Application

DEADLINE TO APPLY

FEBRUARY 9, 2019

PLEASE NOTE: A recommendation from a teacher or school administrator is required to complete your application and must be submitted through an online form no later than February 15, 2019. You will be asked to provide a name and contact information for your recommendation in your online application.

Click here to start your application now

Click here to submit a recommendation

Applications will be reviewed by the ELC Steering Committee and students notified no later than March 2, 2019.

REQUIRED INFORMATION

You will be asked to provide the following in your application:

STUDENT INFORMATION

  • Name
  • School
  • Home address
  • Date of birth
  • T-shirt size
  • Home/Mobile phone
  • Email address
  • Interact Club*
  • Friend in Rotary*

PARENT/GUARDIAN INFORMATION

  • Primary Parent/Guardian name & relationship
  • SecondaryParent/Guardian name & relationship
  • Parent(s)/Guardian(s) contact phone & email

MEDICAL CARE INFORMATION

  • Medical care provider
  • Policy number
  • Allergies
  • Dietary requirements
  • Medications needed during conference, including name and frequency

ESSAY RESPONSES

  • Why are you interested in applying to ELC?
  • How do you think attending ELC will influence your future goals?
  • Looking back at your high school reunion in ten years, what would you like to tell your classmates you have done?