2020-2021 Conservation Leadership Corps Application If you need to submit this application by mail or have any questions, email lwf@lawildlifefed.org or call 225-344-6707.General InformationName* First Last Sex*MaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Optional: With which race do you self-identify?American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or other Pacific IslanderWhite/CaucasianCurrent Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country This needs to be where you can receive materials related to the program. We mail scholarship checks, letters of commendation, and certificates to this address upon completion of the program.If you’re current mailing address is not your home address, where are you from (City, State)?*Email Address* Mobile Number*Name of College or University*Academic Major*In the Spring 2021 semester, which will you be?*FreshmanSophomoreJuniorSeniorHow did you hear about this program?*Do you have any conservation/professional organization affiliations? If yes, please list.Reference Contact Information**Please include a reference related to your conservation interests, if possible. We may contact this person to provide a recommendation. However, you can also upload documents to include with your application, including letters of recommendation. References should be someone other a parent/guardian, if possible.Reference Name*How do you know this person?*Reference Phone Number*Reference Email* Additional Documents*Photo (required): Please upload a photo of yourself. This doesn’t have to be any professional headshot. If you are selected, this photo will be used when we make public announcements about the program. Please select a photo that isn’t a full-body shot; think “headshot” (but no selfies, please). Resume (optional): However, if you already have one, please include it. Other supporting documents (optional): You may also upload any relevant supporting materials that you would like to share (recognitions/awards, articles that you’re in, related papers/articles you’ve written, letters of recommendation, etc).Upload Files Here* Drop files here or Accepted file types: pdf, docx, doc. A photo is required. Other documents are optional.Please answer the following questions:Your answers are important when we consider applicants, so we strongly encourage you to be thoughtful in your answers!1) Tell us about what sparked your passion for conservation. (For example, through personal experience(s), education, your involvement in any groups/organizations, etc.)*2) What are your personal interests related to conservation?*3) What are your career ambitions or goals (whether related to a conservation field or not)?4) Describe any environmental/conservation activities you’ve participated in.*5) Thinking big: What is your vision for natural resource conservation?*6) Who do you admire most related to the field of conservation and why?*7) Why do you want to be a member of the Conservation Leadership Corps? What are you hoping to get out of the experience?*If selected, can you commit to attending all 4 weekend sessions? Selected applicants will be notified of specific dates upon acceptance.(NOTE: All sessions will be held online via Zoom and consist of 1-2 hours on Friday evenings and 4-5 hours on Saturdays. Sessions will be held once per month from Jan-Apr.)YesNoConsent Agreement* I consent to the following conditions.I certify that the information in this application is true to the best of my knowledge. I agree to allow any photos taken by LWF staff or photos I submit to be used by the Louisiana Wildlife Federation. (This will only apply to selected applicants.) I understand that my photo(s) may be used in materials that promote the Louisiana Wildlife Federation, but not limited to brochures, flyers or other promotional materials. I understand that the Louisiana Wildlife Federation will distribute these promotional materials to various public and private sector organizations as an informational and marketing tool, and by signing this agreement I acknowledge the right of the Louisiana Wildlife Federation to undertake such actions.Signature*All applicants will be notified of results through email in late Dec/early Jan. Please do not call or email to inquire about your status. APPLICATIONS MUST BE RECEIVED BY DECEMBER 10, 2020
