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	<title>Leadership Excellence</title>
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		<title>Akili Fellowship Program Application</title>
		<link>http://www.leadershipexcellence.org/akili-fellowship-application/</link>
		<comments>http://www.leadershipexcellence.org/akili-fellowship-application/#comments</comments>
		<pubDate>Wed, 24 Apr 2013 18:08:59 +0000</pubDate>
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				<category><![CDATA[Feature]]></category>
		<category><![CDATA[Programs]]></category>

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		<description><![CDATA[Information and Online Application for the Akili Fellowship Program Become a Fellow: The Akili Fellowship Program The Akili Fellowship Program is a three-month intensive program designed for individuals interested in formal training in the principles and practices of the Radical Healing model created by Dr. Shawn Ginwright. Application Process Interested candidates should submit the online application below and upload a [...]]]></description>
				<content:encoded><![CDATA[<p>Information and Online Application for the Akili Fellowship Program<span id="more-1013"></span><br />
<a href="http://www.leadershipexcellence.org/wp-content/uploads/2013/04/BYR2.jpg"><img class="alignright size-medium wp-image-1007" style="border: 1px solid black; margin: 10px;" alt="Akili Fellowship Program" src="http://www.leadershipexcellence.org/wp-content/uploads/2013/04/BYR2-300x200.jpg" width="300" height="200" /></a></p>
<p><strong>Become a Fellow: The Akili Fellowship Program</strong><br />
The Akili Fellowship Program is a three-month intensive program designed for individuals interested in formal training in the principles and practices of the Radical Healing model created by Dr. Shawn Ginwright.</p>
<p><strong>Application Process</strong><br />
Interested candidates should submit the online application below and upload a resume by <strong>MAY 30TH</strong> . Upon review of applications, select candidates will be interviewed.</p>
<p>The 2013 Fellowship Program will be held on selected days in June and will conclude in August 2013.</p>
<p>Please contact Nedra Ginwright with questions at (510) 430-4384 or nedra@leadershipexcellence.org.</p>

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                            <h3 class='gform_title'>2013 Camp Akili  Fellowship Application</h3>
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                            <ul id='gform_fields_15' class='gform_fields top_label description_below'><li id='field_15_2' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_2_3'>Name<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_15_2'><span id='input_15_2_3_container' class='ginput_left'><input type='text' name='input_2.3' id='input_15_2_3' value='' tabindex='1' /><label for='input_15_2_3'>First</label></span><span id='input_15_2_6_container' class='ginput_right'><input type='text' name='input_2.6' id='input_15_2_6' value='' tabindex='2' /><label for='input_15_2_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_15_4' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_4'>Date of Birth<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_4' id='input_15_4' type='text' value='' class='medium'  tabindex='3'   /></div></li><li id='field_15_5' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_5'>Age<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_5' id='input_15_5' type='text' value='' class='medium'  tabindex='4'   /></div></li><li id='field_15_12' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_12'>Email<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_12' id='input_15_12' type='text' value='' class='medium'  tabindex='5'   /></div></li><li id='field_15_7' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_7_1'>Address<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_15_7'><span class='ginput_full' id='input_15_7_1_container'><input type='text' name='input_7.1' id='input_15_7_1' value='' tabindex='6' /><label for='input_15_7_1' id='input_15_7_1_label'>Street Address</label></span><span class='ginput_full' id='input_15_7_2_container' ><input type='text' name='input_7.2' id='input_15_7_2' value='' tabindex='7' /><label for='input_15_7_2' id='input_15_7_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_15_7_3_container'><input type='text' name='input_7.3' id='input_15_7_3' value='' tabindex='8' /><label for='input_15_7_3' id='input_15_7.3_label'>City</label></span><span class='ginput_right' id='input_15_7_4_container' ><input type='text' name='input_7.4' id='input_15_7_4' value='' tabindex='10'   /><label for='input_15_7_4' id='input_15_7_4_label'>State / Province / Region</label></span><span class='ginput_left' id='input_15_7_5_container'><input type='text' name='input_7.5' id='input_15_7_5' value='' tabindex='11' /><label for='input_15_7_5' id='input_15_7_5_label'>ZIP / Postal Code</label></span><span class='ginput_right' id='input_15_7_6_container' ><select name='input_7.6' id='input_15_7_6' tabindex='12' ><option value='' selected='selected'></option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Brazil' >Brazil</option><option value='Brunei' >Brunei</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cape Verde' >Cape Verde</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Congo, Republic of the' >Congo, Republic of the</option><option value='Costa Rica' >Costa Rica</option><option value='C&ocirc;te d&#039;Ivoire' >C&ocirc;te d'Ivoire</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Cyprus' >Cyprus</option><option value='Czech Republic' >Czech Republic</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='East Timor' >East Timor</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Ethiopia' >Ethiopia</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='North Korea' >North Korea</option><option value='South Korea' >South Korea</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Laos' >Laos</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macedonia' >Macedonia</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Norway' >Norway</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine' >Palestine</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russia' >Russia</option><option value='Rwanda' >Rwanda</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia and Montenegro' >Serbia and Montenegro</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Sudan, South' >Sudan, South</option><option value='Suriname' >Suriname</option><option value='Swaziland' >Swaziland</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria' >Syria</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania' >Tanzania</option><option value='Thailand' >Thailand</option><option value='Togo' >Togo</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkey' >Turkey</option><option value='Turkmenistan' >Turkmenistan</option><option value='Tuvalu' >Tuvalu</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Vatican City' >Vatican City</option><option value='Venezuela' >Venezuela</option><option value='Vietnam' >Vietnam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option></select><label for='input_15_7_6' id='input_15_7_6_label'>Country</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_15_56' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_56'>Contact number#<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_56' id='input_15_56' type='text' value='' class='medium'  tabindex='13'   /></div></li><li id='field_15_58' class='gfield' ><label class='gfield_label' for='input_15_58'>Additional Contact number#</label><div class='ginput_container'><input name='input_58' id='input_15_58' type='text' value='' class='medium'  tabindex='14'   /></div></li><li id='field_15_22' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_22'>How did you find out about the Akili Fellowship program?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_22' id='input_15_22' class='textarea medium' tabindex='15'   rows='10' cols='50'></textarea></div></li><li id='field_15_29' class='gfield               gfield_contains_required' ><label class='gfield_label'>School Information: Highest Education Level Achieved (check appropriate box)<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_15_29'><li class='gchoice_29_1'><input name='input_29.1' type='checkbox'  value='High School'  id='choice_29_1' tabindex='16'  /><label for='choice_29_1'>High School</label></li><li class='gchoice_29_2'><input name='input_29.2' type='checkbox'  value='Attending 2-year college'  id='choice_29_2' tabindex='17'  /><label for='choice_29_2'>Attending 2-year college</label></li><li class='gchoice_29_3'><input name='input_29.3' type='checkbox'  value='Attending 4-year college'  id='choice_29_3' tabindex='18'  /><label for='choice_29_3'>Attending 4-year college</label></li><li class='gchoice_29_4'><input name='input_29.4' type='checkbox'  value='College Graduate (2-year)'  id='choice_29_4' tabindex='19'  /><label for='choice_29_4'>College Graduate (2-year)</label></li><li class='gchoice_29_5'><input name='input_29.5' type='checkbox'  value='College Graduate (4-year)'  id='choice_29_5' tabindex='20'  /><label for='choice_29_5'>College Graduate (4-year)</label></li><li class='gchoice_29_6'><input name='input_29.6' type='checkbox'  value='Attending Graduate School'  id='choice_29_6' tabindex='21'  /><label for='choice_29_6'>Attending Graduate School</label></li><li class='gchoice_29_7'><input name='input_29.7' type='checkbox'  value='Post-Graduate'  id='choice_29_7' tabindex='22'  /><label for='choice_29_7'>Post-Graduate</label></li></ul></div></li><li id='field_15_13' class='gfield' ><label class='gfield_label' for='input_15_13'>College/University</label><div class='ginput_container'><input name='input_13' id='input_15_13' type='text' value='' class='medium'  tabindex='23'   /></div></li><li id='field_15_18' class='gfield' ><label class='gfield_label' for='input_15_18'>City and State</label><div class='ginput_container'><input name='input_18' id='input_15_18' type='text' value='' class='medium'  tabindex='24'   /></div></li><li id='field_15_19' class='gfield' ><label class='gfield_label' for='input_15_19'>Year in School</label><div class='ginput_container'><input name='input_19' id='input_15_19' type='text' value='' class='medium'  tabindex='25'   /></div></li><li id='field_15_30' class='gfield' ><label class='gfield_label' for='input_15_30'>Currently Declared Major</label><div class='ginput_container'><input name='input_30' id='input_15_30' type='text' value='' class='medium'  tabindex='26'   /></div></li><li id='field_15_31' class='gfield' ><label class='gfield_label' for='input_15_31'>College/University (if applicable)</label><div class='ginput_container'><input name='input_31' id='input_15_31' type='text' value='' class='medium'  tabindex='27'   /></div></li><li id='field_15_32' class='gfield' ><label class='gfield_label' for='input_15_32'>City and State</label><div class='ginput_container'><input name='input_32' id='input_15_32' type='text' value='' class='medium'  tabindex='28'   /></div></li><li id='field_15_33' class='gfield' ><label class='gfield_label' for='input_15_33'>Dates Attended</label><div class='ginput_container'><input name='input_33' id='input_15_33' type='text' value='' class='medium'  tabindex='29'   /></div></li><li id='field_15_34' class='gfield' ><label class='gfield_label' for='input_15_34'>Major/Degree</label><div class='ginput_container'><input name='input_34' id='input_15_34' type='text' value='' class='medium'  tabindex='30'   /></div></li><li id='field_15_36' class='gfield               gfield_contains_required' ><label class='gfield_label'>Have you participated in any leadership development/training courses, classes, seminars, workshops, etc.?	<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_15_36'><li class='gchoice_36_1'><input name='input_36.1' type='checkbox'  value='Yes'  id='choice_36_1' tabindex='31'  /><label for='choice_36_1'>Yes</label></li><li class='gchoice_36_2'><input name='input_36.2' type='checkbox'  value='No'  id='choice_36_2' tabindex='32'  /><label for='choice_36_2'>No</label></li></ul></div></li><li id='field_15_37' class='gfield' ><label class='gfield_label' for='input_15_37'>If yes, please list the content, date and place of each training experience.</label><div class='ginput_container'><textarea name='input_37' id='input_15_37' class='textarea medium' tabindex='33'   rows='10' cols='50'></textarea></div></li><li id='field_15_38' class='gfield               gfield_contains_required' ><label class='gfield_label'>Demographic Information: Gender (Check appropriate box)<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_15_38'><li class='gchoice_38_1'><input name='input_38.1' type='checkbox'  value='Male'  id='choice_38_1' tabindex='34'  /><label for='choice_38_1'>Male</label></li><li class='gchoice_38_2'><input name='input_38.2' type='checkbox'  value='Female'  id='choice_38_2' tabindex='35'  /><label for='choice_38_2'>Female</label></li></ul></div></li><li id='field_15_39' class='gfield' ><label class='gfield_label'>Race/Ethnicity (Optional)</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_15_39'><li class='gchoice_39_1'><input name='input_39.1' type='checkbox'  value='Black/African American'  id='choice_39_1' tabindex='36'  /><label for='choice_39_1'>Black/African American</label></li><li class='gchoice_39_2'><input name='input_39.2' type='checkbox'  value='White'  id='choice_39_2' tabindex='37'  /><label for='choice_39_2'>White</label></li><li class='gchoice_39_3'><input name='input_39.3' type='checkbox'  value='Native American/American Indian'  id='choice_39_3' tabindex='38'  /><label for='choice_39_3'>Native American/American Indian</label></li><li class='gchoice_39_4'><input name='input_39.4' type='checkbox'  value='Hispanic/Latino'  id='choice_39_4' tabindex='39'  /><label for='choice_39_4'>Hispanic/Latino</label></li><li class='gchoice_39_5'><input name='input_39.5' type='checkbox'  value='Asian/Asian American'  id='choice_39_5' tabindex='40'  /><label for='choice_39_5'>Asian/Asian American</label></li><li class='gchoice_39_6'><input name='input_39.6' type='checkbox'  value='Other'  id='choice_39_6' tabindex='41'  /><label for='choice_39_6'>Other</label></li></ul></div></li><li id='field_15_42' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_42'>Work and Volunteer Information: Please list any experiences you have had working with youth.<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_42' id='input_15_42' class='textarea medium' tabindex='42'   rows='10' cols='50'></textarea></div></li><li id='field_15_44' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_44'>Please describe any work you have done in the area of youth leadership development<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_44' id='input_15_44' class='textarea medium' tabindex='43'   rows='10' cols='50'></textarea></div></li><li id='field_15_46' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_46'>Why are you interested in becoming an Akili Fellow?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_46' id='input_15_46' class='textarea medium' tabindex='44'   rows='10' cols='50'></textarea></div></li><li id='field_15_48' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_48'>What talents do you bring to the Akili Fellow program?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_48' id='input_15_48' class='textarea medium' tabindex='45'   rows='10' cols='50'></textarea></div></li><li id='field_15_49' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_49'>Will you be able to participate in the Camp Akili overnight program August 5 to 9th?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_49' id='input_15_49' class='textarea medium' tabindex='46'   rows='10' cols='50'></textarea></div></li><li id='field_15_61' class='gfield' ><label class='gfield_label'>I would like to participate as a:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_15_61'><li class='gchoice_61_1'><input name='input_61.1' type='checkbox'  value='Camp Counselor (small group facilatator at Camp Akili)'  id='choice_61_1' tabindex='47'  /><label for='choice_61_1'>Camp Counselor (small group facilatator at Camp Akili)</label></li><li class='gchoice_61_2'><input name='input_61.2' type='checkbox'  value='Research and Evaluator (document and evaluate Camp Akili)'  id='choice_61_2' tabindex='48'  /><label for='choice_61_2'>Research and Evaluator (document and evaluate Camp Akili)</label></li><li class='gchoice_61_3'><input name='input_61.3' type='checkbox'  value='Training only (no participation in Camp Akili)'  id='choice_61_3' tabindex='49'  /><label for='choice_61_3'>Training only (no participation in Camp Akili)</label></li></ul></div></li><li id='field_15_60' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_60'> Emergency Contact Person<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_60' id='input_15_60' type='text' value='' class='medium'  tabindex='50'   /></div></li><li id='field_15_50' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_50'>Emergency Contact Phone#<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_50' id='input_15_50' type='text' value='' class='medium'  tabindex='51'   /></div></li><li id='field_15_51' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_15_51'>Relationship<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_51' id='input_15_51' type='text' value='' class='medium'  tabindex='52'   /></div></li><li id='field_15_54' class='gfield' ><label class='gfield_label' for='input_15_54'>Please Attach Your Resume</label><div class='ginput_container'><input name='input_54' id='input_15_54' type='file' value='' size='20' class='medium' tabindex='53' /></div></li><li id='field_15_15' class='gfield' ><label class='gfield_label' for='input_15_15'>Captcha</label><script type='text/javascript'> var RecaptchaOptions = {theme : 'red'}; if(parseInt('54') > 0) {RecaptchaOptions.tabindex = 54;}</script><div class='ginput_container' id='input_15_15'><script type="text/javascript" src="http://www.google.com/recaptcha/api/challenge?k=6LeCf88SAAAAAKn5_O14WGxckhjy1yo46MTOPwSw&hl=en"></script>

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        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_15' class='button gform_button' value='Submit' tabindex='55' />
            <input type='hidden' class='gform_hidden' name='is_submit_15' value='1' />
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			<wfw:commentRss>http://www.leadershipexcellence.org/akili-fellowship-application/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Camp Akili 2013 Scholarship Form</title>
		<link>http://www.leadershipexcellence.org/camp-akili-scholarship/</link>
		<comments>http://www.leadershipexcellence.org/camp-akili-scholarship/#comments</comments>
		<pubDate>Fri, 22 Mar 2013 20:58:15 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Feature]]></category>

		<guid isPermaLink="false">http://www.leadershipexcellence.org/?p=957</guid>
		<description><![CDATA[]]></description>
				<content:encoded><![CDATA[
                <div class='gf_browser_unknown gform_wrapper' id='gform_wrapper_14' ><form method='post' enctype='multipart/form-data'  id='gform_14'  action='/feed/'>
                        <div class='gform_heading'>
                            <h3 class='gform_title'>2013 Camp Akili Scholarship Form</h3>
                            <span class='gform_description'>Camp Akili is a 5-day residential summer camp for youth ages 14-18.  The Camp will take place on the beautiful campus of Cal State University East Bay, Hayward.   There will be a  $50 non-refundable deposit to secure space.  Full registration fee is  $450 (this amount includes the deposit).  SCHOLARSHIP APPLICATIONS WILL ONLY BE PROCESSED ONCE $50 DEPOSIT IS RECEIVED. DEADLINE TO REGISTER IS JULY 12TH.</span>
                        </div>
                        <div class='gform_body'>
                            <ul id='gform_fields_14' class='gform_fields top_label description_below'><li id='field_14_2' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_14_2_3'>Student Name<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_14_2'><span id='input_14_2_3_container' class='ginput_left'><input type='text' name='input_2.3' id='input_14_2_3' value='' tabindex='1' /><label for='input_14_2_3'>First</label></span><span id='input_14_2_6_container' class='ginput_right'><input type='text' name='input_2.6' id='input_14_2_6' value='' tabindex='2' /><label for='input_14_2_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_14_35' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_14_35'>School<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_35' id='input_14_35' type='text' value='' class='medium'  tabindex='3'   /></div></li><li id='field_14_7' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_14_7'>Current Grade Level <span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_7' id='input_14_7' type='text' value='' class='medium'  tabindex='4'   /></div></li><li id='field_14_5' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_14_5'>Age<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_5' id='input_14_5' type='text' value='' class='medium'  tabindex='5'   /></div></li><li id='field_14_6' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_14_6'>Date of Birth<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_6' id='input_14_6' type='text' value='' class='medium'  tabindex='6'   /></div></li><li id='field_14_8' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_14_8_3'>Parent/Guardian Name#1<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_14_8'><span id='input_14_8_3_container' class='ginput_left'><input type='text' name='input_8.3' id='input_14_8_3' value='' tabindex='7' /><label for='input_14_8_3'>First</label></span><span id='input_14_8_6_container' class='ginput_right'><input type='text' name='input_8.6' id='input_14_8_6' value='' tabindex='8' /><label for='input_14_8_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_14_9' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_14_9_3'>Parent/Guardian Name #2<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_14_9'><span id='input_14_9_3_container' class='ginput_left'><input type='text' name='input_9.3' id='input_14_9_3' value='' tabindex='9' /><label for='input_14_9_3'>First</label></span><span id='input_14_9_6_container' class='ginput_right'><input type='text' name='input_9.6' id='input_14_9_6' value='' tabindex='10' /><label for='input_14_9_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_14_41' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_14_41'>Parent Contact Number<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_41' id='input_14_41' type='text' value='' class='medium'  tabindex='11'   /></div></li><li id='field_14_39' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_14_39'>Parent&#039;s Email<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_39' id='input_14_39' type='text' value='' class='medium'  tabindex='12'   /></div></li><li id='field_14_38' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_14_38'>Please Re-enter Email<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_38' id='input_14_38' type='text' value='' class='medium'  tabindex='13'   /></div></li><li id='field_14_26' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_14_26'>Statement of Need<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_26' id='input_14_26' class='textarea medium' tabindex='14'   rows='10' cols='50'></textarea></div><div class='gfield_description'>Write a statement detailing your situation and why you are requesting a scholarship</div></li><li id='field_14_34' class='gfield               gfield_contains_required' ><label class='gfield_label'>Scholarship Request Amount<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_14_34'><li class='gchoice_34_1'><input name='input_34.1' type='checkbox'  value='$150 scholarship, (your balance is $250 + $50 deposit)                '  id='choice_34_1' tabindex='15'  /><label for='choice_34_1'>$150 scholarship, (your balance is $250 + $50 deposit)                </label></li><li class='gchoice_34_2'><input name='input_34.2' type='checkbox'  value='$200 scholarship, (your balance is $200 + $50 deposit)'  id='choice_34_2' tabindex='16'  /><label for='choice_34_2'>$200 scholarship, (your balance is $200 + $50 deposit)</label></li><li class='gchoice_34_3'><input name='input_34.3' type='checkbox'  value='$300 scholarship, (your balance is $100 + $50 deposit)'  id='choice_34_3' tabindex='17'  /><label for='choice_34_3'>$300 scholarship, (your balance is $100 + $50 deposit)</label></li></ul></div><div class='gfield_description'>Registration fees partially cover the cost of participants  room and board, transportation, and camp supplies. </div></li><li id='field_14_36' class='gfield               gfield_contains_required' ><label class='gfield_label'>Are you eligible for free or reduced lunch?<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_14_36'><li class='gchoice_36_1'><input name='input_36.1' type='checkbox'  value='Yes'  id='choice_36_1' tabindex='18'  /><label for='choice_36_1'>Yes</label></li><li class='gchoice_36_2'><input name='input_36.2' type='checkbox'  value='No'  id='choice_36_2' tabindex='19'  /><label for='choice_36_2'>No</label></li></ul></div></li><li id='field_14_40' class='gfield     gform_hidden' ><input name='input_40' id='input_14_40' type='hidden' class='gform_hidden' value='' /></li>
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]]></content:encoded>
			<wfw:commentRss>http://www.leadershipexcellence.org/camp-akili-scholarship/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Camp Akili Summer 2013</title>
		<link>http://www.leadershipexcellence.org/camp-akili-registration-2013/</link>
		<comments>http://www.leadershipexcellence.org/camp-akili-registration-2013/#comments</comments>
		<pubDate>Mon, 18 Mar 2013 05:40:56 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Feature]]></category>

		<guid isPermaLink="false">http://www.leadershipexcellence.org/?p=914</guid>
		<description><![CDATA[Information and Online Registration Form Camp Akili is a five-day residential summer camp held on the  beautiful campus of Cal State University East Bay, Hayward. The program is a nationally recognized, personal transformation retreat that provides a “breakthrough” experience for youth ages 14 to 18. Limited partial scholarships will be available. Please complete this online registration form and submit payment [...]]]></description>
				<content:encoded><![CDATA[<p>Information and Online Registration Form<span id="more-914"></span></p>
<p><a href="http://www.leadershipexcellence.org/wp-content/uploads/2013/03/Akilicampflier20131.png"><img class="alignright size-medium wp-image-985" style="border: 1px solid black; margin: 10px;" alt="Akilicampflier2013" src="http://www.leadershipexcellence.org/wp-content/uploads/2013/03/Akilicampflier20131-231x300.png" width="173" height="225" /></a>Camp Akili is a five-day residential summer camp held on the  beautiful campus of Cal State University East Bay, Hayward. The program is a nationally recognized, personal transformation retreat that provides a “breakthrough” experience for youth ages 14 to 18. Limited partial scholarships will be available. Please complete this online registration form and submit payment through paypal.  You may also download the <a href="http://www.leadershipexcellence.org/wp-content/uploads/2013/03/Akiliregistrationform2013.pdf">Akili Registration Form 2013</a> and submit payment by mail to Leadership Excellence 1714 Franklin #321-100, Oakland Ca 94612.</p>
<p>SPACE WILL ONLY BE HELD UPON RECEIPT OF $50 DEPOSIT.</p>
<p><strong>Full registration due by July 12th!</strong></p>
<p>Spread the word about Camp Akili, download the <a href="http://www.leadershipexcellence.org/wp-content/uploads/2013/03/Akilicampflier2013.pdf">Camp Akili PDF</a>.</p>
<p><span style="font-size: medium;"> <em>To pay for Camp Akili registration, please click <a href="http://www.leadershipexcellence.org/register/pay-for-programs/">here</a>.<br />
To apply for a scholarship, click <a href="http://www.leadershipexcellence.org/camp-akili-scholarship/">here</a>.</em></span></p>
<p>Or, learn how to become an <a href="http://www.leadershipexcellence.org/programs/akili-fellowship-program/">Akili Fellow</a></p>
<p><strong><em>PLEASE COMPLETE THE REGISTRATION FORM BELOW:</em><br />
</strong></p>

                <div class='gf_browser_unknown gform_wrapper' id='gform_wrapper_3' ><form method='post' enctype='multipart/form-data'  id='gform_3'  action='/feed/'>
                        <div class='gform_heading'>
                            <h3 class='gform_title'>2013 Camp Akili Registration Form</h3>
                            <span class='gform_description'></span>
                        </div>
                        <div class='gform_body'>
                            <ul id='gform_fields_3' class='gform_fields top_label description_below'><li id='field_3_34' class='gfield' ><label class='gfield_label'>Registration Fee (please check appropriate box):</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_3_34'><li class='gchoice_34_1'><input name='input_34.1' type='checkbox'  value='$50 Deposit to secure space (applied toward fee)'  id='choice_34_1' tabindex='1'  /><label for='choice_34_1'>$50 Deposit to secure space (applied toward fee)</label></li><li class='gchoice_34_2'><input name='input_34.2' type='checkbox'  value='Registration is $450 '  id='choice_34_2' tabindex='2'  /><label for='choice_34_2'>Registration is $450 </label></li><li class='gchoice_34_3'><input name='input_34.3' type='checkbox'  value='Requesting partial scholarship .Please submit scholarship application.'  id='choice_34_3' tabindex='3'  /><label for='choice_34_3'>Requesting partial scholarship .Please submit scholarship application.</label></li></ul></div></li><li id='field_3_2' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_3_2_3'>Participant Name<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_3_2'><span id='input_3_2_3_container' class='ginput_left'><input type='text' name='input_2.3' id='input_3_2_3' value='' tabindex='4' /><label for='input_3_2_3'>First</label></span><span id='input_3_2_6_container' class='ginput_right'><input type='text' name='input_2.6' id='input_3_2_6' value='' tabindex='5' /><label for='input_3_2_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_3_3' class='gfield' ><label class='gfield_label' for='input_3_3'>Middle Name</label><div class='ginput_container'><input name='input_3' id='input_3_3' type='text' value='' class='medium'  tabindex='6'   /></div></li><li id='field_3_4' class='gfield' ><label class='gfield_label' for='input_3_4'>Gender Identity</label><div class='ginput_container'><input name='input_4' id='input_3_4' type='text' value='' class='medium'  tabindex='7'   /></div></li><li id='field_3_37' class='gfield' ><label class='gfield_label' for='input_3_37'>Sexual Orientation.  Please list.</label><div class='ginput_container'><input name='input_37' id='input_3_37' type='text' value='' class='medium'  tabindex='8'   /></div></li><li id='field_3_5' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_3_5'>Age<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_5' id='input_3_5' type='text' value='' class='medium'  tabindex='9'   /></div></li><li id='field_3_6' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_3_6'>Date of Birth<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_6' id='input_3_6' type='text' value='' class='medium'  tabindex='10'   /></div></li><li id='field_3_7' class='gfield' ><label class='gfield_label' for='input_3_7'>2012-2013 Grade Level</label><div class='ginput_container'><input name='input_7' id='input_3_7' type='text' value='' class='medium'  tabindex='11'   /></div></li><li id='field_3_46' class='gfield' ><label class='gfield_label' for='input_3_46'>Participant cell #:</label><div class='ginput_container'><input name='input_46' id='input_3_46' type='text' value='' class='medium'  tabindex='12'   /></div></li><li id='field_3_49' class='gfield' ><label class='gfield_label' for='input_3_49'>Participant email:</label><div class='ginput_container'><input name='input_49' id='input_3_49' type='text' value='' class='medium'  tabindex='13'   /></div></li><li id='field_3_8' class='gfield' ><label class='gfield_label' for='input_3_8_3'>Parent/Guardian Name #1</label><div class='ginput_complex ginput_container' id='input_3_8'><span id='input_3_8_3_container' class='ginput_left'><input type='text' name='input_8.3' id='input_3_8_3' value='' tabindex='14' /><label for='input_3_8_3'>First</label></span><span id='input_3_8_6_container' class='ginput_right'><input type='text' name='input_8.6' id='input_3_8_6' value='' tabindex='15' /><label for='input_3_8_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_3_39' class='gfield' ><label class='gfield_label' for='input_3_39'>Primary Home Phone</label><div class='ginput_container'><input name='input_39' id='input_3_39' type='text' value='' class='medium'  tabindex='16'   /></div></li><li id='field_3_40' class='gfield' ><label class='gfield_label' for='input_3_40'>Parent/Guardian #1 Cell Phone</label><div class='ginput_container'><input name='input_40' id='input_3_40' type='text' value='' class='medium'  tabindex='17'   /></div></li><li id='field_3_41' class='gfield' ><label class='gfield_label' for='input_3_41'>Parent/Guardian #1 Work Phone</label><div class='ginput_container'><input name='input_41' id='input_3_41' type='text' value='' class='medium'  tabindex='18'   /></div></li><li id='field_3_9' class='gfield' ><label class='gfield_label' for='input_3_9_3'>Parent/Guardian Name #2</label><div class='ginput_complex ginput_container' id='input_3_9'><span id='input_3_9_3_container' class='ginput_left'><input type='text' name='input_9.3' id='input_3_9_3' value='' tabindex='19' /><label for='input_3_9_3'>First</label></span><span id='input_3_9_6_container' class='ginput_right'><input type='text' name='input_9.6' id='input_3_9_6' value='' tabindex='20' /><label for='input_3_9_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_3_48' class='gfield' ><label class='gfield_label' for='input_3_48'>Parent/Guardian #2 Cell Phone</label><div class='ginput_container'><input name='input_48' id='input_3_48' type='text' value='' class='medium'  tabindex='21'   /></div></li><li id='field_3_47' class='gfield' ><label class='gfield_label' for='input_3_47'>Parent/Guardian #2 Work Phone</label><div class='ginput_container'><input name='input_47' id='input_3_47' type='text' value='' class='medium'  tabindex='22'   /></div></li><li id='field_3_10' class='gfield' ><label class='gfield_label' for='input_3_10_1'>Primary Address</label><div class='ginput_complex ginput_container' id='input_3_10'><span class='ginput_full' id='input_3_10_1_container'><input type='text' name='input_10.1' id='input_3_10_1' value='' tabindex='23' /><label for='input_3_10_1' id='input_3_10_1_label'>Street Address</label></span><span class='ginput_full' id='input_3_10_2_container' ><input type='text' name='input_10.2' id='input_3_10_2' value='' tabindex='24' /><label for='input_3_10_2' id='input_3_10_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_3_10_3_container'><input type='text' name='input_10.3' id='input_3_10_3' value='' tabindex='25' /><label for='input_3_10_3' id='input_3_10.3_label'>City</label></span><span class='ginput_right' id='input_3_10_4_container' ><input type='text' name='input_10.4' id='input_3_10_4' value='' tabindex='27'   /><label for='input_3_10_4' id='input_3_10_4_label'>State / Province / Region</label></span><span class='ginput_left' id='input_3_10_5_container'><input type='text' name='input_10.5' id='input_3_10_5' value='' tabindex='28' /><label for='input_3_10_5' id='input_3_10_5_label'>ZIP / Postal Code</label></span><input type='hidden' class='gform_hidden' name='input_10.6' id='input_3_10_6' value=''/><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_3_12' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_3_12'>Primary Email<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_12' id='input_3_12' type='text' value='' class='medium'  tabindex='29'   /></div></li><li id='field_3_45' class='gfield' ><label class='gfield_label' for='input_3_45'>Re-enter Primary Email</label><div class='ginput_container'><input name='input_45' id='input_3_45' type='text' value='' class='medium'  tabindex='30'   /></div></li><li id='field_3_15' class='gfield' ><label class='gfield_label'>Does  your child live with</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_3_15'><li class='gchoice_15_1'><input name='input_15.1' type='checkbox'  value='Single Parent'  id='choice_15_1' tabindex='31'  /><label for='choice_15_1'>Single Parent</label></li><li class='gchoice_15_2'><input name='input_15.2' type='checkbox'  value='Both Parents'  id='choice_15_2' tabindex='32'  /><label for='choice_15_2'>Both Parents</label></li></ul></div></li><li id='field_3_16' class='gfield' ><label class='gfield_label'>Does your child have Siblings who will be in the program?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_3_16'><li class='gchoice_16_1'><input name='input_16.1' type='checkbox'  value='Yes'  id='choice_16_1' tabindex='33'  /><label for='choice_16_1'>Yes</label></li><li class='gchoice_16_2'><input name='input_16.2' type='checkbox'  value='No'  id='choice_16_2' tabindex='34'  /><label for='choice_16_2'>No</label></li></ul></div></li><li id='field_3_17' class='gfield' ><label class='gfield_label' for='input_3_17'>If YES, please list</label><div class='ginput_container'><input name='input_17' id='input_3_17' type='text' value='' class='medium'  tabindex='35'   /></div></li><li id='field_3_36' class='gfield' ><label class='gfield_label' for='input_3_36'>Please list other youth programs your child is involved with.</label><div class='ginput_container'><textarea name='input_36' id='input_3_36' class='textarea medium' tabindex='36'   rows='10' cols='50'></textarea></div></li><li id='field_3_18' class='gfield' ><label class='gfield_label' for='input_3_18_3'>Emergency Contact</label><div class='ginput_complex ginput_container' id='input_3_18'><span id='input_3_18_3_container' class='ginput_left'><input type='text' name='input_18.3' id='input_3_18_3' value='' tabindex='37' /><label for='input_3_18_3'>First</label></span><span id='input_3_18_6_container' class='ginput_right'><input type='text' name='input_18.6' id='input_3_18_6' value='' tabindex='38' /><label for='input_3_18_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_3_19' class='gfield' ><label class='gfield_label' for='input_3_19'>Relationship</label><div class='ginput_container'><input name='input_19' id='input_3_19' type='text' value='' class='medium'  tabindex='39'   /></div></li><li id='field_3_21' class='gfield' ><label class='gfield_label' for='input_3_21'>Family Physician</label><div class='ginput_container'><input name='input_21' id='input_3_21' type='text' value='' class='medium'  tabindex='40'   /></div></li><li id='field_3_44' class='gfield' ><label class='gfield_label' for='input_3_44'>Physician Phone#</label><div class='ginput_container'><input name='input_44' id='input_3_44' type='text' value='' class='medium'  tabindex='41'   /></div></li><li id='field_3_22' class='gfield' ><label class='gfield_label' for='input_3_22'>Hospital/Medical Group</label><div class='ginput_container'><input name='input_22' id='input_3_22' type='text' value='' class='medium'  tabindex='42'   /></div></li><li id='field_3_24' class='gfield' ><label class='gfield_label' for='input_3_24'>Child&#039;s Medical Number</label><div class='ginput_container'><input name='input_24' id='input_3_24' type='text' value='' class='medium'  tabindex='43'   /></div></li><li id='field_3_25' class='gfield' ><label class='gfield_label'>Is your child on medication?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_3_25'><li class='gchoice_25_1'><input name='input_25.1' type='checkbox'  value='Yes'  id='choice_25_1' tabindex='44'  /><label for='choice_25_1'>Yes</label></li><li class='gchoice_25_2'><input name='input_25.2' type='checkbox'  value='No'  id='choice_25_2' tabindex='45'  /><label for='choice_25_2'>No</label></li></ul></div></li><li id='field_3_26' class='gfield' ><label class='gfield_label' for='input_3_26'>If YES, please list</label><div class='ginput_container'><textarea name='input_26' id='input_3_26' class='textarea medium' tabindex='46'   rows='10' cols='50'></textarea></div></li><li id='field_3_27' class='gfield' ><label class='gfield_label'>Does your child have present or reoccurring health issues, special dietary needs or allergies?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_3_27'><li class='gchoice_27_1'><input name='input_27.1' type='checkbox'  value='Yes'  id='choice_27_1' tabindex='47'  /><label for='choice_27_1'>Yes</label></li><li class='gchoice_27_2'><input name='input_27.2' type='checkbox'  value='No'  id='choice_27_2' tabindex='48'  /><label for='choice_27_2'>No</label></li></ul></div></li><li id='field_3_28' class='gfield' ><label class='gfield_label' for='input_3_28'>In case of emergency, and parent or doctor cannot be reached, what action do you wish to be taken?</label><div class='ginput_container'><textarea name='input_28' id='input_3_28' class='textarea medium' tabindex='49'   rows='10' cols='50'></textarea></div></li><li id='field_3_29' class='gfield' ><label class='gfield_label' for='input_3_29'>Does your child have any special needs (behavioral, emotional, relationships) of which we should be aware?</label><div class='ginput_container'><textarea name='input_29' id='input_3_29' class='textarea medium' tabindex='50'   rows='10' cols='50'></textarea></div></li><li id='field_3_31' class='gfield' ><label class='gfield_label'>Your son/daughter needs support with</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_3_31'><li class='gchoice_31_1'><input name='input_31.1' type='checkbox'  value='School Attendance'  id='choice_31_1' tabindex='51'  /><label for='choice_31_1'>School Attendance</label></li><li class='gchoice_31_2'><input name='input_31.2' type='checkbox'  value='Self-Esteem'  id='choice_31_2' tabindex='52'  /><label for='choice_31_2'>Self-Esteem</label></li><li class='gchoice_31_3'><input name='input_31.3' type='checkbox'  value='Self Discipline'  id='choice_31_3' tabindex='53'  /><label for='choice_31_3'>Self Discipline</label></li><li class='gchoice_31_4'><input name='input_31.4' type='checkbox'  value='Study Skills'  id='choice_31_4' tabindex='54'  /><label for='choice_31_4'>Study Skills</label></li><li class='gchoice_31_5'><input name='input_31.5' type='checkbox'  value='Cross-Cultural Communication/Understanding'  id='choice_31_5' tabindex='55'  /><label for='choice_31_5'>Cross-Cultural Communication/Understanding</label></li><li class='gchoice_31_6'><input name='input_31.6' type='checkbox'  value='Emotional Wellness'  id='choice_31_6' tabindex='56'  /><label for='choice_31_6'>Emotional Wellness</label></li><li class='gchoice_31_7'><input name='input_31.7' type='checkbox'  value='College Preparation'  id='choice_31_7' tabindex='57'  /><label for='choice_31_7'>College Preparation</label></li><li class='gchoice_31_8'><input name='input_31.8' type='checkbox'  value='Goal Setting'  id='choice_31_8' tabindex='58'  /><label for='choice_31_8'>Goal Setting</label></li><li class='gchoice_31_9'><input name='input_31.9' type='checkbox'  value='Personal Development'  id='choice_31_9' tabindex='59'  /><label for='choice_31_9'>Personal Development</label></li><li class='gchoice_31_11'><input name='input_31.11' type='checkbox'  value='Relationships'  id='choice_31_11' tabindex='60'  /><label for='choice_31_11'>Relationships</label></li><li class='gchoice_31_12'><input name='input_31.12' type='checkbox'  value='Nutrition'  id='choice_31_12' tabindex='61'  /><label for='choice_31_12'>Nutrition</label></li><li class='gchoice_31_13'><input name='input_31.13' type='checkbox'  value='Health &amp; Hygiene'  id='choice_31_13' tabindex='62'  /><label for='choice_31_13'>Health & Hygiene</label></li><li class='gchoice_31_14'><input name='input_31.14' type='checkbox'  value='Open Mindedness'  id='choice_31_14' tabindex='63'  /><label for='choice_31_14'>Open Mindedness</label></li><li class='gchoice_31_15'><input name='input_31.15' type='checkbox'  value='Grades'  id='choice_31_15' tabindex='64'  /><label for='choice_31_15'>Grades</label></li><li class='gchoice_31_16'><input name='input_31.16' type='checkbox'  value='Attitude'  id='choice_31_16' tabindex='65'  /><label for='choice_31_16'>Attitude</label></li><li class='gchoice_31_17'><input name='input_31.17' type='checkbox'  value='Respect'  id='choice_31_17' tabindex='66'  /><label for='choice_31_17'>Respect</label></li><li class='gchoice_31_18'><input name='input_31.18' type='checkbox'  value='Behavior'  id='choice_31_18' tabindex='67'  /><label for='choice_31_18'>Behavior</label></li></ul></div></li><li id='field_3_32' class='gfield' ><label class='gfield_label'>I, parent/guardian of, give permission for my son/daughter to participate in Leadership Excellence (LE) activities. I give permission for media release with the understanding that any photos, articles, student work, video footage, etc from my son/daughter may be used for promotional materials. I understand that if my son/daughter refuses to participate respectfully, it could result in their removal from the LE program. I understand that LE staff and volunteers will take the utmost care of my child, and in the unforeseen event of lost or damaged property, or unavoidable injury to my child, I will not hold LE or its staff/volunteers liable. I understand the goals of Leadership Excellence and gladly support my child, and the LE facilitators, in achieving these goals. </label><div class='ginput_container'><ul class='gfield_checkbox' id='input_3_32'><li class='gchoice_32_1'><input name='input_32.1' type='checkbox'  value='I consent'  id='choice_32_1' tabindex='68'  /><label for='choice_32_1'>I consent</label></li></ul></div></li><li id='field_3_35' class='gfield' ><label class='gfield_label' for='input_3_35'>Captcha</label><script type='text/javascript'> var RecaptchaOptions = {theme : 'red'}; if(parseInt('69') > 0) {RecaptchaOptions.tabindex = 69;}</script><div class='ginput_container' id='input_3_35'><script type="text/javascript" src="http://www.google.com/recaptcha/api/challenge?k=6LeCf88SAAAAAKn5_O14WGxckhjy1yo46MTOPwSw&hl=en"></script>

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			<wfw:commentRss>http://www.leadershipexcellence.org/camp-akili-registration-2013/feed/</wfw:commentRss>
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		</item>
		<item>
		<title>Apply for a Scholarship!</title>
		<link>http://www.leadershipexcellence.org/scholarship-form/</link>
		<comments>http://www.leadershipexcellence.org/scholarship-form/#comments</comments>
		<pubDate>Sun, 17 Mar 2013 04:17:53 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Feature]]></category>

		<guid isPermaLink="false">http://www.leadershipexcellence.org/?p=887</guid>
		<description><![CDATA[]]></description>
				<content:encoded><![CDATA[
                <div class='gf_browser_unknown gform_wrapper' id='gform_wrapper_11' ><form method='post' enctype='multipart/form-data'  id='gform_11'  action='/feed/'>
                        <div class='gform_heading'>
                            <h3 class='gform_title'>Summer 2013 Oakland Freedom School  Scholarship Form </h3>
                            <span class='gform_description'>Program will take place, June 17th-July 26th, 2013.   Hours of operation are from 8:00am-3:00pm, Monday-Friday.  Operated by Lincoln Child Center in partnership with Leadership Excellence.</span>
                        </div>
                        <div class='gform_body'>
                            <ul id='gform_fields_11' class='gform_fields top_label description_below'><li id='field_11_42' class='gfield               gfield_contains_required' ><label class='gfield_label'>Site Location Preference<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_11_42'><li class='gchoice_42_1'><input name='input_42.1' type='checkbox'  value='East Oakland'  id='choice_42_1' tabindex='1'  /><label for='choice_42_1'>East Oakland</label></li><li class='gchoice_42_2'><input name='input_42.2' type='checkbox'  value='West Oakland'  id='choice_42_2' tabindex='2'  /><label for='choice_42_2'>West Oakland</label></li><li class='gchoice_42_3'><input name='input_42.3' type='checkbox'  value='No Preference'  id='choice_42_3' tabindex='3'  /><label for='choice_42_3'>No Preference</label></li></ul></div></li><li id='field_11_2' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_11_2_3'>Student Name<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_11_2'><span id='input_11_2_3_container' class='ginput_left'><input type='text' name='input_2.3' id='input_11_2_3' value='' tabindex='4' /><label for='input_11_2_3'>First</label></span><span id='input_11_2_6_container' class='ginput_right'><input type='text' name='input_2.6' id='input_11_2_6' value='' tabindex='5' /><label for='input_11_2_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_11_4' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_11_4'>Gender<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_4' id='input_11_4' type='text' value='' class='medium'  tabindex='6'   /></div></li><li id='field_11_35' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_11_35'>School<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_35' id='input_11_35' type='text' value='' class='medium'  tabindex='7'   /></div></li><li id='field_11_7' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_11_7'>2012-2013  Grade Level <span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_7' id='input_11_7' type='text' value='' class='medium'  tabindex='8'   /></div></li><li id='field_11_5' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_11_5'>Age<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_5' id='input_11_5' type='text' value='' class='medium'  tabindex='9'   /></div></li><li id='field_11_6' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_11_6'>Date of Birth<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_6' id='input_11_6' type='text' value='' class='medium'  tabindex='10'   /></div></li><li id='field_11_8' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_11_8_3'>Parent/Guardian Name#1<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_11_8'><span id='input_11_8_3_container' class='ginput_left'><input type='text' name='input_8.3' id='input_11_8_3' value='' tabindex='11' /><label for='input_11_8_3'>First</label></span><span id='input_11_8_6_container' class='ginput_right'><input type='text' name='input_8.6' id='input_11_8_6' value='' tabindex='12' /><label for='input_11_8_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_11_9' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_11_9_3'>Parent/Guardian Name #2<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_11_9'><span id='input_11_9_3_container' class='ginput_left'><input type='text' name='input_9.3' id='input_11_9_3' value='' tabindex='13' /><label for='input_11_9_3'>First</label></span><span id='input_11_9_6_container' class='ginput_right'><input type='text' name='input_9.6' id='input_11_9_6' value='' tabindex='14' /><label for='input_11_9_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_11_41' class='gfield' ><label class='gfield_label' for='input_11_41'>Parent #1 Contact Number</label><div class='ginput_container'><input name='input_41' id='input_11_41' type='text' value='' class='medium'  tabindex='15'   /></div></li><li id='field_11_39' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_11_39'>Parent #1 Email<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_39' id='input_11_39' type='text' value='' class='medium'  tabindex='16'   /></div></li><li id='field_11_38' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_11_38'>Please Re-enter Parent #1 Email<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_38' id='input_11_38' type='text' value='' class='medium'  tabindex='17'   /></div></li><li id='field_11_34' class='gfield               gfield_contains_required' ><label class='gfield_label'>Please indicate your  scholarship  needs:<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_11_34'><li class='gchoice_34_1'><input name='input_34.1' type='checkbox'  value='$50 scholarship (your balance is $150 + $50 deposit )                 '  id='choice_34_1' tabindex='18'  /><label for='choice_34_1'>$50 scholarship (your balance is $150 + $50 deposit )                 </label></li><li class='gchoice_34_2'><input name='input_34.2' type='checkbox'  value='$100 scholarship (your balance is $100 + $50 deposit)'  id='choice_34_2' tabindex='19'  /><label for='choice_34_2'>$100 scholarship (your balance is $100 + $50 deposit)</label></li><li class='gchoice_34_3'><input name='input_34.3' type='checkbox'  value='$150 scholarship (your balance is $50 + $50 deposit)                '  id='choice_34_3' tabindex='20'  /><label for='choice_34_3'>$150 scholarship (your balance is $50 + $50 deposit)                </label></li><li class='gchoice_34_4'><input name='input_34.4' type='checkbox'  value='$200 scholarship (your balance  is $50 deposit only)'  id='choice_34_4' tabindex='21'  /><label for='choice_34_4'>$200 scholarship (your balance  is $50 deposit only)</label></li></ul></div><div class='gfield_description'>Registration fees provide support for  supplies, afternoon enrichment activities, field trips and graduation. </div></li><li id='field_11_26' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_11_26'>Statement of Need<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_26' id='input_11_26' class='textarea medium' tabindex='22'   rows='10' cols='50'></textarea></div><div class='gfield_description'>Write a statement detailing your situation and why you are requesting a scholarship</div></li><li id='field_11_36' class='gfield               gfield_contains_required' ><label class='gfield_label'>Are you eligible for free or reduced lunch?<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_11_36'><li class='gchoice_36_1'><input name='input_36.1' type='checkbox'  value='Yes'  id='choice_36_1' tabindex='23'  /><label for='choice_36_1'>Yes</label></li><li class='gchoice_36_2'><input name='input_36.2' type='checkbox'  value='No'  id='choice_36_2' tabindex='24'  /><label for='choice_36_2'>No</label></li></ul></div></li><li id='field_11_40' class='gfield     gform_hidden' ><input name='input_40' id='input_11_40' type='hidden' class='gform_hidden' value='' /></li>
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			<wfw:commentRss>http://www.leadershipexcellence.org/scholarship-form/feed/</wfw:commentRss>
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		</item>
		<item>
		<title>Summer 2013 OFS Registration</title>
		<link>http://www.leadershipexcellence.org/ofs-2013-registration/</link>
		<comments>http://www.leadershipexcellence.org/ofs-2013-registration/#comments</comments>
		<pubDate>Sat, 16 Mar 2013 08:41:51 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Feature]]></category>
		<category><![CDATA[Leadership Excellence]]></category>
		<category><![CDATA[OFS]]></category>

		<guid isPermaLink="false">http://www.leadershipexcellence.org/?p=861</guid>
		<description><![CDATA[*If registering for OFS 2013, please only register your child if you applied for enrollment by submitting the OFS 2013 Application Form and then received notification of acceptance. We are currently accepting applications for the Oakland Freedom School program. Applications will be reviewed and youth will be notified of acceptance by April 19th. Program Dates: June 17 – July 26, [...]]]></description>
				<content:encoded><![CDATA[<p><em><em>*If registering for OFS 2013, please only register your child if you applied for enrollment by submitting the <a href="http://www.leadershipexcellence.org/application-for-ofs-2013/">OFS 2013 Application Form</a> and then received notification of acceptance. </em></em></p>
<p>We are currently accepting applications for the Oakland Freedom School program. Applications will be reviewed and youth will be notified of acceptance by April 19<sup>th</sup>.</p>
<p><strong>Program Dates: </strong>June 17 – July 26, 2013<br />
<strong>Registration Fee:</strong> $250 for entire 6-week program. Upon acceptance a $50 non-refundable registration fee will be required to secure space.  This amount will be applied toward remaining balance. If you’re interested in applying for a scholarship, please click <a href="http://www.leadershipexcellence.org/scholarship-form/">here</a>. Limited scholarships are available.</p>
<p><em>In order for your child to be considered for OFS Summer 2013, you must:</em></p>
<p><em>1. <a href="http://www.leadershipexcellence.org/application-for-ofs-2013/">Apply</a> for OFS Summer 2013.</em><br />
<em> 2. When notified of acceptance, submit the registration form below.</em><br />
<em> 3. <strong>Pay</strong> the registration fee.</em></p>
<p><span style="font-size: medium;"><span> <strong>Interested in working for OFS?</strong><br />
Please click <a href="http://www.leadershipexcellence.org/join-us/employment-opportunities/">Job Opportunities</a> for more information.</span></span></p>

                <div class='gf_browser_unknown gform_wrapper' id='gform_wrapper_9' ><form method='post' enctype='multipart/form-data'  id='gform_9'  action='/feed/'>
                        <div class='gform_heading'>
                            <h3 class='gform_title'>Summer 2013 Oakland Freedom School Registration</h3>
                            <span class='gform_description'>Oakland Freedom School (grades K-8): June 17 - July 26, 2013; 8:00am to 3:00pm, Monday-Friday. Location will be Frick Middle School in East Oakland and West Oakland Middle School in West Oakland. Operated by Leadership Excellence in partnership with Lincoln Child Center.</span>
                        </div>
                        <div class='gform_body'>
                            <ul id='gform_fields_9' class='gform_fields top_label description_below'><li id='field_9_2' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_9_2_3'>Child&#039;s Name<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_9_2'><span id='input_9_2_3_container' class='ginput_left'><input type='text' name='input_2.3' id='input_9_2_3' value='' tabindex='1' /><label for='input_9_2_3'>First</label></span><span id='input_9_2_6_container' class='ginput_right'><input type='text' name='input_2.6' id='input_9_2_6' value='' tabindex='2' /><label for='input_9_2_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_9_34' class='gfield               gfield_contains_required' ><label class='gfield_label'>Full registration is $250 less a $50 required deposit to be submitted with this form.  Please indicate the amount you will be paying at this time by checking the appropriate box below.   To apply for a partial scholarship please submit scholarship form. <span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_34'><li class='gchoice_34_1'><input name='input_34.1' type='checkbox'  value='Non-refundable deposit is $50 (amount applied toward fees)'  id='choice_34_1' tabindex='3'  /><label for='choice_34_1'>Non-refundable deposit is $50 (amount applied toward fees)</label></li><li class='gchoice_34_2'><input name='input_34.2' type='checkbox'  value='Registration is $250 '  id='choice_34_2' tabindex='4'  /><label for='choice_34_2'>Registration is $250 </label></li><li class='gchoice_34_3'><input name='input_34.3' type='checkbox'  value='Requesting partial scholarship($50 deposit required.  Please submit Scholarship form)'  id='choice_34_3' tabindex='5'  /><label for='choice_34_3'>Requesting partial scholarship($50 deposit required.  Please submit Scholarship form)</label></li></ul></div><div class='gfield_description'>*Registration fee is for the duration of the  6 week program.  REGISTRATION BALANCE DUE BY MAY 31st. </div></li><li id='field_9_47' class='gfield               gfield_contains_required' ><label class='gfield_label'>Which site location would you prefer? Site preference cannot be guaranteed. <span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_47'><li class='gchoice_47_1'><input name='input_47.1' type='checkbox'  value='East Oakland'  id='choice_47_1' tabindex='6'  /><label for='choice_47_1'>East Oakland</label></li><li class='gchoice_47_2'><input name='input_47.2' type='checkbox'  value='West Oakland'  id='choice_47_2' tabindex='7'  /><label for='choice_47_2'>West Oakland</label></li><li class='gchoice_47_3'><input name='input_47.3' type='checkbox'  value='Open to either location'  id='choice_47_3' tabindex='8'  /><label for='choice_47_3'>Open to either location</label></li></ul></div></li><li id='field_9_35' class='gfield               gfield_contains_required' ><label class='gfield_label'>Gender<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_radio' id='input_9_35'><li class='gchoice_35_0'><input name='input_35' type='radio' value='Male'  id='choice_35_0' tabindex='9'    /><label for='choice_35_0'>Male</label></li><li class='gchoice_35_1'><input name='input_35' type='radio' value='Female'  id='choice_35_1' tabindex='10'    /><label for='choice_35_1'>Female</label></li><li class='gchoice_35_2'><input name='input_35' type='radio' value='Prefer Not to Answer'  id='choice_35_2' tabindex='11'    /><label for='choice_35_2'>Prefer Not to Answer</label></li></ul></div></li><li id='field_9_46' class='gfield' ><label class='gfield_label' for='input_9_46'>Racial/Ethnic Background</label><div class='ginput_container'><input name='input_46' id='input_9_46' type='text' value='' class='medium'  tabindex='12'   /></div></li><li id='field_9_5' class='gfield' ><label class='gfield_label' for='input_9_5'>Age</label><div class='ginput_container'><input name='input_5' id='input_9_5' type='text' value='' class='medium'  tabindex='13'   /></div></li><li id='field_9_6' class='gfield' ><label class='gfield_label' for='input_9_6'>Date of Birth</label><div class='ginput_container'><input name='input_6' id='input_9_6' type='text' value='' class='medium'  tabindex='14'   /></div></li><li id='field_9_36' class='gfield' ><label class='gfield_label' for='input_9_36'>Current School</label><div class='ginput_container'><input name='input_36' id='input_9_36' type='text' value='' class='medium'  tabindex='15'   /></div></li><li id='field_9_7' class='gfield' ><label class='gfield_label' for='input_9_7'>2012-2013 Grade Level</label><div class='ginput_container'><input name='input_7' id='input_9_7' type='text' value='' class='medium'  tabindex='16'   /></div></li><li id='field_9_8' class='gfield' ><label class='gfield_label' for='input_9_8_3'>Parent or Guardian&#039;s Name #1</label><div class='ginput_complex ginput_container' id='input_9_8'><span id='input_9_8_3_container' class='ginput_left'><input type='text' name='input_8.3' id='input_9_8_3' value='' tabindex='17' /><label for='input_9_8_3'>First</label></span><span id='input_9_8_6_container' class='ginput_right'><input type='text' name='input_8.6' id='input_9_8_6' value='' tabindex='18' /><label for='input_9_8_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_9_9' class='gfield' ><label class='gfield_label' for='input_9_9_3'>Parent or Guardian&#039;s Name #2</label><div class='ginput_complex ginput_container' id='input_9_9'><span id='input_9_9_3_container' class='ginput_left'><input type='text' name='input_9.3' id='input_9_9_3' value='' tabindex='19' /><label for='input_9_9_3'>First</label></span><span id='input_9_9_6_container' class='ginput_right'><input type='text' name='input_9.6' id='input_9_9_6' value='' tabindex='20' /><label for='input_9_9_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_9_10' class='gfield' ><label class='gfield_label' for='input_9_10_1'>Address</label><div class='ginput_complex ginput_container' id='input_9_10'><span class='ginput_full' id='input_9_10_1_container'><input type='text' name='input_10.1' id='input_9_10_1' value='' tabindex='21' /><label for='input_9_10_1' id='input_9_10_1_label'>Street Address</label></span><span class='ginput_full' id='input_9_10_2_container' ><input type='text' name='input_10.2' id='input_9_10_2' value='' tabindex='22' /><label for='input_9_10_2' id='input_9_10_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_9_10_3_container'><input type='text' name='input_10.3' id='input_9_10_3' value='' tabindex='23' /><label for='input_9_10_3' id='input_9_10.3_label'>City</label></span><span class='ginput_right' id='input_9_10_4_container' ><input type='text' name='input_10.4' id='input_9_10_4' value='' tabindex='25'   /><label for='input_9_10_4' id='input_9_10_4_label'>State / Province / Region</label></span><span class='ginput_left' id='input_9_10_5_container'><input type='text' name='input_10.5' id='input_9_10_5' value='' tabindex='26' /><label for='input_9_10_5' id='input_9_10_5_label'>ZIP / Postal Code</label></span><input type='hidden' class='gform_hidden' name='input_10.6' id='input_9_10_6' value=''/><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_9_50' class='gfield' ><label class='gfield_label' for='input_9_50'>Home Phone #</label><div class='ginput_container'><input name='input_50' id='input_9_50' type='text' value='' class='medium'  tabindex='27'   /></div></li><li id='field_9_51' class='gfield' ><label class='gfield_label' for='input_9_51'>Daytime or Work Phone #</label><div class='ginput_container'><input name='input_51' id='input_9_51' type='text' value='' class='medium'  tabindex='28'   /></div></li><li id='field_9_52' class='gfield' ><label class='gfield_label' for='input_9_52'>Parent or Guardian  #1 Cell Phone</label><div class='ginput_container'><input name='input_52' id='input_9_52' type='text' value='' class='medium'  tabindex='29'   /></div></li><li id='field_9_53' class='gfield' ><label class='gfield_label' for='input_9_53'>Parent or Guardian  #2 Cell Phone</label><div class='ginput_container'><input name='input_53' id='input_9_53' type='text' value='' class='medium'  tabindex='30'   /></div></li><li id='field_9_56' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_9_56'>Primary Email<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_9_56_container'><span id='input_9_56_1_container' class='ginput_left'><input type='text' name='input_56' id='input_9_56' value='' tabindex='31'  /><label for='input_9_56'>Enter Email</label></span><span id='input_9_56_2_container' class='ginput_right'><input type='text' name='input_56_2' id='input_9_56_2' value='' tabindex='32' /><label for='input_9_56_2'>Confirm Email</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_9_15' class='gfield' ><label class='gfield_label'>Does your child live with?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_15'><li class='gchoice_15_1'><input name='input_15.1' type='checkbox'  value='One Parent'  id='choice_15_1' tabindex='33'  /><label for='choice_15_1'>One Parent</label></li><li class='gchoice_15_2'><input name='input_15.2' type='checkbox'  value='Both Parents'  id='choice_15_2' tabindex='34'  /><label for='choice_15_2'>Both Parents</label></li></ul></div></li><li id='field_9_16' class='gfield' ><label class='gfield_label'>Does your child have siblings who will also be registering?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_16'><li class='gchoice_16_1'><input name='input_16.1' type='checkbox'  value='Yes'  id='choice_16_1' tabindex='35'  /><label for='choice_16_1'>Yes</label></li><li class='gchoice_16_2'><input name='input_16.2' type='checkbox'  value='No'  id='choice_16_2' tabindex='36'  /><label for='choice_16_2'>No</label></li></ul></div></li><li id='field_9_17' class='gfield' ><label class='gfield_label' for='input_9_17'>If YES, please list</label><div class='ginput_container'><input name='input_17' id='input_9_17' type='text' value='' class='medium'  tabindex='37'   /></div></li><li id='field_9_18' class='gfield' ><label class='gfield_label' for='input_9_18_3'>Emergency Contact</label><div class='ginput_complex ginput_container' id='input_9_18'><span id='input_9_18_3_container' class='ginput_left'><input type='text' name='input_18.3' id='input_9_18_3' value='' tabindex='38' /><label for='input_9_18_3'>First</label></span><span id='input_9_18_6_container' class='ginput_right'><input type='text' name='input_18.6' id='input_9_18_6' value='' tabindex='39' /><label for='input_9_18_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_9_19' class='gfield' ><label class='gfield_label' for='input_9_19'>Relationship</label><div class='ginput_container'><input name='input_19' id='input_9_19' type='text' value='' class='medium'  tabindex='40'   /></div></li><li id='field_9_54' class='gfield' ><label class='gfield_label' for='input_9_54'>Emergency Contact No#</label><div class='ginput_container'><input name='input_54' id='input_9_54' type='text' value='' class='medium'  tabindex='41'   /></div></li><li id='field_9_21' class='gfield' ><label class='gfield_label' for='input_9_21'>Family Physician</label><div class='ginput_container'><input name='input_21' id='input_9_21' type='text' value='' class='medium'  tabindex='42'   /></div></li><li id='field_9_55' class='gfield' ><label class='gfield_label' for='input_9_55'>Physician Contact number</label><div class='ginput_container'><input name='input_55' id='input_9_55' type='text' value='' class='medium'  tabindex='43'   /></div></li><li id='field_9_22' class='gfield' ><label class='gfield_label' for='input_9_22'>Medical Insurance Provider</label><div class='ginput_container'><input name='input_22' id='input_9_22' type='text' value='' class='medium'  tabindex='44'   /></div></li><li id='field_9_24' class='gfield' ><label class='gfield_label' for='input_9_24'>Medical Insurance ID #</label><div class='ginput_container'><input name='input_24' id='input_9_24' type='text' value='' class='medium'  tabindex='45'   /></div></li><li id='field_9_25' class='gfield' ><label class='gfield_label'>Is your child on medication?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_25'><li class='gchoice_25_1'><input name='input_25.1' type='checkbox'  value='Yes'  id='choice_25_1' tabindex='46'  /><label for='choice_25_1'>Yes</label></li><li class='gchoice_25_2'><input name='input_25.2' type='checkbox'  value='No'  id='choice_25_2' tabindex='47'  /><label for='choice_25_2'>No</label></li></ul></div></li><li id='field_9_26' class='gfield' ><label class='gfield_label' for='input_9_26'>If YES, please list</label><div class='ginput_container'><textarea name='input_26' id='input_9_26' class='textarea medium' tabindex='48'   rows='10' cols='50'></textarea></div></li><li id='field_9_49' class='gfield' ><label class='gfield_label'>The OFS program  provides daily lunch to the participants.   Please indicate if your child will bring their own lunch throughout the duration of the program.</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_49'><li class='gchoice_49_1'><input name='input_49.1' type='checkbox'  value='Yes'  id='choice_49_1' tabindex='49'  /><label for='choice_49_1'>Yes</label></li><li class='gchoice_49_2'><input name='input_49.2' type='checkbox'  value='No'  id='choice_49_2' tabindex='50'  /><label for='choice_49_2'>No</label></li></ul></div></li><li id='field_9_27' class='gfield' ><label class='gfield_label'>Does your child have present or reoccurring health issues, special dietary needs or allergies?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_27'><li class='gchoice_27_1'><input name='input_27.1' type='checkbox'  value='Yes'  id='choice_27_1' tabindex='51'  /><label for='choice_27_1'>Yes</label></li><li class='gchoice_27_2'><input name='input_27.2' type='checkbox'  value='No'  id='choice_27_2' tabindex='52'  /><label for='choice_27_2'>No</label></li></ul></div></li><li id='field_9_43' class='gfield' ><label class='gfield_label' for='input_9_43'>If yes, please explain</label><div class='ginput_container'><textarea name='input_43' id='input_9_43' class='textarea medium' tabindex='53'   rows='10' cols='50'></textarea></div></li><li id='field_9_28' class='gfield' ><label class='gfield_label' for='input_9_28'>In case of emergency, and parent or doctor cannot be reached, what action do you wish to be taken?</label><div class='ginput_container'><textarea name='input_28' id='input_9_28' class='textarea medium' tabindex='54'   rows='10' cols='50'></textarea></div></li><li id='field_9_29' class='gfield' ><label class='gfield_label' for='input_9_29'>Does your child have any special needs(behavioral, emotional, relationships) of which we should be aware?</label><div class='ginput_container'><textarea name='input_29' id='input_9_29' class='textarea medium' tabindex='55'   rows='10' cols='50'></textarea></div></li><li id='field_9_39' class='gfield               gfield_contains_required' ><label class='gfield_label'>I, parent/guardian give permission for my son/daughter to participate in all Oakland Freedom School (OFS) field trips including walking field trips to parks, libraries, and local businesses. I give OFS staff  permission to transport my child by car, charter and AC Transit busses, BART trains and on foot to these field trips.<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_39'><li class='gchoice_39_1'><input name='input_39.1' type='checkbox'  value='I consent'  id='choice_39_1' tabindex='56'  /><label for='choice_39_1'>I consent</label></li></ul></div></li><li id='field_9_40' class='gfield               gfield_contains_required' ><label class='gfield_label'>I parent/guardian, authorize OFS staff to provide basic first aid to my child for minor surface injuries. I further authorize OFS staff to contact an ambulance or transport my child to the nearest hospital if they sustain any major injuries or become seriously ill.  I understand the OFS cannot provide my child with Aspirin, Tylenol or any other medication.<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_40'><li class='gchoice_40_1'><input name='input_40.1' type='checkbox'  value='I consent'  id='choice_40_1' tabindex='57'  /><label for='choice_40_1'>I consent</label></li></ul></div></li><li id='field_9_32' class='gfield               gfield_contains_required' ><label class='gfield_label'>I, parent guardian, authorize  a media release with the understanding that any photos, articles, student work, video footage, etc from my son/daughter may be used for promotional materials. I understand that Lincoln Child Center &amp; Leadership Excellence staff and volunteers will take the utmost care of my child, and in the unforeseen event of lost or damaged property, or unavoidable injury to my child, I will not hold Lincoln Child Center, Leadership Excellence or the Children&#039;s Defense Fund or its staff/volunteers liable. I understand the goals of the Oakland Freedom School program and gladly support my child, and the Lincoln Child Center facilitators, in achieving these goals. Forward!<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_32'><li class='gchoice_32_1'><input name='input_32.1' type='checkbox'  value='I consent'  id='choice_32_1' tabindex='58'  /><label for='choice_32_1'>I consent</label></li></ul></div></li>
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<p>&nbsp;</p>
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		</item>
		<item>
		<title>Oakland Freedom School Summer 2013</title>
		<link>http://www.leadershipexcellence.org/register-for-ofs-2013/</link>
		<comments>http://www.leadershipexcellence.org/register-for-ofs-2013/#comments</comments>
		<pubDate>Sat, 16 Mar 2013 01:00:26 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Feature]]></category>
		<category><![CDATA[Leadership Excellence]]></category>
		<category><![CDATA[OFS]]></category>

		<guid isPermaLink="false">http://www.leadershipexcellence.org/?p=847</guid>
		<description><![CDATA[Information and Online Registration Form Program Locations: Frick Middle School in East Oakland and West Oakland Middle School in West Oakland Program  Operation: Monday-Friday, June 17 &#8211; July 26, 2013;  8:00am-3:00pm Registration Fee: $250 for entire 6-week program. Upon acceptance a $50 non-refundable deposit will be required to secure space.  This amount will be applied toward remaining balance. Limited partial [...]]]></description>
				<content:encoded><![CDATA[<p>Information and Online Registration Form</p>
<p><span id="more-847"></span></p>
<p style="text-align: left;"><a href="http://www.leadershipexcellence.org/wp-content/uploads/2011/04/157085_179373275426090_133732226656862_506549_3800179_n.jpg"><img class="alignright size-medium wp-image-729" style="border: 1px solid black; margin: 10px;" alt="OFS" src="http://www.leadershipexcellence.org/wp-content/uploads/2011/04/157085_179373275426090_133732226656862_506549_3800179_n-300x224.jpg" width="300" height="224" /></a></p>
<p style="text-align: left;"><strong>Program Locations</strong>: Frick Middle School in East Oakland and West Oakland Middle School in West Oakland</p>
<p style="text-align: left;"><strong>Program  Operation: </strong> Monday-Friday, June 17 &#8211; July 26, 2013;  8:00am-3:00pm</p>
<p style="text-align: left;"><strong>Registration Fee: </strong>$250 for entire 6-week program. Upon acceptance a $50 non-refundable deposit will be required to secure space.  This amount will be applied toward remaining balance. Limited partial scholarships will be available. REGISTRATION DUE BY MAY 31st.</p>
<p><span style="font-size: medium;"><em> After you register below,</em> <em>you can apply for a scholarship <a href="http://www.leadershipexcellence.org/scholarship-form/">here</a>.</em></span><br />

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                        <div class='gform_heading'>
                            <h3 class='gform_title'>Summer 2013 Oakland Freedom School Registration</h3>
                            <span class='gform_description'>Oakland Freedom School (grades K-8): June 17 - July 26, 2013; 8:00am to 3:00pm, Monday-Friday. Location will be Frick Middle School in East Oakland and West Oakland Middle School in West Oakland. Operated by Leadership Excellence in partnership with Lincoln Child Center.</span>
                        </div>
                        <div class='gform_body'>
                            <ul id='gform_fields_9' class='gform_fields top_label description_below'><li id='field_9_2' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_9_2_3'>Child&#039;s Name<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_9_2'><span id='input_9_2_3_container' class='ginput_left'><input type='text' name='input_2.3' id='input_9_2_3' value='' tabindex='1' /><label for='input_9_2_3'>First</label></span><span id='input_9_2_6_container' class='ginput_right'><input type='text' name='input_2.6' id='input_9_2_6' value='' tabindex='2' /><label for='input_9_2_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_9_34' class='gfield               gfield_contains_required' ><label class='gfield_label'>Full registration is $250 less a $50 required deposit to be submitted with this form.  Please indicate the amount you will be paying at this time by checking the appropriate box below.   To apply for a partial scholarship please submit scholarship form. <span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_34'><li class='gchoice_34_1'><input name='input_34.1' type='checkbox'  value='Non-refundable deposit is $50 (amount applied toward fees)'  id='choice_34_1' tabindex='3'  /><label for='choice_34_1'>Non-refundable deposit is $50 (amount applied toward fees)</label></li><li class='gchoice_34_2'><input name='input_34.2' type='checkbox'  value='Registration is $250 '  id='choice_34_2' tabindex='4'  /><label for='choice_34_2'>Registration is $250 </label></li><li class='gchoice_34_3'><input name='input_34.3' type='checkbox'  value='Requesting partial scholarship($50 deposit required.  Please submit Scholarship form)'  id='choice_34_3' tabindex='5'  /><label for='choice_34_3'>Requesting partial scholarship($50 deposit required.  Please submit Scholarship form)</label></li></ul></div><div class='gfield_description'>*Registration fee is for the duration of the  6 week program.  REGISTRATION BALANCE DUE BY MAY 31st. </div></li><li id='field_9_47' class='gfield               gfield_contains_required' ><label class='gfield_label'>Which site location would you prefer? Site preference cannot be guaranteed. <span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_47'><li class='gchoice_47_1'><input name='input_47.1' type='checkbox'  value='East Oakland'  id='choice_47_1' tabindex='6'  /><label for='choice_47_1'>East Oakland</label></li><li class='gchoice_47_2'><input name='input_47.2' type='checkbox'  value='West Oakland'  id='choice_47_2' tabindex='7'  /><label for='choice_47_2'>West Oakland</label></li><li class='gchoice_47_3'><input name='input_47.3' type='checkbox'  value='Open to either location'  id='choice_47_3' tabindex='8'  /><label for='choice_47_3'>Open to either location</label></li></ul></div></li><li id='field_9_35' class='gfield               gfield_contains_required' ><label class='gfield_label'>Gender<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_radio' id='input_9_35'><li class='gchoice_35_0'><input name='input_35' type='radio' value='Male'  id='choice_35_0' tabindex='9'    /><label for='choice_35_0'>Male</label></li><li class='gchoice_35_1'><input name='input_35' type='radio' value='Female'  id='choice_35_1' tabindex='10'    /><label for='choice_35_1'>Female</label></li><li class='gchoice_35_2'><input name='input_35' type='radio' value='Prefer Not to Answer'  id='choice_35_2' tabindex='11'    /><label for='choice_35_2'>Prefer Not to Answer</label></li></ul></div></li><li id='field_9_46' class='gfield' ><label class='gfield_label' for='input_9_46'>Racial/Ethnic Background</label><div class='ginput_container'><input name='input_46' id='input_9_46' type='text' value='' class='medium'  tabindex='12'   /></div></li><li id='field_9_5' class='gfield' ><label class='gfield_label' for='input_9_5'>Age</label><div class='ginput_container'><input name='input_5' id='input_9_5' type='text' value='' class='medium'  tabindex='13'   /></div></li><li id='field_9_6' class='gfield' ><label class='gfield_label' for='input_9_6'>Date of Birth</label><div class='ginput_container'><input name='input_6' id='input_9_6' type='text' value='' class='medium'  tabindex='14'   /></div></li><li id='field_9_36' class='gfield' ><label class='gfield_label' for='input_9_36'>Current School</label><div class='ginput_container'><input name='input_36' id='input_9_36' type='text' value='' class='medium'  tabindex='15'   /></div></li><li id='field_9_7' class='gfield' ><label class='gfield_label' for='input_9_7'>2012-2013 Grade Level</label><div class='ginput_container'><input name='input_7' id='input_9_7' type='text' value='' class='medium'  tabindex='16'   /></div></li><li id='field_9_8' class='gfield' ><label class='gfield_label' for='input_9_8_3'>Parent or Guardian&#039;s Name #1</label><div class='ginput_complex ginput_container' id='input_9_8'><span id='input_9_8_3_container' class='ginput_left'><input type='text' name='input_8.3' id='input_9_8_3' value='' tabindex='17' /><label for='input_9_8_3'>First</label></span><span id='input_9_8_6_container' class='ginput_right'><input type='text' name='input_8.6' id='input_9_8_6' value='' tabindex='18' /><label for='input_9_8_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_9_9' class='gfield' ><label class='gfield_label' for='input_9_9_3'>Parent or Guardian&#039;s Name #2</label><div class='ginput_complex ginput_container' id='input_9_9'><span id='input_9_9_3_container' class='ginput_left'><input type='text' name='input_9.3' id='input_9_9_3' value='' tabindex='19' /><label for='input_9_9_3'>First</label></span><span id='input_9_9_6_container' class='ginput_right'><input type='text' name='input_9.6' id='input_9_9_6' value='' tabindex='20' /><label for='input_9_9_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_9_10' class='gfield' ><label class='gfield_label' for='input_9_10_1'>Address</label><div class='ginput_complex ginput_container' id='input_9_10'><span class='ginput_full' id='input_9_10_1_container'><input type='text' name='input_10.1' id='input_9_10_1' value='' tabindex='21' /><label for='input_9_10_1' id='input_9_10_1_label'>Street Address</label></span><span class='ginput_full' id='input_9_10_2_container' ><input type='text' name='input_10.2' id='input_9_10_2' value='' tabindex='22' /><label for='input_9_10_2' id='input_9_10_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_9_10_3_container'><input type='text' name='input_10.3' id='input_9_10_3' value='' tabindex='23' /><label for='input_9_10_3' id='input_9_10.3_label'>City</label></span><span class='ginput_right' id='input_9_10_4_container' ><input type='text' name='input_10.4' id='input_9_10_4' value='' tabindex='25'   /><label for='input_9_10_4' id='input_9_10_4_label'>State / Province / Region</label></span><span class='ginput_left' id='input_9_10_5_container'><input type='text' name='input_10.5' id='input_9_10_5' value='' tabindex='26' /><label for='input_9_10_5' id='input_9_10_5_label'>ZIP / Postal Code</label></span><input type='hidden' class='gform_hidden' name='input_10.6' id='input_9_10_6' value=''/><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_9_50' class='gfield' ><label class='gfield_label' for='input_9_50'>Home Phone #</label><div class='ginput_container'><input name='input_50' id='input_9_50' type='text' value='' class='medium'  tabindex='27'   /></div></li><li id='field_9_51' class='gfield' ><label class='gfield_label' for='input_9_51'>Daytime or Work Phone #</label><div class='ginput_container'><input name='input_51' id='input_9_51' type='text' value='' class='medium'  tabindex='28'   /></div></li><li id='field_9_52' class='gfield' ><label class='gfield_label' for='input_9_52'>Parent or Guardian  #1 Cell Phone</label><div class='ginput_container'><input name='input_52' id='input_9_52' type='text' value='' class='medium'  tabindex='29'   /></div></li><li id='field_9_53' class='gfield' ><label class='gfield_label' for='input_9_53'>Parent or Guardian  #2 Cell Phone</label><div class='ginput_container'><input name='input_53' id='input_9_53' type='text' value='' class='medium'  tabindex='30'   /></div></li><li id='field_9_56' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_9_56'>Primary Email<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_9_56_container'><span id='input_9_56_1_container' class='ginput_left'><input type='text' name='input_56' id='input_9_56' value='' tabindex='31'  /><label for='input_9_56'>Enter Email</label></span><span id='input_9_56_2_container' class='ginput_right'><input type='text' name='input_56_2' id='input_9_56_2' value='' tabindex='32' /><label for='input_9_56_2'>Confirm Email</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_9_15' class='gfield' ><label class='gfield_label'>Does your child live with?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_15'><li class='gchoice_15_1'><input name='input_15.1' type='checkbox'  value='One Parent'  id='choice_15_1' tabindex='33'  /><label for='choice_15_1'>One Parent</label></li><li class='gchoice_15_2'><input name='input_15.2' type='checkbox'  value='Both Parents'  id='choice_15_2' tabindex='34'  /><label for='choice_15_2'>Both Parents</label></li></ul></div></li><li id='field_9_16' class='gfield' ><label class='gfield_label'>Does your child have siblings who will also be registering?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_16'><li class='gchoice_16_1'><input name='input_16.1' type='checkbox'  value='Yes'  id='choice_16_1' tabindex='35'  /><label for='choice_16_1'>Yes</label></li><li class='gchoice_16_2'><input name='input_16.2' type='checkbox'  value='No'  id='choice_16_2' tabindex='36'  /><label for='choice_16_2'>No</label></li></ul></div></li><li id='field_9_17' class='gfield' ><label class='gfield_label' for='input_9_17'>If YES, please list</label><div class='ginput_container'><input name='input_17' id='input_9_17' type='text' value='' class='medium'  tabindex='37'   /></div></li><li id='field_9_18' class='gfield' ><label class='gfield_label' for='input_9_18_3'>Emergency Contact</label><div class='ginput_complex ginput_container' id='input_9_18'><span id='input_9_18_3_container' class='ginput_left'><input type='text' name='input_18.3' id='input_9_18_3' value='' tabindex='38' /><label for='input_9_18_3'>First</label></span><span id='input_9_18_6_container' class='ginput_right'><input type='text' name='input_18.6' id='input_9_18_6' value='' tabindex='39' /><label for='input_9_18_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_9_19' class='gfield' ><label class='gfield_label' for='input_9_19'>Relationship</label><div class='ginput_container'><input name='input_19' id='input_9_19' type='text' value='' class='medium'  tabindex='40'   /></div></li><li id='field_9_54' class='gfield' ><label class='gfield_label' for='input_9_54'>Emergency Contact No#</label><div class='ginput_container'><input name='input_54' id='input_9_54' type='text' value='' class='medium'  tabindex='41'   /></div></li><li id='field_9_21' class='gfield' ><label class='gfield_label' for='input_9_21'>Family Physician</label><div class='ginput_container'><input name='input_21' id='input_9_21' type='text' value='' class='medium'  tabindex='42'   /></div></li><li id='field_9_55' class='gfield' ><label class='gfield_label' for='input_9_55'>Physician Contact number</label><div class='ginput_container'><input name='input_55' id='input_9_55' type='text' value='' class='medium'  tabindex='43'   /></div></li><li id='field_9_22' class='gfield' ><label class='gfield_label' for='input_9_22'>Medical Insurance Provider</label><div class='ginput_container'><input name='input_22' id='input_9_22' type='text' value='' class='medium'  tabindex='44'   /></div></li><li id='field_9_24' class='gfield' ><label class='gfield_label' for='input_9_24'>Medical Insurance ID #</label><div class='ginput_container'><input name='input_24' id='input_9_24' type='text' value='' class='medium'  tabindex='45'   /></div></li><li id='field_9_25' class='gfield' ><label class='gfield_label'>Is your child on medication?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_25'><li class='gchoice_25_1'><input name='input_25.1' type='checkbox'  value='Yes'  id='choice_25_1' tabindex='46'  /><label for='choice_25_1'>Yes</label></li><li class='gchoice_25_2'><input name='input_25.2' type='checkbox'  value='No'  id='choice_25_2' tabindex='47'  /><label for='choice_25_2'>No</label></li></ul></div></li><li id='field_9_26' class='gfield' ><label class='gfield_label' for='input_9_26'>If YES, please list</label><div class='ginput_container'><textarea name='input_26' id='input_9_26' class='textarea medium' tabindex='48'   rows='10' cols='50'></textarea></div></li><li id='field_9_49' class='gfield' ><label class='gfield_label'>The OFS program  provides daily lunch to the participants.   Please indicate if your child will bring their own lunch throughout the duration of the program.</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_49'><li class='gchoice_49_1'><input name='input_49.1' type='checkbox'  value='Yes'  id='choice_49_1' tabindex='49'  /><label for='choice_49_1'>Yes</label></li><li class='gchoice_49_2'><input name='input_49.2' type='checkbox'  value='No'  id='choice_49_2' tabindex='50'  /><label for='choice_49_2'>No</label></li></ul></div></li><li id='field_9_27' class='gfield' ><label class='gfield_label'>Does your child have present or reoccurring health issues, special dietary needs or allergies?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_27'><li class='gchoice_27_1'><input name='input_27.1' type='checkbox'  value='Yes'  id='choice_27_1' tabindex='51'  /><label for='choice_27_1'>Yes</label></li><li class='gchoice_27_2'><input name='input_27.2' type='checkbox'  value='No'  id='choice_27_2' tabindex='52'  /><label for='choice_27_2'>No</label></li></ul></div></li><li id='field_9_43' class='gfield' ><label class='gfield_label' for='input_9_43'>If yes, please explain</label><div class='ginput_container'><textarea name='input_43' id='input_9_43' class='textarea medium' tabindex='53'   rows='10' cols='50'></textarea></div></li><li id='field_9_28' class='gfield' ><label class='gfield_label' for='input_9_28'>In case of emergency, and parent or doctor cannot be reached, what action do you wish to be taken?</label><div class='ginput_container'><textarea name='input_28' id='input_9_28' class='textarea medium' tabindex='54'   rows='10' cols='50'></textarea></div></li><li id='field_9_29' class='gfield' ><label class='gfield_label' for='input_9_29'>Does your child have any special needs(behavioral, emotional, relationships) of which we should be aware?</label><div class='ginput_container'><textarea name='input_29' id='input_9_29' class='textarea medium' tabindex='55'   rows='10' cols='50'></textarea></div></li><li id='field_9_39' class='gfield               gfield_contains_required' ><label class='gfield_label'>I, parent/guardian give permission for my son/daughter to participate in all Oakland Freedom School (OFS) field trips including walking field trips to parks, libraries, and local businesses. I give OFS staff  permission to transport my child by car, charter and AC Transit busses, BART trains and on foot to these field trips.<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_39'><li class='gchoice_39_1'><input name='input_39.1' type='checkbox'  value='I consent'  id='choice_39_1' tabindex='56'  /><label for='choice_39_1'>I consent</label></li></ul></div></li><li id='field_9_40' class='gfield               gfield_contains_required' ><label class='gfield_label'>I parent/guardian, authorize OFS staff to provide basic first aid to my child for minor surface injuries. I further authorize OFS staff to contact an ambulance or transport my child to the nearest hospital if they sustain any major injuries or become seriously ill.  I understand the OFS cannot provide my child with Aspirin, Tylenol or any other medication.<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_40'><li class='gchoice_40_1'><input name='input_40.1' type='checkbox'  value='I consent'  id='choice_40_1' tabindex='57'  /><label for='choice_40_1'>I consent</label></li></ul></div></li><li id='field_9_32' class='gfield               gfield_contains_required' ><label class='gfield_label'>I, parent guardian, authorize  a media release with the understanding that any photos, articles, student work, video footage, etc from my son/daughter may be used for promotional materials. I understand that Lincoln Child Center &amp; Leadership Excellence staff and volunteers will take the utmost care of my child, and in the unforeseen event of lost or damaged property, or unavoidable injury to my child, I will not hold Lincoln Child Center, Leadership Excellence or the Children&#039;s Defense Fund or its staff/volunteers liable. I understand the goals of the Oakland Freedom School program and gladly support my child, and the Lincoln Child Center facilitators, in achieving these goals. Forward!<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_9_32'><li class='gchoice_32_1'><input name='input_32.1' type='checkbox'  value='I consent'  id='choice_32_1' tabindex='58'  /><label for='choice_32_1'>I consent</label></li></ul></div></li>
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		</item>
		<item>
		<title>Intern as a Servant Leader for OFS Summer 2013</title>
		<link>http://www.leadershipexcellence.org/servant-leader-intern-2013/</link>
		<comments>http://www.leadershipexcellence.org/servant-leader-intern-2013/#comments</comments>
		<pubDate>Thu, 14 Mar 2013 22:13:39 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Feature]]></category>
		<category><![CDATA[What's Going On...]]></category>
		<category><![CDATA[Leadership Excellence]]></category>
		<category><![CDATA[OFS]]></category>

		<guid isPermaLink="false">http://www.leadershipexcellence.org/?p=814</guid>
		<description><![CDATA[We are no longer accepting applications, but thank you for your interest. Title: Servant Leader Teaching Intern Dates: June 2 &#8211; July 26, 2013 Organization: Leadership Excellence Nature and Scope The Children’s Defense Fund Oakland Freedom School program is an educational and cultural enrichment program. Our program provides summer options for children where there are none and strengthens parent and [...]]]></description>
				<content:encoded><![CDATA[<p>We are no longer accepting applications, but thank you for your interest.</p>
<p><span id="more-814"></span></p>
<p><b>Title: </b>Servant Leader Teaching Intern<br />
<b>Dates:</b> June 2 &#8211; July 26, 2013<br />
<strong>Organization:</strong> Leadership Excellenc<em>e</em></p>
<p><b>Nature and Scope</b></p>
<p>The Children’s Defense Fund Oakland Freedom School program is an educational and cultural enrichment program. Our program provides summer options for children where there are none and strengthens parent and community involvement in the year-round achievement of children.  We serve children ages 5 to 14 for five weeks using an integrate reading, conflict resolution, and social action in an activity-based curriculum to promote social, cultural, and historical awareness.</p>
<p>Founded in 1995 by the Children&#8217;s Defense Fund’s Black Community Crusade for Children<sup>® </sup>(BCCC<sup>®</sup>) and today coordinated nationally by the Children’s Defense Fund in partnership with well-established and effective local and regional child-serving organizations, the <i>CDF Oakland Freedom School</i> program is a direct service initiative.  Servant Leader Interns require a week-long training session conducted by <i>CDF Freedom Schools</i> national staff at the historic CDF Alex Haley Farm in Clinton, Tennessee.</p>
<p><b>Responsibilities</b></p>
<ul>
<li>Participate in local site training May 28<sup>th</sup> and 29<sup>th</sup>, 2013.</li>
<li>Participate fully in the June CDF National Training from June 2nd – 9th, 2013 in Clinton, TN.</li>
<li>Deliver the Integrated Reading Curriculum to a class of no more than ten students for 5 weeks during the summer months, according to the standards developed by the Children&#8217;s Defense Fund, Leadership Excellence and Lincoln Child Center.</li>
<li>Set-up and breakdown of his/her classroom space, including securing &amp; organizing the appropriate materials.</li>
<li>Collaborate with staff to establish and maintain a supportive and structured environment for the children entrusted to their care.</li>
<li>Serve as a <i>Harambee</i> leader each day of program operation.</li>
<li>Support afternoon activities and other special events; chaperone field trips</li>
</ul>
<p><b>Qualifications</b></p>
<ul>
<li>Must be at least 19 years of age, completed at least one year of college, and have plans to complete college degree</li>
<li>Maintain or have graduated with at least a 2.5 G.P.A.</li>
<li>Solid commitment to children’s advocacy and enthusiasm for the <i>CDF Freedom Schools</i> program</li>
<li>Ability to motivate others and work as part of an intergenerational team</li>
<li>Strong appreciation and understanding of individual cultural history and the willingness to be open and respectful of all cultures</li>
<li>Willingness to strive for excellence in all areas</li>
<li>Ability to think critically and analytically</li>
<li>Exhibit behavior and positive attitude; model a mature and professional demeanor</li>
<li>Excellent written and verbal skills</li>
<li>Strong interpersonal skills &amp; commitment to the character, humility and servant leadership ethics of Ella Baker</li>
<li>Authorization for background check for criminal and child protective findings</li>
</ul>
<p><b>CLASSIFICATION</b>:Stipend Internship.<br />
<b>SCHEDULE</b>: Full time: June 2nd – July 26<sup>th</sup>.<br />
<b>AFFILIATION</b>: Non-Bargaining.<br />
<b>COMPENSATION</b>:  $4, 304 stipend for eight weeks (paid bi-weekly).</p>
<p>Please attach your resume and send via email or postal mail by <b>Friday, March 29<sup>th</sup>, 2013</b> to:</p>
<p style="text-align: left;" align="center"><a href="mailto:oaklandfreedomschool@gmail.com">oaklandfreedomschool@gmail.com</a></p>
<p style="text-align: left;" align="center">or</p>
<p style="text-align: left;" align="center">Leadership Excellence</p>
<p style="text-align: left;" align="center">Attn: La’Cole Martin</p>
<p style="text-align: left;" align="center">1714 Franklin Street, Suite 321-100</p>
<p style="text-align: left;" align="center">Oakland, CA 94612</p>
<p>For more information or questions regarding this position, please contact:</p>
<p>La’Cole Martin<br />
Site Coordinator<br />
(510) 430-4384<br />
<a href="mailto:oaklandfreedomschool@gmail.com">oaklandfreedomschool@gmail.com</a></p>

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                            <h3 class='gform_title'>Servant Leader Intern Application 2013</h3>
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                            <ul id='gform_fields_13' class='gform_fields top_label description_below'><li id='field_13_16' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_16'>Date<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_16' id='input_13_16' type='text' value='' class='medium'  tabindex='1'   /></div></li><li id='field_13_2' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_2_3'>Name<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_13_2'><span id='input_13_2_3_container' class='ginput_left'><input type='text' name='input_2.3' id='input_13_2_3' value='' tabindex='2' /><label for='input_13_2_3'>First</label></span><span id='input_13_2_6_container' class='ginput_right'><input type='text' name='input_2.6' id='input_13_2_6' value='' tabindex='3' /><label for='input_13_2_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_13_3' class='gfield' ><label class='gfield_label' for='input_13_3'>Middle Name</label><div class='ginput_container'><input name='input_3' id='input_13_3' type='text' value='' class='medium'  tabindex='4'   /></div></li><li id='field_13_4' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_4'>Date of Birth<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_4' id='input_13_4' type='text' value='' class='medium'  tabindex='5'   /></div></li><li id='field_13_5' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_5'>Age<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_5' id='input_13_5' type='text' value='' class='medium'  tabindex='6'   /></div></li><li id='field_13_6' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_6'>Date of Birth<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_6' id='input_13_6' type='text' value='' class='medium'  tabindex='7'   /></div></li><li id='field_13_20' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_20'>Social Security Number<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_20' id='input_13_20' type='text' value='' class='medium'  tabindex='8'   /></div></li><li id='field_13_12' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_12'>Email<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_12' id='input_13_12' type='text' value='' class='medium'  tabindex='9'   /></div></li><li id='field_13_21' class='gfield' ><label class='gfield_label' for='input_13_21'>Alternate Email</label><div class='ginput_container'><input name='input_21' id='input_13_21' type='text' value='' class='medium'  tabindex='10'   /></div></li><li id='field_13_7' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_7_1'>Address<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_13_7'><span class='ginput_full' id='input_13_7_1_container'><input type='text' name='input_7.1' id='input_13_7_1' value='' tabindex='11' /><label for='input_13_7_1' id='input_13_7_1_label'>Street Address</label></span><span class='ginput_full' id='input_13_7_2_container' ><input type='text' name='input_7.2' id='input_13_7_2' value='' tabindex='12' /><label for='input_13_7_2' id='input_13_7_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_13_7_3_container'><input type='text' name='input_7.3' id='input_13_7_3' value='' tabindex='13' /><label for='input_13_7_3' id='input_13_7.3_label'>City</label></span><span class='ginput_right' id='input_13_7_4_container' ><input type='text' name='input_7.4' id='input_13_7_4' value='' tabindex='15'   /><label for='input_13_7_4' id='input_13_7_4_label'>State / Province / Region</label></span><span class='ginput_left' id='input_13_7_5_container'><input type='text' name='input_7.5' id='input_13_7_5' value='' tabindex='16' /><label for='input_13_7_5' id='input_13_7_5_label'>ZIP / Postal Code</label></span><span class='ginput_right' id='input_13_7_6_container' ><select name='input_7.6' id='input_13_7_6' tabindex='17' ><option value='' selected='selected'></option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Brazil' >Brazil</option><option value='Brunei' >Brunei</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cape Verde' >Cape Verde</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Congo, Republic of the' >Congo, Republic of the</option><option value='Costa Rica' >Costa Rica</option><option value='C&ocirc;te d&#039;Ivoire' >C&ocirc;te d'Ivoire</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Cyprus' >Cyprus</option><option value='Czech Republic' >Czech Republic</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='East Timor' >East Timor</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Ethiopia' >Ethiopia</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='North Korea' >North Korea</option><option value='South Korea' >South Korea</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Laos' >Laos</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macedonia' >Macedonia</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Norway' >Norway</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine' >Palestine</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russia' >Russia</option><option value='Rwanda' >Rwanda</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia and Montenegro' >Serbia and Montenegro</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Sudan, South' >Sudan, South</option><option value='Suriname' >Suriname</option><option value='Swaziland' >Swaziland</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria' >Syria</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania' >Tanzania</option><option value='Thailand' >Thailand</option><option value='Togo' >Togo</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkey' >Turkey</option><option value='Turkmenistan' >Turkmenistan</option><option value='Tuvalu' >Tuvalu</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Vatican City' >Vatican City</option><option value='Venezuela' >Venezuela</option><option value='Vietnam' >Vietnam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option></select><label for='input_13_7_6' id='input_13_7_6_label'>Country</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_13_8' class='gfield' ><label class='gfield_label' for='input_13_8_1'>Mailing Address (if different)</label><div class='ginput_complex ginput_container' id='input_13_8'><span class='ginput_full' id='input_13_8_1_container'><input type='text' name='input_8.1' id='input_13_8_1' value='' tabindex='18' /><label for='input_13_8_1' id='input_13_8_1_label'>Street Address</label></span><span class='ginput_full' id='input_13_8_2_container' ><input type='text' name='input_8.2' id='input_13_8_2' value='' tabindex='19' /><label for='input_13_8_2' id='input_13_8_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_13_8_3_container'><input type='text' name='input_8.3' id='input_13_8_3' value='' tabindex='20' /><label for='input_13_8_3' id='input_13_8.3_label'>City</label></span><span class='ginput_right' id='input_13_8_4_container' ><input type='text' name='input_8.4' id='input_13_8_4' value='' tabindex='22'   /><label for='input_13_8_4' id='input_13_8_4_label'>State / Province / Region</label></span><span class='ginput_left' id='input_13_8_5_container'><input type='text' name='input_8.5' id='input_13_8_5' value='' tabindex='23' /><label for='input_13_8_5' id='input_13_8_5_label'>ZIP / Postal Code</label></span><span class='ginput_right' id='input_13_8_6_container' ><select name='input_8.6' id='input_13_8_6' tabindex='24' ><option value='' selected='selected'></option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Brazil' >Brazil</option><option value='Brunei' >Brunei</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cape Verde' >Cape Verde</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Congo, Republic of the' >Congo, Republic of the</option><option value='Costa Rica' >Costa Rica</option><option value='C&ocirc;te d&#039;Ivoire' >C&ocirc;te d'Ivoire</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Cyprus' >Cyprus</option><option value='Czech Republic' >Czech Republic</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='East Timor' >East Timor</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Ethiopia' >Ethiopia</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='North Korea' >North Korea</option><option value='South Korea' >South Korea</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Laos' >Laos</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macedonia' >Macedonia</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Norway' >Norway</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine' >Palestine</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russia' >Russia</option><option value='Rwanda' >Rwanda</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia and Montenegro' >Serbia and Montenegro</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Sudan, South' >Sudan, South</option><option value='Suriname' >Suriname</option><option value='Swaziland' >Swaziland</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria' >Syria</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania' >Tanzania</option><option value='Thailand' >Thailand</option><option value='Togo' >Togo</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkey' >Turkey</option><option value='Turkmenistan' >Turkmenistan</option><option value='Tuvalu' >Tuvalu</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Vatican City' >Vatican City</option><option value='Venezuela' >Venezuela</option><option value='Vietnam' >Vietnam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option></select><label for='input_13_8_6' id='input_13_8_6_label'>Country</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_13_9' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_9'>Home Phone<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_9' id='input_13_9' type='text' value='' class='medium' tabindex='25'  /></div></li><li id='field_13_11' class='gfield' ><label class='gfield_label' for='input_13_11'>Cell Phone</label><div class='ginput_container'><input name='input_11' id='input_13_11' type='text' value='' class='medium' tabindex='26'  /></div></li><li id='field_13_10' class='gfield' ><label class='gfield_label' for='input_13_10'>Fax</label><div class='ginput_container'><input name='input_10' id='input_13_10' type='text' value='' class='medium' tabindex='27'  /></div></li><li id='field_13_55' class='gfield               gfield_contains_required' ><label class='gfield_label'>Site Preference (Not Guaranteed)<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_13_55'><li class='gchoice_55_1'><input name='input_55.1' type='checkbox'  value='East Oakland (Frick Middle School)'  id='choice_55_1' tabindex='28'  /><label for='choice_55_1'>East Oakland (Frick Middle School)</label></li><li class='gchoice_55_2'><input name='input_55.2' type='checkbox'  value='West Oaklamd (West Oakland Middle School)'  id='choice_55_2' tabindex='29'  /><label for='choice_55_2'>West Oaklamd (West Oakland Middle School)</label></li></ul></div></li><li id='field_13_22' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_22'>How did you find out about this job opening?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_22' id='input_13_22' class='textarea medium' tabindex='30'   rows='10' cols='50'></textarea></div></li><li id='field_13_25' class='gfield               gfield_contains_required' ><label class='gfield_label'>Are you a returning Oakland Freedom School intern?  <span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_13_25'><li class='gchoice_25_1'><input name='input_25.1' type='checkbox'  value='Yes'  id='choice_25_1' tabindex='31'  /><label for='choice_25_1'>Yes</label></li><li class='gchoice_25_2'><input name='input_25.2' type='checkbox'  value='No'  id='choice_25_2' tabindex='32'  /><label for='choice_25_2'>No</label></li></ul></div></li><li id='field_13_17' class='gfield' ><label class='gfield_label' for='input_13_17'>If yes, how many summers have you served as a teaching intern in the Oakland Freedom Schools program (not including this summer)?</label><div class='ginput_container'><input name='input_17' id='input_13_17' type='text' value='' class='medium'  tabindex='33'   /></div></li><li id='field_13_26' class='gfield               gfield_contains_required' ><label class='gfield_label'>3.	Were you ever enrolled in the Oakland Freedom Schools program as a student participant?<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_13_26'><li class='gchoice_26_1'><input name='input_26.1' type='checkbox'  value='Yes'  id='choice_26_1' tabindex='34'  /><label for='choice_26_1'>Yes</label></li><li class='gchoice_26_2'><input name='input_26.2' type='checkbox'  value='No'  id='choice_26_2' tabindex='35'  /><label for='choice_26_2'>No</label></li></ul></div></li><li id='field_13_27' class='gfield' ><label class='gfield_label' for='input_13_27'>If yes, indicate the year(s) and the Oakland Freedom Schools site...</label><div class='ginput_container'><input name='input_27' id='input_13_27' type='text' value='' class='medium'  tabindex='36'   /></div></li><li id='field_13_28' class='gfield               gfield_contains_required' ><label class='gfield_label'>Do you currently live, or have you ever lived, in the community where this CDF Oakland Freedom Schools site is located?  <span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_13_28'><li class='gchoice_28_1'><input name='input_28.1' type='checkbox'  value='Yes'  id='choice_28_1' tabindex='37'  /><label for='choice_28_1'>Yes</label></li><li class='gchoice_28_2'><input name='input_28.2' type='checkbox'  value='No'  id='choice_28_2' tabindex='38'  /><label for='choice_28_2'>No</label></li></ul></div></li><li id='field_13_29' class='gfield               gfield_contains_required' ><label class='gfield_label'>School Information: Highest Education Level Achieved (check appropriate box)<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_13_29'><li class='gchoice_29_1'><input name='input_29.1' type='checkbox'  value='High School'  id='choice_29_1' tabindex='39'  /><label for='choice_29_1'>High School</label></li><li class='gchoice_29_2'><input name='input_29.2' type='checkbox'  value='Attending 2-year college'  id='choice_29_2' tabindex='40'  /><label for='choice_29_2'>Attending 2-year college</label></li><li class='gchoice_29_3'><input name='input_29.3' type='checkbox'  value='Attending 4-year college'  id='choice_29_3' tabindex='41'  /><label for='choice_29_3'>Attending 4-year college</label></li><li class='gchoice_29_4'><input name='input_29.4' type='checkbox'  value='College Graduate (2-year)'  id='choice_29_4' tabindex='42'  /><label for='choice_29_4'>College Graduate (2-year)</label></li><li class='gchoice_29_5'><input name='input_29.5' type='checkbox'  value='College Graduate (4-year)'  id='choice_29_5' tabindex='43'  /><label for='choice_29_5'>College Graduate (4-year)</label></li><li class='gchoice_29_6'><input name='input_29.6' type='checkbox'  value='Attending Graduate School'  id='choice_29_6' tabindex='44'  /><label for='choice_29_6'>Attending Graduate School</label></li><li class='gchoice_29_7'><input name='input_29.7' type='checkbox'  value='Post-Graduate'  id='choice_29_7' tabindex='45'  /><label for='choice_29_7'>Post-Graduate</label></li></ul></div></li><li id='field_13_13' class='gfield' ><label class='gfield_label' for='input_13_13'>College/University</label><div class='ginput_container'><input name='input_13' id='input_13_13' type='text' value='' class='medium'  tabindex='46'   /></div></li><li id='field_13_18' class='gfield' ><label class='gfield_label' for='input_13_18'>City and State</label><div class='ginput_container'><input name='input_18' id='input_13_18' type='text' value='' class='medium'  tabindex='47'   /></div></li><li id='field_13_19' class='gfield' ><label class='gfield_label' for='input_13_19'>Year in School</label><div class='ginput_container'><input name='input_19' id='input_13_19' type='text' value='' class='medium'  tabindex='48'   /></div></li><li id='field_13_30' class='gfield' ><label class='gfield_label' for='input_13_30'>Currently Declared Major</label><div class='ginput_container'><input name='input_30' id='input_13_30' type='text' value='' class='medium'  tabindex='49'   /></div></li><li id='field_13_31' class='gfield' ><label class='gfield_label' for='input_13_31'>College/University (if applicable)</label><div class='ginput_container'><input name='input_31' id='input_13_31' type='text' value='' class='medium'  tabindex='50'   /></div></li><li id='field_13_32' class='gfield' ><label class='gfield_label' for='input_13_32'>City and State</label><div class='ginput_container'><input name='input_32' id='input_13_32' type='text' value='' class='medium'  tabindex='51'   /></div></li><li id='field_13_33' class='gfield' ><label class='gfield_label' for='input_13_33'>Dates Attended</label><div class='ginput_container'><input name='input_33' id='input_13_33' type='text' value='' class='medium'  tabindex='52'   /></div></li><li id='field_13_34' class='gfield' ><label class='gfield_label' for='input_13_34'>Major/Degree</label><div class='ginput_container'><input name='input_34' id='input_13_34' type='text' value='' class='medium'  tabindex='53'   /></div></li><li id='field_13_35' class='gfield               gfield_contains_required' ><label class='gfield_label'>Did you take any education or child development courses in college?<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_13_35'><li class='gchoice_35_1'><input name='input_35.1' type='checkbox'  value='Yes'  id='choice_35_1' tabindex='54'  /><label for='choice_35_1'>Yes</label></li><li class='gchoice_35_2'><input name='input_35.2' type='checkbox'  value='No'  id='choice_35_2' tabindex='55'  /><label for='choice_35_2'>No</label></li></ul></div></li><li id='field_13_24' class='gfield' ><label class='gfield_label' for='input_13_24'>If yes, please list each education or child development course title and the semester the course was taken.</label><div class='ginput_container'><textarea name='input_24' id='input_13_24' class='textarea medium' tabindex='56'   rows='10' cols='50'></textarea></div></li><li id='field_13_36' class='gfield               gfield_contains_required' ><label class='gfield_label'>Have you participated in any leadership development/training courses, classes, seminars, workshops, etc.?	<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_13_36'><li class='gchoice_36_1'><input name='input_36.1' type='checkbox'  value='Yes'  id='choice_36_1' tabindex='57'  /><label for='choice_36_1'>Yes</label></li><li class='gchoice_36_2'><input name='input_36.2' type='checkbox'  value='No'  id='choice_36_2' tabindex='58'  /><label for='choice_36_2'>No</label></li></ul></div></li><li id='field_13_37' class='gfield' ><label class='gfield_label' for='input_13_37'>If yes, please list the content, date and place of each training experience.</label><div class='ginput_container'><textarea name='input_37' id='input_13_37' class='textarea medium' tabindex='59'   rows='10' cols='50'></textarea></div></li><li id='field_13_38' class='gfield               gfield_contains_required' ><label class='gfield_label'>Demographic Information: Gender (Check appropriate box)<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_13_38'><li class='gchoice_38_1'><input name='input_38.1' type='checkbox'  value='Male'  id='choice_38_1' tabindex='60'  /><label for='choice_38_1'>Male</label></li><li class='gchoice_38_2'><input name='input_38.2' type='checkbox'  value='Female'  id='choice_38_2' tabindex='61'  /><label for='choice_38_2'>Female</label></li></ul></div></li><li id='field_13_39' class='gfield' ><label class='gfield_label'>Race/Ethnicity (Optional)</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_13_39'><li class='gchoice_39_1'><input name='input_39.1' type='checkbox'  value='Black/African American'  id='choice_39_1' tabindex='62'  /><label for='choice_39_1'>Black/African American</label></li><li class='gchoice_39_2'><input name='input_39.2' type='checkbox'  value='White'  id='choice_39_2' tabindex='63'  /><label for='choice_39_2'>White</label></li><li class='gchoice_39_3'><input name='input_39.3' type='checkbox'  value='Native American/American Indian'  id='choice_39_3' tabindex='64'  /><label for='choice_39_3'>Native American/American Indian</label></li><li class='gchoice_39_4'><input name='input_39.4' type='checkbox'  value='Hispanic/Latino'  id='choice_39_4' tabindex='65'  /><label for='choice_39_4'>Hispanic/Latino</label></li><li class='gchoice_39_5'><input name='input_39.5' type='checkbox'  value='Asian/Asian American'  id='choice_39_5' tabindex='66'  /><label for='choice_39_5'>Asian/Asian American</label></li><li class='gchoice_39_6'><input name='input_39.6' type='checkbox'  value='Other'  id='choice_39_6' tabindex='67'  /><label for='choice_39_6'>Other</label></li></ul></div></li><li id='field_13_40' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_40'>Please indicate the number of individuals in your household (including yourself):  <span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_40' id='input_13_40' type='text' value='' class='medium'  tabindex='68'   /></div></li><li id='field_13_41' class='gfield' ><label class='gfield_label'>Income Information (Optional):  Completing this information will assist the Children’s Defense Fund with research related to characteristics of servant leader interns.  Please check the box that matches the range of your family’s yearly income:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_13_41'><li class='gchoice_41_1'><input name='input_41.1' type='checkbox'  value='$0 – 20,000	'  id='choice_41_1' tabindex='69'  /><label for='choice_41_1'>$0 – 20,000	</label></li><li class='gchoice_41_2'><input name='input_41.2' type='checkbox'  value='$20,000 – 25,000	'  id='choice_41_2' tabindex='70'  /><label for='choice_41_2'>$20,000 – 25,000	</label></li><li class='gchoice_41_3'><input name='input_41.3' type='checkbox'  value='$25,000 – 30,000'  id='choice_41_3' tabindex='71'  /><label for='choice_41_3'>$25,000 – 30,000</label></li><li class='gchoice_41_4'><input name='input_41.4' type='checkbox'  value='$30,000 – 35,000'  id='choice_41_4' tabindex='72'  /><label for='choice_41_4'>$30,000 – 35,000</label></li><li class='gchoice_41_5'><input name='input_41.5' type='checkbox'  value='$35,000 – 40,000'  id='choice_41_5' tabindex='73'  /><label for='choice_41_5'>$35,000 – 40,000</label></li><li class='gchoice_41_6'><input name='input_41.6' type='checkbox'  value='$40,000 – 45,000'  id='choice_41_6' tabindex='74'  /><label for='choice_41_6'>$40,000 – 45,000</label></li><li class='gchoice_41_7'><input name='input_41.7' type='checkbox'  value='$45,000 – 50,000'  id='choice_41_7' tabindex='75'  /><label for='choice_41_7'>$45,000 – 50,000</label></li><li class='gchoice_41_8'><input name='input_41.8' type='checkbox'  value='$50,000 – 55,000'  id='choice_41_8' tabindex='76'  /><label for='choice_41_8'>$50,000 – 55,000</label></li><li class='gchoice_41_9'><input name='input_41.9' type='checkbox'  value='$55,000 – 60,000'  id='choice_41_9' tabindex='77'  /><label for='choice_41_9'>$55,000 – 60,000</label></li><li class='gchoice_41_11'><input name='input_41.11' type='checkbox'  value='$60,000 – 65,000'  id='choice_41_11' tabindex='78'  /><label for='choice_41_11'>$60,000 – 65,000</label></li><li class='gchoice_41_12'><input name='input_41.12' type='checkbox'  value='$65,000 – 70,000'  id='choice_41_12' tabindex='79'  /><label for='choice_41_12'>$65,000 – 70,000</label></li><li class='gchoice_41_13'><input name='input_41.13' type='checkbox'  value='$70,000 – 75,000'  id='choice_41_13' tabindex='80'  /><label for='choice_41_13'>$70,000 – 75,000</label></li><li class='gchoice_41_14'><input name='input_41.14' type='checkbox'  value='$75,000 – 80,000'  id='choice_41_14' tabindex='81'  /><label for='choice_41_14'>$75,000 – 80,000</label></li><li class='gchoice_41_15'><input name='input_41.15' type='checkbox'  value='$80,000 - $85,000'  id='choice_41_15' tabindex='82'  /><label for='choice_41_15'>$80,000 - $85,000</label></li><li class='gchoice_41_16'><input name='input_41.16' type='checkbox'  value='$85,000 – 90,000'  id='choice_41_16' tabindex='83'  /><label for='choice_41_16'>$85,000 – 90,000</label></li><li class='gchoice_41_17'><input name='input_41.17' type='checkbox'  value='$90,000 – 100,000'  id='choice_41_17' tabindex='84'  /><label for='choice_41_17'>$90,000 – 100,000</label></li><li class='gchoice_41_18'><input name='input_41.18' type='checkbox'  value='Over $100,000'  id='choice_41_18' tabindex='85'  /><label for='choice_41_18'>Over $100,000</label></li></ul></div></li><li id='field_13_42' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_42'>Work and Volunteer Information: Please list any experiences you have had working with children.<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_42' id='input_13_42' class='textarea medium' tabindex='86'   rows='10' cols='50'></textarea></div></li><li id='field_13_43' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_43'> Please list any volunteer and/or paid work you have done in your school, church or community. <span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_43' id='input_13_43' class='textarea medium' tabindex='87'   rows='10' cols='50'></textarea></div></li><li id='field_13_44' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_44'>Please describe any work you have done in the area of youth leadership development<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_44' id='input_13_44' class='textarea medium' tabindex='88'   rows='10' cols='50'></textarea></div></li><li id='field_13_45' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_45'>What knowledge have you gained from your experiences in serving your school, church or community?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_45' id='input_13_45' class='textarea medium' tabindex='89'   rows='10' cols='50'></textarea></div></li><li id='field_13_46' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_46'>Why do you want to work for the CDF Oakland Freedom Schools program?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_46' id='input_13_46' class='textarea medium' tabindex='90'   rows='10' cols='50'></textarea></div></li><li id='field_13_47' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_47'>What special skills or talents will you draw upon and incorporate in your work if selected as a CDF Oakland Freedom Schools servant leader intern?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_47' id='input_13_47' class='textarea medium' tabindex='91'   rows='10' cols='50'></textarea></div></li><li id='field_13_48' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_48'>Why should you be selected as a CDF Oakland Freedom Schools servant leader intern?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_48' id='input_13_48' class='textarea medium' tabindex='92'   rows='10' cols='50'></textarea></div></li><li id='field_13_49' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_49'>Are there any factors that will prevent or affect your ability to fully participate in daily program activities?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_49' id='input_13_49' class='textarea medium' tabindex='93'   rows='10' cols='50'></textarea></div></li><li id='field_13_54' class='gfield' ><label class='gfield_label' for='input_13_54'>Please Attach Your Resume</label><div class='ginput_container'><input name='input_54' id='input_13_54' type='file' value='' size='20' class='medium' tabindex='94' /></div></li><li id='field_13_50' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_50'>Emergency Contact: Emergency Contact Person<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_50' id='input_13_50' type='text' value='' class='medium'  tabindex='95'   /></div></li><li id='field_13_51' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_51'>Relationship<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_51' id='input_13_51' type='text' value='' class='medium'  tabindex='96'   /></div></li><li id='field_13_52' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_13_52'>Primary Phone<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_52' id='input_13_52' type='text' value='' class='medium' tabindex='97'  /></div></li><li id='field_13_53' class='gfield' ><label class='gfield_label' for='input_13_53'>Secondary Phone</label><div class='ginput_container'><input name='input_53' id='input_13_53' type='text' value='' class='medium' tabindex='98'  /></div></li><li id='field_13_15' class='gfield' ><label class='gfield_label' for='input_13_15'>Captcha</label><script type='text/javascript'> var RecaptchaOptions = {theme : 'red'}; if(parseInt('99') > 0) {RecaptchaOptions.tabindex = 99;}</script><div class='ginput_container' id='input_13_15'><script type="text/javascript" src="http://www.google.com/recaptcha/api/challenge?k=6LeCf88SAAAAAKn5_O14WGxckhjy1yo46MTOPwSw&hl=en"></script>

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		<title>Apply for OFS 2013 Site Coordinator</title>
		<link>http://www.leadershipexcellence.org/site-coordinator-application/</link>
		<comments>http://www.leadershipexcellence.org/site-coordinator-application/#comments</comments>
		<pubDate>Thu, 14 Mar 2013 21:19:50 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Feature]]></category>
		<category><![CDATA[What's Going On...]]></category>
		<category><![CDATA[Leadership Excellence]]></category>
		<category><![CDATA[OFS]]></category>

		<guid isPermaLink="false">http://www.leadershipexcellence.org/?p=791</guid>
		<description><![CDATA[We are no longer accepting applications. But, thank you for your interest. Nature and Scope The Children’s Defense Fund Oakland Freedom School program is an educational and cultural enrichment program. Our program provides summer options for children where there are none and strengthens parent and community involvement in the year-round achievement of children.  We serve children ages 5 to 14 [...]]]></description>
				<content:encoded><![CDATA[<p>We are no longer accepting applications. But, thank you for your interest.</p>
<p><span id="more-791"></span></p>
<p><strong>Nature and Scope</strong><br />
The Children’s Defense Fund Oakland Freedom School program is an educational and cultural enrichment program. Our program provides summer options for children where there are none and strengthens parent and community involvement in the year-round achievement of children.  We serve children ages 5 to 14 in the East and West Oakland communities for five weeks using integrated reading, conflict resolution, and social action in an activity-based curriculum to promote social, cultural, and historical awareness.</p>
<p>Founded in 1995 by the Children&#8217;s Defense Fund’s Black Community Crusade for Children® (BCCC®) and today coordinated nationally by the Children’s Defense Fund in partnership with well-established and effective local and regional child-serving organizations, the CDF Oakland Freedom School program is a direct service initiative.  Site Coordinators require a 10 day training session conducted by CDF Freedom Schools national staff at the historic CDF Alex Haley Farm in Clinton, Tennessee.</p>
<p><strong>Responsibilities</strong></p>
<ul>
<li>Must be available to meet with OFS executive team before local training. Date TBA.</li>
<li>Participate in local site training May 28th and 29th, 2013.</li>
<li>Participate fully in the June CDF National Training from May 30th- June 9th, 2013 in Clinton, TN.</li>
<li>Manage the day-to-day activities of the program and ensure Servant Leader Interns have necessary materials and supplies for the classroom and students.</li>
<li>Provide guidance, support, encouragement, and constructive feedback to the Servant Leader Interns.</li>
<li>Encourage a positive work environment and conduct debriefing sessions at the beginning and end of each day.</li>
<li>Provide technical assistance and feedback to the Servant Leader Interns on all aspects of their work.</li>
<li>Design and coordinate parent workshops and other parent involvement initiatives.</li>
<li>Work with the Training Director to ensure effective communication between parents, staff, and sponsors.</li>
<li>Participate in weekly supervision.</li>
<li>Understand and follow all LCC safety policies, procedures and rules.</li>
<li>Perform all job duties safely.</li>
<li>Attend all required safety training sessions.</li>
<li>Identify and immediately report all workplace hazards, safety rule violations, near misses, and work-related injuries.</li>
<li> Other Duties as assigned.</li>
</ul>
<p><strong>Qualifications</strong></p>
<ul>
<li>Bachelor’s Degree from an accredited university or college in education, psychology, sociology, social work, counseling, or other field with an emphasis on education.</li>
<li>Experience managing large groups of children, young adults, and parents.</li>
<li>Solid commitment to children’s advocacy and enthusiasm for the CDF Oakland Freedom Schools Program.</li>
<li>Ability to motivate others and work as a part of an intergenerational team.</li>
<li>Demonstrated awareness of, sensitivity to, and competence in dealing with cultural and socioeconomic diversity of client population.</li>
<li>Willingness to strive for excellence in all areas and the ability to think critically and analytically.</li>
<li>Exhibit a positive attitude and model a mature and professional demeanor.</li>
<li>Excellent communication skills, including the ability to communicate verbally, in writing, in a supervisory relationship, in meetings, with team members and members of the community.</li>
<li>Strong interpersonal skills and commitment to the ethics of character, humility, and leadership.</li>
<li>Valid California driver’s license, a clear driving record, availability of personal vehicle and personal vehicle insurance coverage.</li>
<li>Physical fitness with the ability to bend, stoop, kneel, drop to one knee and get back up.</li>
</ul>
<p>CLASSIFICATION:  Stipend Internship.<br />
SCHEDULE:  Full time: May 30th – July 26th<br />
AFFILIATION:  Non-Bargaining.<br />
COMPENSATION: $6, 400 stipend for eight weeks (paid bi-weekly)</p>
<p>Please also send your resume&#8217; via email or postal mail by Friday, March 29th, 2013 to:</p>
<p>oaklandfreedomschool@gmail.com</p>
<p>or</p>
<p>Leadership Excellence<br />
Attn: La’Cole Martin<br />
1714 Franklin Street, Suite 321-100<br />
Oakland, CA 94612</p>
<p>For more information or questions regarding this position, please contact:</p>
<p>La’Cole Martin<br />
Site Coordinator<br />
(510) 430-4384<br />
oaklandfreedomschool@gmail.com</p>

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                        </div>
                        <div class='gform_body'>
                            <ul id='gform_fields_12' class='gform_fields top_label description_below'><li id='field_12_16' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_16'>Date<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_16' id='input_12_16' type='text' value='' class='medium'  tabindex='1'   /></div></li><li id='field_12_2' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_2_3'>Name<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_12_2'><span id='input_12_2_3_container' class='ginput_left'><input type='text' name='input_2.3' id='input_12_2_3' value='' tabindex='2' /><label for='input_12_2_3'>First</label></span><span id='input_12_2_6_container' class='ginput_right'><input type='text' name='input_2.6' id='input_12_2_6' value='' tabindex='3' /><label for='input_12_2_6'>Last</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_12_3' class='gfield' ><label class='gfield_label' for='input_12_3'>Middle Name</label><div class='ginput_container'><input name='input_3' id='input_12_3' type='text' value='' class='medium'  tabindex='4'   /></div></li><li id='field_12_4' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_4'>Date of Birth<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_4' id='input_12_4' type='text' value='' class='medium'  tabindex='5'   /></div></li><li id='field_12_5' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_5'>Age<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_5' id='input_12_5' type='text' value='' class='medium'  tabindex='6'   /></div></li><li id='field_12_6' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_6'>Date of Birth<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_6' id='input_12_6' type='text' value='' class='medium'  tabindex='7'   /></div></li><li id='field_12_20' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_20'>Social Security Number<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_20' id='input_12_20' type='text' value='' class='medium'  tabindex='8'   /></div></li><li id='field_12_12' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_12'>Email<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_12' id='input_12_12' type='text' value='' class='medium'  tabindex='9'   /></div></li><li id='field_12_21' class='gfield' ><label class='gfield_label' for='input_12_21'>Alternate Email</label><div class='ginput_container'><input name='input_21' id='input_12_21' type='text' value='' class='medium'  tabindex='10'   /></div></li><li id='field_12_7' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_7_1'>Address<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_12_7'><span class='ginput_full' id='input_12_7_1_container'><input type='text' name='input_7.1' id='input_12_7_1' value='' tabindex='11' /><label for='input_12_7_1' id='input_12_7_1_label'>Street Address</label></span><span class='ginput_full' id='input_12_7_2_container' ><input type='text' name='input_7.2' id='input_12_7_2' value='' tabindex='12' /><label for='input_12_7_2' id='input_12_7_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_12_7_3_container'><input type='text' name='input_7.3' id='input_12_7_3' value='' tabindex='13' /><label for='input_12_7_3' id='input_12_7.3_label'>City</label></span><span class='ginput_right' id='input_12_7_4_container' ><input type='text' name='input_7.4' id='input_12_7_4' value='' tabindex='15'   /><label for='input_12_7_4' id='input_12_7_4_label'>State / Province / Region</label></span><span class='ginput_left' id='input_12_7_5_container'><input type='text' name='input_7.5' id='input_12_7_5' value='' tabindex='16' /><label for='input_12_7_5' id='input_12_7_5_label'>ZIP / Postal Code</label></span><span class='ginput_right' id='input_12_7_6_container' ><select name='input_7.6' id='input_12_7_6' tabindex='17' ><option value='' selected='selected'></option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Brazil' >Brazil</option><option value='Brunei' >Brunei</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cape Verde' >Cape Verde</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Congo, Republic of the' >Congo, Republic of the</option><option value='Costa Rica' >Costa Rica</option><option value='C&ocirc;te d&#039;Ivoire' >C&ocirc;te d'Ivoire</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Cyprus' >Cyprus</option><option value='Czech Republic' >Czech Republic</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='East Timor' >East Timor</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Ethiopia' >Ethiopia</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='North Korea' >North Korea</option><option value='South Korea' >South Korea</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Laos' >Laos</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macedonia' >Macedonia</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Norway' >Norway</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine' >Palestine</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russia' >Russia</option><option value='Rwanda' >Rwanda</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia and Montenegro' >Serbia and Montenegro</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Sudan, South' >Sudan, South</option><option value='Suriname' >Suriname</option><option value='Swaziland' >Swaziland</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria' >Syria</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania' >Tanzania</option><option value='Thailand' >Thailand</option><option value='Togo' >Togo</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkey' >Turkey</option><option value='Turkmenistan' >Turkmenistan</option><option value='Tuvalu' >Tuvalu</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Vatican City' >Vatican City</option><option value='Venezuela' >Venezuela</option><option value='Vietnam' >Vietnam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option></select><label for='input_12_7_6' id='input_12_7_6_label'>Country</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_12_8' class='gfield' ><label class='gfield_label' for='input_12_8_1'>Mailing Address (if different)</label><div class='ginput_complex ginput_container' id='input_12_8'><span class='ginput_full' id='input_12_8_1_container'><input type='text' name='input_8.1' id='input_12_8_1' value='' tabindex='18' /><label for='input_12_8_1' id='input_12_8_1_label'>Street Address</label></span><span class='ginput_full' id='input_12_8_2_container' ><input type='text' name='input_8.2' id='input_12_8_2' value='' tabindex='19' /><label for='input_12_8_2' id='input_12_8_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_12_8_3_container'><input type='text' name='input_8.3' id='input_12_8_3' value='' tabindex='20' /><label for='input_12_8_3' id='input_12_8.3_label'>City</label></span><span class='ginput_right' id='input_12_8_4_container' ><input type='text' name='input_8.4' id='input_12_8_4' value='' tabindex='22'   /><label for='input_12_8_4' id='input_12_8_4_label'>State / Province / Region</label></span><span class='ginput_left' id='input_12_8_5_container'><input type='text' name='input_8.5' id='input_12_8_5' value='' tabindex='23' /><label for='input_12_8_5' id='input_12_8_5_label'>ZIP / Postal Code</label></span><span class='ginput_right' id='input_12_8_6_container' ><select name='input_8.6' id='input_12_8_6' tabindex='24' ><option value='' selected='selected'></option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Brazil' >Brazil</option><option value='Brunei' >Brunei</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cape Verde' >Cape Verde</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Congo, Republic of the' >Congo, Republic of the</option><option value='Costa Rica' >Costa Rica</option><option value='C&ocirc;te d&#039;Ivoire' >C&ocirc;te d'Ivoire</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Cyprus' >Cyprus</option><option value='Czech Republic' >Czech Republic</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='East Timor' >East Timor</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Ethiopia' >Ethiopia</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='North Korea' >North Korea</option><option value='South Korea' >South Korea</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Laos' >Laos</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macedonia' >Macedonia</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Norway' >Norway</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine' >Palestine</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russia' >Russia</option><option value='Rwanda' >Rwanda</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia and Montenegro' >Serbia and Montenegro</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Sudan, South' >Sudan, South</option><option value='Suriname' >Suriname</option><option value='Swaziland' >Swaziland</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria' >Syria</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania' >Tanzania</option><option value='Thailand' >Thailand</option><option value='Togo' >Togo</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkey' >Turkey</option><option value='Turkmenistan' >Turkmenistan</option><option value='Tuvalu' >Tuvalu</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Vatican City' >Vatican City</option><option value='Venezuela' >Venezuela</option><option value='Vietnam' >Vietnam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option></select><label for='input_12_8_6' id='input_12_8_6_label'>Country</label></span><div class='gf_clear gf_clear_complex'></div></div></li><li id='field_12_9' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_9'>Home Phone<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_9' id='input_12_9' type='text' value='' class='medium' tabindex='25'  /></div></li><li id='field_12_11' class='gfield' ><label class='gfield_label' for='input_12_11'>Cell Phone</label><div class='ginput_container'><input name='input_11' id='input_12_11' type='text' value='' class='medium' tabindex='26'  /></div></li><li id='field_12_10' class='gfield' ><label class='gfield_label' for='input_12_10'>Fax</label><div class='ginput_container'><input name='input_10' id='input_12_10' type='text' value='' class='medium' tabindex='27'  /></div></li><li id='field_12_22' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_22'>How did you find out about this job opening?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_22' id='input_12_22' class='textarea medium' tabindex='28'   rows='10' cols='50'></textarea></div></li><li id='field_12_25' class='gfield               gfield_contains_required' ><label class='gfield_label'>Are you a returning Oakland Freedom School site coordinator?  <span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_12_25'><li class='gchoice_25_1'><input name='input_25.1' type='checkbox'  value='Yes'  id='choice_25_1' tabindex='29'  /><label for='choice_25_1'>Yes</label></li><li class='gchoice_25_2'><input name='input_25.2' type='checkbox'  value='No'  id='choice_25_2' tabindex='30'  /><label for='choice_25_2'>No</label></li></ul></div></li><li id='field_12_17' class='gfield' ><label class='gfield_label' for='input_12_17'>If yes, how many summers have you served as a site coordinator in the Oakland Freedom Schools program (not including this summer)?</label><div class='ginput_container'><input name='input_17' id='input_12_17' type='text' value='' class='medium'  tabindex='31'   /></div></li><li id='field_12_26' class='gfield               gfield_contains_required' ><label class='gfield_label'>3.	Were you ever enrolled in the Oakland Freedom Schools program as a student participant?<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_12_26'><li class='gchoice_26_1'><input name='input_26.1' type='checkbox'  value='Yes'  id='choice_26_1' tabindex='32'  /><label for='choice_26_1'>Yes</label></li><li class='gchoice_26_2'><input name='input_26.2' type='checkbox'  value='No'  id='choice_26_2' tabindex='33'  /><label for='choice_26_2'>No</label></li></ul></div></li><li id='field_12_27' class='gfield' ><label class='gfield_label' for='input_12_27'>If yes, indicate the year(s) and the Oakland Freedom Schools site...</label><div class='ginput_container'><input name='input_27' id='input_12_27' type='text' value='' class='medium'  tabindex='34'   /></div></li><li id='field_12_28' class='gfield               gfield_contains_required' ><label class='gfield_label'>Do you currently live, or have you ever lived, in the community where this CDF Oakland Freedom Schools site is located?  <span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_12_28'><li class='gchoice_28_1'><input name='input_28.1' type='checkbox'  value='Yes'  id='choice_28_1' tabindex='35'  /><label for='choice_28_1'>Yes</label></li><li class='gchoice_28_2'><input name='input_28.2' type='checkbox'  value='No'  id='choice_28_2' tabindex='36'  /><label for='choice_28_2'>No</label></li></ul></div></li><li id='field_12_29' class='gfield               gfield_contains_required' ><label class='gfield_label'>School Information: Highest Education Level Achieved (check appropriate box)<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_12_29'><li class='gchoice_29_1'><input name='input_29.1' type='checkbox'  value='High School'  id='choice_29_1' tabindex='37'  /><label for='choice_29_1'>High School</label></li><li class='gchoice_29_2'><input name='input_29.2' type='checkbox'  value='Attending 2-year college'  id='choice_29_2' tabindex='38'  /><label for='choice_29_2'>Attending 2-year college</label></li><li class='gchoice_29_3'><input name='input_29.3' type='checkbox'  value='Attending 4-year college'  id='choice_29_3' tabindex='39'  /><label for='choice_29_3'>Attending 4-year college</label></li><li class='gchoice_29_4'><input name='input_29.4' type='checkbox'  value='College Graduate (2-year)'  id='choice_29_4' tabindex='40'  /><label for='choice_29_4'>College Graduate (2-year)</label></li><li class='gchoice_29_5'><input name='input_29.5' type='checkbox'  value='College Graduate (4-year)'  id='choice_29_5' tabindex='41'  /><label for='choice_29_5'>College Graduate (4-year)</label></li><li class='gchoice_29_6'><input name='input_29.6' type='checkbox'  value='Attending Graduate School'  id='choice_29_6' tabindex='42'  /><label for='choice_29_6'>Attending Graduate School</label></li><li class='gchoice_29_7'><input name='input_29.7' type='checkbox'  value='Post-Graduate'  id='choice_29_7' tabindex='43'  /><label for='choice_29_7'>Post-Graduate</label></li></ul></div></li><li id='field_12_13' class='gfield' ><label class='gfield_label' for='input_12_13'>College/University</label><div class='ginput_container'><input name='input_13' id='input_12_13' type='text' value='' class='medium'  tabindex='44'   /></div></li><li id='field_12_18' class='gfield' ><label class='gfield_label' for='input_12_18'>City and State</label><div class='ginput_container'><input name='input_18' id='input_12_18' type='text' value='' class='medium'  tabindex='45'   /></div></li><li id='field_12_19' class='gfield' ><label class='gfield_label' for='input_12_19'>Year in School</label><div class='ginput_container'><input name='input_19' id='input_12_19' type='text' value='' class='medium'  tabindex='46'   /></div></li><li id='field_12_30' class='gfield' ><label class='gfield_label' for='input_12_30'>Currently Declared Major</label><div class='ginput_container'><input name='input_30' id='input_12_30' type='text' value='' class='medium'  tabindex='47'   /></div></li><li id='field_12_31' class='gfield' ><label class='gfield_label' for='input_12_31'>College/University (if applicable)</label><div class='ginput_container'><input name='input_31' id='input_12_31' type='text' value='' class='medium'  tabindex='48'   /></div></li><li id='field_12_32' class='gfield' ><label class='gfield_label' for='input_12_32'>City and State</label><div class='ginput_container'><input name='input_32' id='input_12_32' type='text' value='' class='medium'  tabindex='49'   /></div></li><li id='field_12_33' class='gfield' ><label class='gfield_label' for='input_12_33'>Dates Attended</label><div class='ginput_container'><input name='input_33' id='input_12_33' type='text' value='' class='medium'  tabindex='50'   /></div></li><li id='field_12_34' class='gfield' ><label class='gfield_label' for='input_12_34'>Major/Degree</label><div class='ginput_container'><input name='input_34' id='input_12_34' type='text' value='' class='medium'  tabindex='51'   /></div></li><li id='field_12_35' class='gfield               gfield_contains_required' ><label class='gfield_label'>Did you take any education or child development courses in college?<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_12_35'><li class='gchoice_35_1'><input name='input_35.1' type='checkbox'  value='Yes'  id='choice_35_1' tabindex='52'  /><label for='choice_35_1'>Yes</label></li><li class='gchoice_35_2'><input name='input_35.2' type='checkbox'  value='No'  id='choice_35_2' tabindex='53'  /><label for='choice_35_2'>No</label></li></ul></div></li><li id='field_12_24' class='gfield' ><label class='gfield_label' for='input_12_24'>If yes, please list each education or child development course title and the semester the course was taken.</label><div class='ginput_container'><textarea name='input_24' id='input_12_24' class='textarea medium' tabindex='54'   rows='10' cols='50'></textarea></div></li><li id='field_12_36' class='gfield               gfield_contains_required' ><label class='gfield_label'>Have you participated in any leadership development/training courses, classes, seminars, workshops, etc.?	<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_12_36'><li class='gchoice_36_1'><input name='input_36.1' type='checkbox'  value='Yes'  id='choice_36_1' tabindex='55'  /><label for='choice_36_1'>Yes</label></li><li class='gchoice_36_2'><input name='input_36.2' type='checkbox'  value='No'  id='choice_36_2' tabindex='56'  /><label for='choice_36_2'>No</label></li></ul></div></li><li id='field_12_37' class='gfield' ><label class='gfield_label' for='input_12_37'>If yes, please list the content, date and place of each training experience.</label><div class='ginput_container'><textarea name='input_37' id='input_12_37' class='textarea medium' tabindex='57'   rows='10' cols='50'></textarea></div></li><li id='field_12_38' class='gfield               gfield_contains_required' ><label class='gfield_label'>Demographic Information: Gender (Check appropriate box)<span class='gfield_required'>*</span></label><div class='ginput_container'><ul class='gfield_checkbox' id='input_12_38'><li class='gchoice_38_1'><input name='input_38.1' type='checkbox'  value='Male'  id='choice_38_1' tabindex='58'  /><label for='choice_38_1'>Male</label></li><li class='gchoice_38_2'><input name='input_38.2' type='checkbox'  value='Female'  id='choice_38_2' tabindex='59'  /><label for='choice_38_2'>Female</label></li></ul></div></li><li id='field_12_39' class='gfield' ><label class='gfield_label'>Race/Ethnicity (Optional)</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_12_39'><li class='gchoice_39_1'><input name='input_39.1' type='checkbox'  value='Black/African American'  id='choice_39_1' tabindex='60'  /><label for='choice_39_1'>Black/African American</label></li><li class='gchoice_39_2'><input name='input_39.2' type='checkbox'  value='White'  id='choice_39_2' tabindex='61'  /><label for='choice_39_2'>White</label></li><li class='gchoice_39_3'><input name='input_39.3' type='checkbox'  value='Native American/American Indian'  id='choice_39_3' tabindex='62'  /><label for='choice_39_3'>Native American/American Indian</label></li><li class='gchoice_39_4'><input name='input_39.4' type='checkbox'  value='Hispanic/Latino'  id='choice_39_4' tabindex='63'  /><label for='choice_39_4'>Hispanic/Latino</label></li><li class='gchoice_39_5'><input name='input_39.5' type='checkbox'  value='Asian/Asian American'  id='choice_39_5' tabindex='64'  /><label for='choice_39_5'>Asian/Asian American</label></li><li class='gchoice_39_6'><input name='input_39.6' type='checkbox'  value='Other'  id='choice_39_6' tabindex='65'  /><label for='choice_39_6'>Other</label></li></ul></div></li><li id='field_12_40' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_40'>Please indicate the number of individuals in your household (including yourself):  <span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_40' id='input_12_40' type='text' value='' class='medium'  tabindex='66'   /></div></li><li id='field_12_41' class='gfield' ><label class='gfield_label'>Income Information (Optional):  Completing this information will assist the Children’s Defense Fund with research related to characteristics of servant leader interns.  Please check the box that matches the range of your family’s yearly income:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_12_41'><li class='gchoice_41_1'><input name='input_41.1' type='checkbox'  value='$0 – 20,000	'  id='choice_41_1' tabindex='67'  /><label for='choice_41_1'>$0 – 20,000	</label></li><li class='gchoice_41_2'><input name='input_41.2' type='checkbox'  value='$20,000 – 25,000	'  id='choice_41_2' tabindex='68'  /><label for='choice_41_2'>$20,000 – 25,000	</label></li><li class='gchoice_41_3'><input name='input_41.3' type='checkbox'  value='$25,000 – 30,000'  id='choice_41_3' tabindex='69'  /><label for='choice_41_3'>$25,000 – 30,000</label></li><li class='gchoice_41_4'><input name='input_41.4' type='checkbox'  value='$30,000 – 35,000'  id='choice_41_4' tabindex='70'  /><label for='choice_41_4'>$30,000 – 35,000</label></li><li class='gchoice_41_5'><input name='input_41.5' type='checkbox'  value='$35,000 – 40,000'  id='choice_41_5' tabindex='71'  /><label for='choice_41_5'>$35,000 – 40,000</label></li><li class='gchoice_41_6'><input name='input_41.6' type='checkbox'  value='$40,000 – 45,000'  id='choice_41_6' tabindex='72'  /><label for='choice_41_6'>$40,000 – 45,000</label></li><li class='gchoice_41_7'><input name='input_41.7' type='checkbox'  value='$45,000 – 50,000'  id='choice_41_7' tabindex='73'  /><label for='choice_41_7'>$45,000 – 50,000</label></li><li class='gchoice_41_8'><input name='input_41.8' type='checkbox'  value='$50,000 – 55,000'  id='choice_41_8' tabindex='74'  /><label for='choice_41_8'>$50,000 – 55,000</label></li><li class='gchoice_41_9'><input name='input_41.9' type='checkbox'  value='$55,000 – 60,000'  id='choice_41_9' tabindex='75'  /><label for='choice_41_9'>$55,000 – 60,000</label></li><li class='gchoice_41_11'><input name='input_41.11' type='checkbox'  value='$60,000 – 65,000'  id='choice_41_11' tabindex='76'  /><label for='choice_41_11'>$60,000 – 65,000</label></li><li class='gchoice_41_12'><input name='input_41.12' type='checkbox'  value='$65,000 – 70,000'  id='choice_41_12' tabindex='77'  /><label for='choice_41_12'>$65,000 – 70,000</label></li><li class='gchoice_41_13'><input name='input_41.13' type='checkbox'  value='$70,000 – 75,000'  id='choice_41_13' tabindex='78'  /><label for='choice_41_13'>$70,000 – 75,000</label></li><li class='gchoice_41_14'><input name='input_41.14' type='checkbox'  value='$75,000 – 80,000'  id='choice_41_14' tabindex='79'  /><label for='choice_41_14'>$75,000 – 80,000</label></li><li class='gchoice_41_15'><input name='input_41.15' type='checkbox'  value='$80,000 - $85,000'  id='choice_41_15' tabindex='80'  /><label for='choice_41_15'>$80,000 - $85,000</label></li><li class='gchoice_41_16'><input name='input_41.16' type='checkbox'  value='$85,000 – 90,000'  id='choice_41_16' tabindex='81'  /><label for='choice_41_16'>$85,000 – 90,000</label></li><li class='gchoice_41_17'><input name='input_41.17' type='checkbox'  value='$90,000 – 100,000'  id='choice_41_17' tabindex='82'  /><label for='choice_41_17'>$90,000 – 100,000</label></li><li class='gchoice_41_18'><input name='input_41.18' type='checkbox'  value='Over $100,000'  id='choice_41_18' tabindex='83'  /><label for='choice_41_18'>Over $100,000</label></li></ul></div></li><li id='field_12_42' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_42'>Work and Volunteer Information: Please list any experiences you have had working with children.<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_42' id='input_12_42' class='textarea medium' tabindex='84'   rows='10' cols='50'></textarea></div></li><li id='field_12_43' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_43'> Please list any volunteer and/or paid work you have done in your school, church or community. <span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_43' id='input_12_43' class='textarea medium' tabindex='85'   rows='10' cols='50'></textarea></div></li><li id='field_12_44' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_44'>Please describe any work you have done in the area of youth leadership development<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_44' id='input_12_44' class='textarea medium' tabindex='86'   rows='10' cols='50'></textarea></div></li><li id='field_12_45' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_45'>What knowledge have you gained from your experiences in serving your school, church or community?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_45' id='input_12_45' class='textarea medium' tabindex='87'   rows='10' cols='50'></textarea></div></li><li id='field_12_46' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_46'>Why do you want to work for the CDF Oakland Freedom Schools program?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_46' id='input_12_46' class='textarea medium' tabindex='88'   rows='10' cols='50'></textarea></div></li><li id='field_12_47' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_47'>What special skills or talents will you draw upon and incorporate in your work if selected as a CDF Oakland Freedom Schools site coordinator?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_47' id='input_12_47' class='textarea medium' tabindex='89'   rows='10' cols='50'></textarea></div></li><li id='field_12_48' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_48'>Why should you be selected as a CDF Oakland Freedom Schools site coordinator?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_48' id='input_12_48' class='textarea medium' tabindex='90'   rows='10' cols='50'></textarea></div></li><li id='field_12_49' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_49'>Are there any factors that will prevent or affect your ability to fully participate in daily program activities?<span class='gfield_required'>*</span></label><div class='ginput_container'><textarea name='input_49' id='input_12_49' class='textarea medium' tabindex='91'   rows='10' cols='50'></textarea></div></li><li id='field_12_54' class='gfield' ><label class='gfield_label' for='input_12_54'>Please Attach Your Resume</label><div class='ginput_container'><input name='input_54' id='input_12_54' type='file' value='' size='20' class='medium' tabindex='92' /></div></li><li id='field_12_50' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_50'>Emergency Contact: Emergency Contact Person<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_50' id='input_12_50' type='text' value='' class='medium'  tabindex='93'   /></div></li><li id='field_12_51' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_51'>Relationship<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_51' id='input_12_51' type='text' value='' class='medium'  tabindex='94'   /></div></li><li id='field_12_52' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_12_52'>Primary Phone<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_52' id='input_12_52' type='text' value='' class='medium' tabindex='95'  /></div></li><li id='field_12_53' class='gfield' ><label class='gfield_label' for='input_12_53'>Secondary Phone</label><div class='ginput_container'><input name='input_53' id='input_12_53' type='text' value='' class='medium' tabindex='96'  /></div></li><li id='field_12_15' class='gfield' ><label class='gfield_label' for='input_12_15'>Captcha</label><script type='text/javascript'> var RecaptchaOptions = {theme : 'red'}; if(parseInt('97') > 0) {RecaptchaOptions.tabindex = 97;}</script><div class='ginput_container' id='input_12_15'><script type="text/javascript" src="http://www.google.com/recaptcha/api/challenge?k=6LeCf88SAAAAAKn5_O14WGxckhjy1yo46MTOPwSw&hl=en"></script>

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		<title>Introducing OFS Weekly</title>
		<link>http://www.leadershipexcellence.org/ofs-2012-newsletters/</link>
		<comments>http://www.leadershipexcellence.org/ofs-2012-newsletters/#comments</comments>
		<pubDate>Thu, 27 Sep 2012 23:47:29 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Feature]]></category>
		<category><![CDATA[Leadership Excellence]]></category>
		<category><![CDATA[OFS]]></category>

		<guid isPermaLink="false">http://www.leadershipexcellence.org/?p=708</guid>
		<description><![CDATA[Download and read the Oakland Freedom School 2012 weekly newsletter, OFS Weekly. Click the links below to download the PDFs: OFS Weekly Vol 1 Issue 1 OFS Weekly Vol 1 Issue 2 OFS Weekly Vol 1 Issue 3 OFS Weekly Vol 1 Issue 4 More About Oakland Freedom School Lincoln Child Center in partnership with Leadership Excellence and support from [...]]]></description>
				<content:encoded><![CDATA[<p>Download and read the Oakland Freedom School 2012 weekly newsletter, <em>OFS Weekly</em>.<span id="more-708"></span></p>
<p><strong>C</strong><a href="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/OFS-2012-1.jpg"><img class="alignright  wp-image-713" style="border: 1px solid black; margin: 10px;" title="Oakland Freedom School youth play at lunch time, reginaldjames.info" alt="" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/OFS-2012-1.jpg" width="292" height="436" /></a><strong>lick the links below to download the PDFs:</strong></p>
<p><a href="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/2012-ofsweekly-1.pdf">OFS Weekly Vol 1 Issue 1</a></p>
<p><a href="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/2012-ofsweekly-2.pdf">OFS Weekly Vol 1 Issue 2</a></p>
<p><a href="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/76-oakland-freedom-school-newsletter-july-3-2012-volume-1-issue-3.pdf">OFS Weekly Vol 1 Issue 3</a></p>
<p><a href="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/2012-ofsweekly-4.pdf">OFS Weekly Vol 1 Issue 4</a></p>
<p><strong>More About Oakland Freedom School</strong><br />
Lincoln Child Center in partnership with Leadership Excellence and support from Oakland Unified School District and the City of Oakland is operating the CDF Oakland Freedom Schools which is a 5-week summer academic literacy and cultural enrichment program  serving 120 students, ages 5-14. With a 10:1 classroom ratio, the program provides a healthy breakfast, lunch and snack, weekly field trips and 150 minutes a day, of academic literacy instruction.</p>
<p>OFS serves academically under-served students who have been exposed to community violence. Operating at sites where there is high need, OFS is partnering with OUSD at Frick Middle School in east Oakland and will recruit primarily from the school as well as district wide.</p>
<p>Using college aged staff and providing them with 80 hours of training, OFS inspires a love of reading while strengthening children’s self-esteem and sense of community through rich cultural engagement, exciting programs and activities using an integrated reading curriculum that supports academic learning outcomes that meet California educational literacy standards.</p>
<p>Since 1993, the Freedom Schools has operated as a national model, developed and coordinated by the Children’s Defense Fund, which provides the evidence-based integrated reading curriculum, books, and a 7-day national training.</p>
<p><strong>Where We Can Make a Difference: </strong></p>
<ul>
<li>Summer Achievement Gap &#8211; The academic achievement gap has been documented to widen during idle summer months in reading proficiency, disproportionately leaving students of color at a disadvantage. This is addressed in OFS through the culturally relevant literacy enrichment component.</li>
<li>Self-Esteem &#8211; African-American children’s negative cultural and racial self-image is well documented. The persistence of this negative self-image impacts their health and educational outcomes. Most academic programs fail to address these deeper cultural issues that negatively impact successful navigation through the educational system. OFS addresses this through its culturally responsive curriculum and mental health support.</li>
<li>Cultural Relevance &#8211; African-American children under-utilize needed mental health services, mainly due to lack of access, and lack of cultural responsiveness of the providers &amp; the delivery of the services. OFS addresses this through cultural responsive curriculum and staffing, mental health support, and parent, family and community outreach, engagement and retention.</li>
</ul>
<p><strong>Service By the Numbers:</strong></p>
<ul>
<li>3440 real hours of paid staff time to operate program (9 weeks for 1 director, 7 weeks for 11 teaching interns)</li>
<li>16,250 hours of programming provided to 100 students (6.5 hours a day, 5 days a week, 5 weeks)</li>
<li>$1200 per student in kind services provided to each OUSD students enrolled ($120,000 for 100 students)</li>
<li>18 years of continual in kind service to OUSD schools &amp; families (since 1994)</li>
</ul>
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		<title>Summer Reflections</title>
		<link>http://www.leadershipexcellence.org/ofs2012-yearbook/</link>
		<comments>http://www.leadershipexcellence.org/ofs2012-yearbook/#comments</comments>
		<pubDate>Thu, 27 Sep 2012 19:05:30 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Feature]]></category>
		<category><![CDATA[OFS]]></category>

		<guid isPermaLink="false">http://www.leadershipexcellence.org/?p=695</guid>
		<description><![CDATA[OFS 2012 Yearbook and Photo Gallery Download the OFS 2012 Yearbook PDF click here. To view more photos, visit Oakland Freedom School, www.facebook.com/oakfreedom]]></description>
				<content:encoded><![CDATA[<p>OFS 2012 Yearbook and Photo Gallery<span id="more-695"></span></p>
<p><iframe style="border: 1px solid #CCC; border-width: 1px 1px 0; margin-bottom: 5px;" src="http://www.slideshare.net/slideshow/embed_code/14258076" height="511" width="479" frameborder="0" marginwidth="0" marginheight="0" scrolling="no"></iframe></p>
<div style="margin-bottom: 5px;">Download the OFS 2012 Yearbook PDF click <a href="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/ofs2012-yearbook.pdf">here</a>.</div>
<div style="margin-bottom: 5px;"></div>
<div style="margin-bottom: 5px;">

<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/403976_493447477352000_1762694869_n/' title='Photo by Reginald James 14'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/403976_493447477352000_1762694869_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 14" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/644504_493447594018655_1650104266_n/' title='Photo by Reginald James 16'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/644504_493447594018655_1650104266_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 16" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/554737_493447700685311_993574521_n/' title='Photo by Reginald James 12'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/554737_493447700685311_993574521_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 12" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/251898_468157016547713_514629942_n/' title='Photo by Reginald James 2'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/251898_468157016547713_514629942_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 2" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/251592_493447527351995_1573678897_n/' title='Photo by Reginald James 1'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/251592_493447527351995_1573678897_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 1" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/423608_493447804018634_1959425801_n/' title='Photo by Reginald James 8'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/423608_493447804018634_1959425801_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 8" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/400409_493447850685296_1047713286_n/' title='Photo by Reginald James 6'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/400409_493447850685296_1047713286_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 6" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/320264_492577630772318_996632491_n/' title='Photo by Reginald James 5'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/320264_492577630772318_996632491_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 5" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/534423_493447654018649_1157299961_n/' title='Photo by Reginald James 9'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/534423_493447654018649_1157299961_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 9" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/582770_491888527507895_1457268322_n/' title='Photo by Reginald James 13'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/582770_491888527507895_1457268322_n-e1348858052409-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 13" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/538995_493447487351999_1083629017_n/' title='Photo by Reginald James 10'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/538995_493447487351999_1083629017_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 10" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/377327_493447744018640_1094876115_n/' title='Photo by Reginald James 15'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/377327_493447744018640_1094876115_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 15" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/296506_493447567351991_1486689716_n/' title='Photo by Reginald James 4'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/296506_493447567351991_1486689716_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 4" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/540314_487468524616562_1732467696_n/' title='Photo by Reginald James 11'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/540314_487468524616562_1732467696_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 11" /></a>
<a href='http://www.leadershipexcellence.org/ofs2012-yearbook/262886_493447460685335_1038465693_n/' title='Photo by Reginald James 3'><img width="145" height="145" src="http://www.leadershipexcellence.org/wp-content/uploads/2012/09/262886_493447460685335_1038465693_n-150x150.jpg" class="attachment-thumbnail" alt="Photo by Reginald James 3" /></a>

</div>
<p>To view more photos, visit <a href="http://www.facebook.com/media/albums/?id=133732226656862http://">Oakland Freedom School</a>, www.facebook.com/oakfreedom</p>
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