ALP Application

Thank you for your interest in the Adirondack Leadership Program. To apply, please follow these steps:

Fill out the application below. La Vida will contact you after we have received and reviewed your application.
Pay your $100 deposit. At this time, we are not able to accept online payments for ALP. Please make checks payable to "Gordon College" or call our office at 978.867.4111 to make a credit card payment over the phone.
Once your deposit has been paid, the La Vida office will send you a confirmation packet that includes a packing list, medical and release forms as well as other logistical information to help you prepare for this trip.

Please note that this form will time out and erase answers after 30 minutes.

Adirondack Leadership Program Application

We request that the students, not parents, fill out the application. GRADUATED REFUND SCHEDULE $100 registration deposit is nonrefundable. Cancellations before May 1: all but $100 deposit refunded. Cancellations between May 1 and May 31: $350 refunded. Cancellations after May 31: NO refunds made

1. Name (last, first, middle initial)

2. Applicant's Cell Phone

3. Applicant's Email Address

4. Street Address

5. City

6. State

7. Zip Code

8. Home Phone

9. Parent/Guardian Name

10. Parent's Cell Phone

11. Parent's Email Address

12. Please select the following:

	Male
	Female

13. Date of Birth

14. Age (at the time of ALP)

	14
	15
	16
	17
	18

15. Current School You Attend

16. Year in School

	Freshman
	Sophomore
	Junior
	Senior

17. ALP has a backpacking and a canoeing option. La Vida cannot guarantee, but will do its best to place participants in their trip of choice. Please indicate which trip you prefer.

	Backpacking
	Canoeing
	I am flexible, either backpacking or canoeing.

18. Preferred Trip Dates:

	Session 1: June 25–July 3
	Session 2: July 9–July 17
	Session 3: July 23–July 31

19. Why are you interested in the Adirondack Leadership Program?

20. Write a paragraph or more about a leader you want to be like and why.

21. What are two leadership qualities you hope to develop more during the ALP?

22. ALP includes a faith component that will involve time spent in conversation specifically focusing on your own spiritual and faith development. Tell us a little bit about your desire for your own personal faith development on this trip.

23. Please list two people that we may contact as references to your leadership potential and character. Include their NAME, PHONE NUMBER and EMAIL address.

24. Due to the strenuous nature of the activities and remote environment, are there any physical, emotional or mental health concerns we need to be aware of?

25. Are you taking any prescribed medications?

26. Are you allergic to bee stings? (Yes/No/Severity)

27. If yes, do you carry an EpiPen for your bee allergy? (If yes, please note you must bring your own EpiPen in addition to the ones we carry in the first-aid kit.)

	Yes
	No

28. Do you have any other allergies?

29. Do you have any food allergies or special dietary needs? Please check all that apply. (We cannot accommodate food preferences, but we will work with you regarding medical dietary needs. Please contact lavida@gordon.edu)

	Vegetarian
	Vegan
	Lactose Intolerant
	Gluten-Free
	Celiac
	Nut Allergy

30. How did you hear about the Adirondack Leadership Program?

	Mailing
	Web Search
	Social Media (Facebook, Instagram, etc.)
	Attended La Vida camp before
	Friend or family reference
	Poster
	North Shore Children & Families Newspaper
	North Shore Kids
	North Shore Friends and Family
	Camp Fair
	Other

31. I have read and agree to the ALP cancellation policy and graduated fee refund schedule. Please see above for details on the cancellation policy and graduated fee schedule.

	Yes
	No

32. The above information is true and written by the applicant for the ALP.

	Yes
	No

33. As a program of Gordon College, we may send you information regarding the school. If you wish to not receive these mailings, please indicate that below.

	Yes, please send me information regarding Gordon College.
	No thanks, I would prefer to NOT receive information regarding Gordon College

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Connect with Gordon

Gordon College, 255 Grapevine Road, Wenham, MA 01984
978 927 2300 | admissions@gordon.edu | info@gordon.edu

Gordon College is one of the nation's premier Christian colleges and located just north of Boston. We offer students extraordinary access to leading-edge opportunities for intellectual, professional, and leadership development to address the increasingly complex challenges of a global society. Gordon stands apart from other outstanding institutions in New England by combining an exceptional education with an informed Christian faith.