(All Fields with a red asterisk are required)
For which program are you applying? (check all that apply)
Young Women at the Helm
Young Men at the Helm
(If Other, fill in here)
* First Name
* Last Name
* Cell Phone
* Home Phone
* School / Organization
* Please give us the name, email address and phone number of an adult or teacher from your school or organization that we can contact as a reference.
What are you interested in? What do you like to do for fun?
Have you sailed onboard Clearwater before? If yes, when?
What are two things about yourself you would like to improve?
What is a particular challenge you have faced and overcome, or would like to overcome, in your life?
What are two strengths or skills you possess?
What would you like to get out of your experience on Clearwater?
Which of the following skills/subjects would you like to learn more about? Rank in order 1, 2, 3, 4
Catch and study live fish and plankton using a plankton tow and fish nets
Fish & Plankton
Collect and test water samples, studying pollution issues and environmental justice
Water Quality & Env. Justice
Tie knots, study ship design, traditional tools and the physics of sailing
Maritime Skills & Sailing
Navigate the ship, study the engine, use maps and compasses
Navigation & Engineering
Do you consider yourself a leader? What skills or characteristics do you think are required to be a good leader?
Have you ever been camping before?
Describe something you care about or are proud of in your life.
What would you like to do in your life if you had no limits?
Optional (If you are interested in financial assistance please answer the following questions)
What is your estimated annual household income?
What elementary and middle schools did you attend?
What is your ethnicity?
What is your first language?
How did you hear about Clearwater's Youth Empowerment Programs?