-familial References	Reference 1 Name (This reference must be a teacher) Relationship to you, phone, and email. Reference 2 Name Relationship to you, phone, and email. Reference 3 Name Relationship to you, phone, and email. It is your responsibility to print off and provide a Leader-in-Training Personal Reference Form and a sealable envelope to each of the references you have listed above. At least one reference is to be filled out by a current or past teacher. The other two references can be filled out by any adult in a leadership position that is not related to you. It is also your responsibility to collect all 3 sealed and signed envelopes containing the reference and include them in your LIT admission packet. Because of the unique circumstances of this year, references may scan and email their completed form directly to jenn@campstellamaris.org

Short Answer
Respond to each question below. Please limit your answers to no more than 150 words.

Why did you choose to apply to our Leader-in-Training Program?

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Tell us about an important person in your life and how they made an impact on what you value in life?

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The one thing I would change about my current school is…

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The one possession I could never give up is…

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2021 LIT Sessions
Please use the drop-down menus to rank the sessions in order of preference.
The more availability you have, the greater your chances of getting into the LIT Program. You may not get your first, second, or third choice.

Please note that you must already be 16-years old or turning 16 during your LIT session

Birthdate: MM/DD/YYYY Current Age: Enter Here

Session 1: A/B weeks June 27-July 3 & July 4-9 Select Preference

Session 2: C/D weeks July 11-17 & July 18-23 Select Preference

Session 3: E/F weeks July 25-31 & August 1-6 Select Preference

Session 4: G/H weeks August 8-14 & August 15-20 Select Preference

T-Shirt Size: Select Adult S-XXXL

For 2021 only, if you are not accepted as a LIT and you are currently enrolled as a camper, you may still return to CSM as a 16-year old camper in your registered spot.

Because of the unique circumstances of this year, applications will be considered, and placements made on a rolling basis. The sooner you submit your completed application, the better your chances for obtaining a spot.

The information provided in this application is true, correct and complete. If accepted, any misstatement or omission of fact on this application may result in my dismissal from the LIT Program. LIT applicant (Printed Name)	Signature of Parent/Guardian Signature of LIT applicant	Date Date

LIT Selection Process Checklist: Complete all information on application template. Parent/Guardian register camper for “LIT Selection Process” at time of application submission. Print and staple completed application. Complete signature portion of application. Place all three signed envelopes containing references and stapled application into a large envelope.
Because of the unique circumstances of this year, references may scan and email their completed form directly to jenn@campstellamaris.org. Mail application to address below. Camp Stella Maris
LIT Application
4395 East Lake Rd.
Livonia, NY 14487 Await selection process results. Please note: Our office is closed December 19, 2020-January 3, 2021.