Mid-Atlantic FCA

APPLY:

First Name:

Last Name

Email:

Phone:

State:

Supervisor

Years on Staff:

Shirt Size

In a paragraph, please let us know why you want to be considered, and why you'd like to be a part of the Wenrich Leadership Team

I Have a Letter of Recommendation:

I am willing to consider growth in leadership outside my area (which could involve moving)

YES

NO, I am not interested in moving

I understand that, if selected, I am expected to participate in all four experiences

YES, I understand

NO, I can't commit right now

Accomodations: I am willing to have a roommate

Dietary Restrictions

Mid-Atlantic FCA

CONTACT INFORMATION:

Mid-Atlantic FCA

2913 Spooky Nook Road

Manheim, PA 17545