Juvenile Justice Leadership Cohort

Cohort Application Form
Thank you for your interest in the 2020 Juvenile Justice Leadership Cohort (JJLC) program through North Park Theological Seminary. Those who currently work with or desire to work with incarcerated young people are the candidates we are looking for to be part of the 2020 JJLC experience.

The JJLC seeks to create spaces where youth workers in ministry will come together to form strong, supportive relationships with others who engage in juvenile justice work, and receive additional training, resources and encouragement.

Please fill out this application completely.
BEFORE APPLYING, PLEASE CHECK EACH BOX BELOW IF YOU AGREE TO ALL OF THE FOLLOWING CONDITIONS:*
Deadline for submission to the 2020 JJLC is FRIDAY, FEB. 17, 2020.

1. APPLICANT INFORMATION
Full Name*

First NameLast Name
Mailing Address *

Street Address

Street Address Line 2

CityState

Zip Code
Email Address *

Confirmation Email
Phone Number*
Birthdate*

MonthDayYear
Social Security Number*
This will only be used to get gate clearance for the facility.
Marital Status*
I identify my Gender as:*
Female, Male, Trans, Other, etc.
Race/Ethnicity:*

3. A FEW QUESTIONS:
Why are you applying to be part of the 2020 JJLC Ready4Life experience?*
What do you hope to learn as a result of being part of the R4L experience?*
What gifts/talents do you bring to this experience that can be shared with the cohort?*
Once you have clicked the submit button, you will not be able to edit your application. If you have any questions, please email Amy Williams at alwilliams2@northpark.edu.
Should be Empty:

Cohort Application Form