Teen Leadership Institute Application: Greenville-Pitt Chamber of Commerce

Teen Leadership Institute Application

2026-2027 Teen Leadership Institute Application Form

Please complete the application form below in its entirety. Incomplete application forms will not be given consideration for participation.Application forms are due no later than Friday, September 18 at 3:00 p.m.Program Requirements:Attend a Pitt County high school (Public, Private, & Homeschool)Currently enrolled as a junior (11th grade)Carry a minimum unweighted GPA 3.0Demonstrate outstanding qualities as existing or potential leaders and possess the desire to affect change in their communityAttach a minimum of one (1) signed letter of recommendation from a teacher, coach, employer, etc.

General Information (Applicant)

Applicant’s Name *

Preferred Name *

School *

Gender *

Ethnicity *

T-Shirt Size *

Address *

Preferred Contact Phone Number *

Please expect a phone call if accepted after October 8th.

Email (enter preferred email address) *

Food Restrictions/Allergies

Parent(s) / Guardian(s) Name *

Emergency Contact *

Emergency Contact Number *

Applicant Questions

Please share why you are interested in applying for the Teen Leadership Institute and what do you hope to gain if selected to participate? *

What does Leadership mean to you? *

Personal / Community Involvement

In order of importance to you, please list up to three (3) school related activities, organizations, or athletics in which you have participated or are currently participating. (Please include organization, year, and leadership position, if applicable)

School Involvement 1 *

School Involvement 2 *

School Involvement 3 *

In order of importance to you, please list up to (3) three non-school related activities or organizations in which you have participated or are currently participating. (Volunteer, religious, social, community)

Community Involvement 1 *

Community Involvement 2 *

Community Involvement 3 *

Honors & Awards *

List any honors/awards you have received from participating in any of the activities listed in the questions above.

Future Career Interests

Please list three (3) professional careers you are most interested in pursuing.

Career Interest 1 *

Career Interest 2 *

Career Interest 3 *

Teen Leadership Institute Essay Questions

Please describe a time when you made a significant impact on a team, project, or situation. What was your role, what actions did you take and what did you learn from the experience? *

Please describe the qualities or characteristics you admire most in your role model. How have these traits influenced you or shaped your own goals? *

Recommendation Letter

Please upload the following document before submitting your form. What are this student’s greatest strengths? In what ways could this student continue to grow as a leader? Why do you recommend this student for the TLI?

Recommendation Letter *

Greater Greenville Chamber

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